Updated on 2025/04/01

写真a

 
Mogi Masaki
 
Organization
Graduate School of Medicine Program for Medical Sciences Professor
Title
Professor
Contact information
メールアドレス
External link

Degree

  • 医学博士 ( 大阪大学 )

Research Interests

  • Neuroscience

  • 認知症

  • 高血圧

  • Hypertension

  • Stroke

  • Dementia

  • 脳卒中

  • 生活習慣病

  • 神経科学

  • Life-style-related Disease

Research Areas

  • Life Science / Cardiology

  • Life Science / Pharmacology

  • Life Science / General internal medicine

Education

  • Osaka University

    - 2000

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    Country: Japan

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  • Osaka University   Graduate School, Division of Medical Sciences

    - 2000

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  • Osaka University   Faculty of Medicine   Medical School

    - 1994

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    Country: Japan

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  • Osaka University   Faculty of Medicine

    - 1994

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Research History

  • Ehime University Graduate School of Medicine   Department of Pharmacology   Professor

    2019.12

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  • Ehime University   Graduate School of Medicine   Associate Professor

    2012.8 - 2019.11

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  • Ehime University   Graduate School of Medicine

    2011.7 - 2012.7

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  • Ehime University   Graduate School of Medicine

    2006.4 - 2011.6

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  • Ehime University   School of Medicine

    2005.4 - 2006.3

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  • Ehime University   School of Medicine   Research Associate

    2004.11 - 2005.3

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  • Department of Molecular and Cellular Biology, Division of Medical Biochemistry and Cardiovascular Biology, Ehime University School of Medicine

    2004

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  • Ehime University   School of Medicine   Research Associate

    2003.7 - 2004.10

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  • アメリカ合衆国ボストン大学医学部   分子心臓病学   ポスドク

    2001.11 - 2003.6

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  • アメリカ合衆国タフツ大学   セントエリザベス病院   ポスドク

    2001.7 - 2001.10

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  • Osaka University   Hospital

    2000.10 - 2001.6

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  • Osaka University   Graduate School of Medicine

    1997.6 - 2001.6

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  • 大阪府立病院   呼吸器・血液内科   レジデント

    1996.6 - 1997.5

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  • 大阪府立病院   麻酔科、心臓内科、腎臓内科、呼吸器・血液内科   研修医

    1995.6 - 1996.5

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  • Osaka University   Hospital

    1994.6 - 1995.5

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  • Osaka University   Hospital

    1994.4 - 1994.5

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Professional Memberships

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Committee Memberships

  • Japanese Society of Geriatric Pharmacy   Director  

    2023.5   

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  • Japanese Society of Hypertension   Director  

    2022.9   

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    Committee type:Academic society

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  • The Japan Geriatric Society   Representative  

    2021.6   

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    Committee type:Academic society

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  • Japanese Society of Vascular Cognitive Impairment   Director  

    2021   

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    Committee type:Academic society

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  • Japanese Society of Circulation Reaearch   Director  

    2021   

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  • 日本臨床栄養学会   評議員  

    2016.10   

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    Committee type:Academic society

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  • 日本抗加齢医学会   評議員  

    2012.6   

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    Committee type:Academic society

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  • 日本薬理学会   評議員  

    2012.4   

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    Committee type:Academic society

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  • 日本心血管内分泌代謝学会   評議員  

    2010.4   

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  • 日本高血圧学会   幹事  

    2008 - 2015   

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    Committee type:Academic society

    日本高血圧学会

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  • 日本高血圧学会   Hypertension Research Executive Editor  

    2008   

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    Committee type:Academic society

    日本高血圧学会

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Qualification acquired

  • 日本脳卒中学会 専門医

  • 日本高血圧学会 専門医

  • 日本高血圧学会 指導医

  • 日本内科学会会 専門医

  • 日本老年病学会 専門医

  • 日本内科学会会 認定医

  • Medical License

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Papers

  • Association of Enterococcus faecalis and tyrosine decarboxylase gene levels with levodopa pharmacokinetics in Parkinson’s disease

    Noriyuki Miyaue, Haruto Yamamoto, Shuang Liu, Yuko Ito, Yuki Yamanishi, Rina Ando, Yasuyuki Suzuki, Masaki Mogi, Masahiro Nagai

    npj Parkinson's Disease   11 ( 1 )   2025.3

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    Publishing type:Research paper (scientific journal)   Publisher:Springer Science and Business Media LLC  

    DOI: 10.1038/s41531-025-00903-6

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    Other Link: https://www.nature.com/articles/s41531-025-00903-6

  • Digital hypertension, implementation hypertension, and internationalization - 3 pillars of Japanese Society of Hypertension 2024-2026 advancing hypertension science from Japan to the world in the information network era. International journal

    Kazuomi Kario, Akira Nishiyama, Shigeru Shibata, Hisatomi Arima, Masato Furuhashi, Atsuhiro Ichihara, Mari Ishida, Tomohiro Katsuya, Takuya Kishi, Katsuyuki Miura, Shin-Ichiro Miura, Masaki Mogi, Mitsuru Ohishi, Hirotaka Shibata, Tatsuo Shimosawa, Akira Sugawara, Kouichi Tamura, Kazunori Toyoda, Koichi Yamamoto, Koichi Node

    Hypertension research : official journal of the Japanese Society of Hypertension   48 ( 1 )   1 - 5   2025.1

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  • Muscle mass, muscle strength and the renin-angiotensin system. International journal

    Hikari Takeshita, Koichi Yamamoto, Masaki Mogi, Hiromi Rakugi

    Clinical science (London, England : 1979)   138 ( 24 )   1561 - 1577   2024.12

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

    The renin-angiotensin system (RAS) is a classically known circulatory regulatory system. In addition to the previously known multi-organ circulatory form of the RAS, the existence of tissue RASs in individual organs has been well established. Skeletal muscle has also been identified as an organ with a distinct RAS. In recent years, the effects of RAS activation on skeletal muscle have been elucidated from several perspectives: differences in motor function due to genetic polymorphisms of RAS components, skeletal muscle dysfunction under conditions of excessive RAS activation such as heart failure, and the effects of the use of RAS inhibitors on muscle strength. In addition, the concept of the RAS itself has recently been expanded with the discovery of a 'protective arm' of the RAS formed by factors such as angiotensin-converting enzyme 2 and angiotensin 1-7. This has led to a new understanding of the physiological function of the RAS in skeletal muscle. This review summarizes the diverse physiological functions of the RAS in skeletal muscle and considers the potential of future therapeutic strategies targeting the RAS to overcome problems such as sarcopenia and muscle weakness associated with chronic disease.

    DOI: 10.1042/CS20220501

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  • Further development in the trees of the immune system is expected to elucidate the mechanisms of blood pressure elevation. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   2024.12

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  • Development of the Japanese Anticholinergic Risk Scale: English translation of the Japanese article.

    Fumihiro Mizokami, Tomohiro Mizuno, Rena Taguchi, Izumi Nasu, Sayaka Arai, Keiichiro Higashi, Ayaka Matsumoto, Miwako Kamei, Taro Kojima, Takayoshi Sakai, Yuuka Shibata, Yasushi Takeya, Masaki Mogi, Shizuo Yamada, Masahiro Akishita

    Geriatrics & gerontology international   2024.12

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

    BACKGROUND: Anticholinergic burden, reflecting the cumulative impact of medications with anticholinergic properties, significantly predicts adverse drug reactions and geriatric syndromes in older adults. Although anticholinergic risk scales (ARS) have been developed and validated in various countries, none have been tailored specifically for Japan. The Japanese Anticholinergic Risk Scale (JARS) was developed to adapt the existing ARS frameworks to the Japanese context, considering unique medication profiles and cultural factors. PROCESS: First, a systematic review was performed to follow the protocol registered in PROSPERO (CRD42017076510). A PubMed search from October 2017 to March 2023 was conducted to identify ARS publications post-September 2017. Based on two algorithms, average scores from the existing scores were used to develop JARS. The Delphi method, an expert consensus approach, was applied to determine the scores for medications that were not established by the algorithms. Sixteen articles identified in our systematic review contributed to JARS development. JARS categorizes 158 medications into three potency groups: 37 drugs scored as 3 (strong), 27 as 2 (moderate), and 94 as 1 (weak). CONCLUSION: JARS, the newly developed ARS, could be a critical tool for anticholinergic burden assessment in older Japanese populations. Developed through a systematic review and Delphi-based expert consensus, it encompasses 158 medications, offering a comprehensive anticholinergic burden assessment. Future studies and updates should be conducted to improve the accuracy and clinical applicability of this scale. Geriatr Gerontol Int 2024; ••: ••-••.

    DOI: 10.1111/ggi.15001

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  • New possibilities for protective arms by changing the structure of angiotensin (1-9). International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   2024.12

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  • The need for a personalized "implementation hypertension" strategy to facilitate the implementation of the new European Society of Hypertension (2023), European Society of Cardiology (2024) and the upcoming Japanese Society of Hypertension (2025) hypertension guidelines in clinical practice. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 12 )   3380 - 3382   2024.12

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  • The latest topics related to hypertension are concentrated. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 12 )   3303 - 3303   2024.12

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  • Participating in ISH 2024. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   2024.11

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  • Asian hypertensive population: key insights from large-scale data analysis. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 11 )   2979 - 2980   2024.11

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  • Small vessels cause big problems. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 10 )   2930 - 2932   2024.10

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  • Renal denervation up-to-date 2024: evidence and perspectives in Japan. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 10 )   2621 - 2623   2024.10

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

    DOI: 10.1038/s41440-024-01836-y

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  • Pulse pressure tells the story of sarcopenia. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 9 )   2583 - 2585   2024.9

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    DOI: 10.1038/s41440-024-01750-3

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  • Preface-risk of hypertension to cardiovascular disease and beneficial effects of drugs. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 9 )   2236 - 2237   2024.9

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    DOI: 10.1038/s41440-024-01794-5

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  • Hypertension in Asia: Genetic, lifestyle, and clinical insights. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 8 )   2007 - 2008   2024.8

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  • Effect of adrenomedullin on obesity-related hypertension. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 8 )   2221 - 2222   2024.8

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  • Hypertension treatment up-date on World Hypertension Day 2024: current status and future prospects in Asia. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 7 )   1763 - 1765   2024.7

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  • Feasibility and efficacy of pemafibrate for prevention of maternal high-fat intake-induced glucose metabolic dysfunction in offspring International journal

    Matome Imai, Shuang Liu, Akiko Yano, Yasuyuki Suzuki, Masaki Mogi, Takashi Sugiyama

    Biochemical Pharmacology   227   116454 - 116454   2024.7

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

    Given the significance of the intrauterine lipid environment in glucose metabolic homeostasis in offspring, the present study was undertaken to investigate the feasibility and efficacy of pemafibrate, a triglyceride-lowering peroxisome proliferator-activated agent, for maternal high-fat diet (HFD) intake-induced glucose metabolic dysfunction in offspring. A mouse model of HFD-induced gestational obesity was employed, and pemafibrate was orally administered from day 10 of gestation until delivery. The influences of maternal pemafibrate treatment on biological processes and toxicity were evaluated in both newborns and 12-week-old offspring. The findings of a dose-dependent decrease of β cell islet mass and of impairment of glucose tolerance and insulin sensitivity in offspring suggest that maternal pemafibrate intervention can prevent maternal HFD-intake-induced diabetes in offspring. Of particular interest in the prevention of future glucose metabolic dysfunction in offspring, low-dose maternal pemafibrate treatment (0.02 mg/kg/day) had sufficient efficacy and appeared to be safe in offspring. Therefore, pemafibrate may be a potential agent for the prevention of maternal high-fat exposure-induced diabetes in offspring. Abbreviations: CD, control diet; DEG, differentially expressed genes; GTT, glucose tolerance test; HFD, high-fat diet; ITT, insulin tolerance test; MC, 0.5w/v% methyl cellulose 400 solution; PPAR, triglyceride-lowering peroxisome proliferator-activated receptor; RNA-seq, RNA sequencing; TC, total cholesterol; TG, triglycerides.

    DOI: 10.1016/j.bcp.2024.116454

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  • Consider hypertension risk factors once again. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 6 )   1443 - 1444   2024.6

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  • Original article and review highlighted in this month of Hypertension Research. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 5 )   1095 - 1096   2024.5

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    DOI: 10.1038/s41440-024-01646-2

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  • Salt and seasonal variation research in Asia. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 4 )   833 - 834   2024.4

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    DOI: 10.1038/s41440-024-01625-7

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  • Perioperative Anaphylaxis in Japanese Secondary Care Institutions: Incidence, Causes, and the Imperative for Improved Diagnostic Practices. International journal

    Yasuyuki Suzuki, Shuang Liu, Natsumi Yamashita, Naohito Yamaguchi, Yasushi Takasaki, Toshihiro Yorozuya, Masaki Mogi

    Cureus   16 ( 4 )   e57555   2024.4

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

    Background This research investigates the incidence, suspected causes, and diagnostic procedures for perioperative anaphylaxis (POA), a potentially severe complication, in secondary care hospitals across Japan. Methodology We surveyed Saiseikai hospitals and gathered data on surgical procedures, POA occurrences, potential triggers, and diagnostic methods. Results Among 70,523 surgeries, seven were associated with POA, resulting in an approximate incidence rate of 0.01%. Rocuronium was the most commonly suspected trigger, followed by sugammadex, latex, and angiography contrast agents. Despite the importance of skin tests as the most basic and crucial diagnostic method, they were conducted in only three instances. No in vitro tests for drug identification were conducted, and in four cases, the cause was determined merely based on the timing of drug administration, indicating significant diagnostic limitations. Conclusions The study underscores the critical situation in Japan regarding insufficient diagnostic practices and difficulties in identifying triggering drugs rather than the consistent prevalence of POA in secondary care facilities. The findings emphasize the need for improved diagnostic proficiency and more rigorous drug identification practices to ensure prompt and accurate POA diagnosis. It is essential to conduct further research and interventions to increase patient safety during the perioperative period in secondary care settings.

    DOI: 10.7759/cureus.57555

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  • Lack of ATP2B1 in CD4+ T Cells Causes Colitis International journal

    Amarsanaa Javkhlant, Kensuke Toyama, Yasunori Abe, Joshua M Spin, Masaki Mogi

    Inflammatory Bowel Diseases   30 ( 10 )   1852 - 1864   2024.3

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Oxford University Press (OUP)  

    Abstract

    Background

    The ATP2B1 gene encodes for a calcium pump, which plays a role in removing Ca2+ from cells and maintaining intracellular Ca2+ homeostasis. Reduction of the intracellular Ca2+ concentration in CD4+ T cells is thought to reduce the severity of colitis, while elevation of Ca2+ in CD4+ T cells induces T cell hyperactivity. Our aim was to clarify the role of ATP2B1 in CD4+ T cells and in inflammatory bowel disease development.

    Methods

    A murine CD4+ T cell–specific knockout (KO) of ATP2B1 was created using a Cre-loxP system. CD4+ T cells were isolated from thymus, spleen, and blood using fluorescence-activated cell sorting. To quantify messenger RNA levels, quantitative real-time polymerase chain reaction was performed.

    Results

    Although the percentages of CD4+ T cells in both KO mouse spleen and blood decreased compared with those of the control samples, both T-bet (a T helper 1 [Th1] activity marker) and GATA3 (a Th2 activity marker) expression levels were further increased in KO mouse blood CD4+ T cells (vs control blood). Diarrhea and colonic wall thickening (with mucosal changes, including crypt distortion) were seen in KO mice but not in control mice. Prior to diarrhea onset, the KO mouse colon length was already noted to be shorter, and the KO mouse stool water and lipid content were higher than that of the control mice. Tumor necrosis factor α and gp91 expressions were increased in KO mouse colon.

    Conclusions

    Lack of ATP2B1 in CD4+ T cells leads to Th1 and Th2 activation, which contributes to colitis via elevation of tumor necrosis factor α and oxidative stress.

    DOI: 10.1093/ibd/izae045

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  • Hypertension facilitates age-related diseases. ~ Is hypertension associated with a wide variety of diseases?~. International journal

    Masaki Mogi, Yasuhito Ikegawa, Shunsuke Haga, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 5 )   1246 - 1259   2024.3

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    Hypertension, a disease whose prevalence increases with age, induces pathological conditions of ischemic vascular disorders such as cerebral infarction and myocardial infarction due to accelerated arteriosclerosis and circulatory insufficiency of small arteries and sometimes causes hemorrhagic conditions such as cerebral hemorrhage and ruptured aortic aneurysm. On the other hand, as it is said that aging starts with the blood vessels, impaired blood flow associated with vascular aging is the basis for the development of many pathological conditions, and ischemic changes in target organs associated with vascular disorders result in tissue dysfunction and degeneration, inducing organ hypofunction and dysfunction. Therefore, we hypothesized that hypertension is associated with all age-related vascular diseases, and attempted to review the relationship between hypertension and diseases for which a relationship has not been previously well reported. Following our review, we hope that a collaborative effort to unravel age-related diseases from the perspective of hypertension will be undertaken together with experts in various specialties regarding the relationship of hypertension to all pathological conditions.

    DOI: 10.1038/s41440-024-01642-6

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  • The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. International journal

    Kazuomi Kario, Ayako Okura, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 5 )   1099 - 1102   2024.3

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    Thirty-year % increase of adults with hypertension in the European/ Americas and South-East Asia/ Western Pacific (WHO region). Create using the data from: World Health Organization. Global report on hypertension: the race against a silent killer. Geneva, Switzerland: 2023.

    DOI: 10.1038/s41440-024-01622-w

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  • Preface-various factors in the management of blood pressure. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 3 )   577 - 578   2024.3

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    DOI: 10.1038/s41440-023-01578-3

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  • Exploring an immortal Turritopsis sp. as a less conventional natural system for study of aging International journal

    Shuang Liu, Erika Takemasa, Yasuyuki Suzuki, Masaki Mogi

    Biochemistry and Biophysics Reports   37   101613 - 101613   2024.3

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    Aim: Given its excellent capability of escaping from unavoidable harm and death, Turritopsis sp. (T. sp.) has captured the attention and fascination of scientists as a less conventional tool for aging research. The current study introduces a method for establishment of a research model and comprehensive transcriptomic analysis to reveal the structural and functional diversity of T. sp. Methods: T. sp. medusae collected from the Pacific Ocean near Japan were reared using a common laboratory setting. Tissues of the gastrovascular cavity part (GP) and nerve ring part (NP) were collected, and total RNA was extracted. Bulk RNA-seq was performed to compare the different transcriptome landscapes between GP and NP. Results: The GP fragment could be utilized for studies related to stress response and systemic senescence, while the NP fragment could be used to explore system rejuvenation, self-repair and regeneration. Conclusions: As a less conventional system for aging research, by employing the most recently developed tools and techniques in the genomic revolution, comprehensive elucidation of the composition, development, and functions of T. sp. enabled us to explore the underlying mechanisms of the response to environmental stress and rejuvenation.

    DOI: 10.1016/j.bbrep.2023.101613

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  • Intriguing review and topics in this month of Hypertension Research. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 2 )   253 - 254   2024.2

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    DOI: 10.1038/s41440-023-01532-3

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  • The Editorial Structure 2024 of Hypertension Research for global initiatives

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension Research   47 ( 2 )   251 - 252   2024.2

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    DOI: 10.1038/s41440-023-01548-9

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  • Amelioration of oxygen-induced retinopathy in neonatal mice with fetal growth restriction. International journal

    Ryusuke Watanabe, Shuang Liu, Tomohisa Sakaue, Yasuhito Ikegawa, Masaaki Ohta, Takashi Higaki, Masaki Mogi, Mariko Eguchi

    Frontiers in cell and developmental biology   12   1288212 - 1288212   2024

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    Introduction: With the aim of optimizing the balance of maintaining a safe oxygen saturation and reducing the risk of retinopathy of prematurity in human neonates with fetal growth restriction (FGR), the present study investigated the distinct effects of oxygen supplementation on the retinal neovasculature using a murine premature neonatal oxygen-induced retinopathy (OIR) model with or without fetal growth restriction. Methods: For comparison with normal birth-weight neonates, maternal low-protein diet-induced FGR neonates were subjected to fluctuating oxygen levels to generate oxygen-induced retinopathy. The retinal neovasculature was histologically evaluated, and comprehensive transcriptome analysis was conducted. Results: Compared to OIR neonates with normal birth weight, significant amelioration of the neovasculature, as indicated by decreases in the number of branch junctions, vascular distribution, maximal vascular radius and microaneurysm-like tufts, was observed in OIR mice with FGR. The results of retinal RNA-sequencing revealed downregulation of angiogenic factors that trigger pathological retinal neovascularization, such as the mitogen-activated protein kinase pathway and corresponding upstream signaling pathways in OIR mice with FGR. Conclusion: Our findings demonstrated that FGR neonates have a higher capacity for retinal oxygen stress, and the risk of OIR development is attenuated compared to that in mature neonates with normal birth weight.

    DOI: 10.3389/fcell.2024.1288212

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  • Animal Models of Vasculitis. International journal

    Masaki Mogi, Shuang Liu

    Methods in molecular biology (Clifton, N.J.)   2766   271 - 280   2024

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    The diagnosis of vasculitis in rheumatoid arthritis (RV) is associated with considerable mortality; therefore, understanding the basic mechanisms underlying the pathogenesis of vasculitis is very important. Animal models of vasculitis have contributed to elucidating such mechanisms. We here introduce a Candida albicans water-soluble glycoprotein (CAWS)-induced vasculitis model and the methodological approach to evaluate inflammatory vascular change.

    DOI: 10.1007/978-1-0716-3682-4_28

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  • Institutional Review Board Considerations for Clinical Trials. International journal

    Masaki Mogi, Shuang Liu

    Methods in molecular biology (Clifton, N.J.)   2766   311 - 316   2024

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    To protect subjects who participate in human research, Institutional Review Boards (IRBs) play an important role in reviewing research and determining the validity of a study by comprehensively examining it for ethical issues, including invasiveness and management of personal information. They conduct regular and independent reviews to protect the health, rights, and welfare of research subjects. When we as researchers conduct clinical research, we must obtain IRB approval and submit our research for investigation of ethical issues before we begin.

    DOI: 10.1007/978-1-0716-3682-4_31

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  • Five special focuses of Hypertension Research: digital hypertension, home blood pressure-centered approach, renal denervation, Asians, for guidelines. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 12 )   2557 - 2560   2023.12

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    [Figure not available: see fulltext.]

    DOI: 10.1038/s41440-023-01471-z

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  • Single-cell transcriptomic architecture and cellular communication circuits of parametrial adipose tissue in pregnant mice International journal

    Akiko Yano, Shuang Liu, Yasuyuki Suzuki, Matome Imai, Masaki Mogi, Takashi Sugiyama

    Life Sciences   334   122214 - 122214   2023.12

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    Aims: The activity and interactions of cellular subpopulations in the adipose tissue microenvironment are critical for the coordination of local and systemic adaptation during pregnancy. With a particular interest in parametrial adipose tissue (PmAT), single-cell RNA-sequencing (scRNA-seq) was utilized to unveil the gestative cellular composition and functional shift. Materials and methods: To identify cell-type-enriched transcriptome profiles, a total of 18,074 cells in adipose tissue were studied. The cell populations were cataloged, and signaling crosstalk between adipocytes and other composition factions via soluble and membrane-bound factors were evaluated. Key findings: A marked decline of pregnancy adipocytes and relative elevation of non-adipocyte fractions were observed. A subpopulation of adipocytes, Adipo_5, with unique properties in the response to estrogen and the embryonic processes involved in pregnancy, was defined. Interactome analysis revealed the potential contribution of PmAT to the establishment of maternal-fetal immune tolerance. During gestation, adipocytes shut down outgoing signaling, resulting in deterioration of the resistin-related incoming signaling network in B cells, which would therefore benefit tissue-specific maternal-fetal tolerance. Furthermore, a subpopulation of adipocytes, Aipo_2, was also considered to take part in a paradigm shift in the process of pregnancy-induced chemical stiffness-triggered vesicular remodeling via the THBS signaling pathway network. Significance: These data-derived findings will encourage investigation into the role of pregnant PmTA in pregnancy-related immunological, hypertensive and metabolic disorders, with the ultimate goal of establishing preventive strategies to mitigate these pregnancy-related health challenges. This translational aspect of our work holds significant promise for improving maternal and fetal well-being.

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  • Optimal blood pressure and improvement of achievement rate. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 11 )   2445 - 2446   2023.11

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    DOI: 10.1038/s41440-023-01411-x

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  • Dietary leucine supplementation restores T-cell mitochondrial respiration and regulates T-lineage differentiation in denervation-induced sarcopenic mice International journal

    Shuang Liu, Marii Mochizuki, Yasuyuki Suzuki, Erika Takemasa, Akiko Yano, Matome Imai, Masaki Mogi

    The Journal of Nutritional Biochemistry   124   109508 - 109508   2023.10

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    With the aim of offsetting immune dysfunction preceded by sarcopenia, the feasibility and efficiency of nutritional leucine supplementation were evaluated using a murine denervation-induced sarcopenia model. Sciatic nerve axotomy caused significant loss of skeletal muscle of the hind limbs and accelerated mitochondrial stress along with suppressed ATP production in spleen-derived T cells. Dietary leucine intake not only ameliorated muscle mass anabolism in a sarcopenic state, but also restored mitochondrial respiratory function, as indicated by elevated levels of basal respiration, maximal respiration, spare respiratory capacity, and ATP production, in T cells, which in turn led to downregulated expression of mTOR and downstream signals, as indicated by the findings of comprehensive transcriptome analysis. Consequentially, this finally resulted in amelioration of the sarcopenia-induced relative Th1/Th17-dominant proinflammatory microenvironment. These results highlight the importance of leucine-promoted metabolic cues in directing T cell fate in a sarcopenic microenvironment. The present study provides insights that particularly help rationalize the design and optimization of leucine supplementation for chronic sarcopenic patients with autoimmune diseases.

    DOI: 10.1016/j.jnutbio.2023.109508

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  • What impacts do the new ESH 2023 guidelines have on the management of hypertension in Japan? International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi, Akira Nishiyama, Yusuke Ohya, Koichi Node

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 10 )   2257 - 2261   2023.10

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    DOI: 10.1038/s41440-023-01376-x

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  • How do we tackle nighttime blood pressure? International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 10 )   2262 - 2263   2023.10

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    DOI: 10.1038/s41440-023-01378-9

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  • 2023 update and perspectives. International journal

    Masaki Mogi, Atsushi Tanaka, Koichi Node, Naoko Tomitani, Satoshi Hoshide, Keisuke Narita, Yoichi Nozato, Kenichi Katsurada, Tatsuya Maruhashi, Yukihito Higashi, Chisa Matsumoto, Kanako Bokuda, Yuichi Yoshida, Hirotaka Shibata, Ayumi Toba, Takahiro Masuda, Daisuke Nagata, Michiaki Nagai, Keisuke Shinohara, Kento Kitada, Masanari Kuwabara, Takahide Kodama, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   47 ( 1 )   6 - 32   2023.9

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    Total 276 manuscripts were published in Hypertension Research in 2022. Here our editorial members picked up the excellent papers, summarized the current topics from the published papers and discussed future perspectives in the sixteen fields. We hope you enjoy our special feature, 2023 update and perspectives in Hypertension Research.

    DOI: 10.1038/s41440-023-01398-5

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  • Renin-angiotensin system in the placenta of women with preeclampsia. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 9 )   2243 - 2244   2023.9

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    DOI: 10.1038/s41440-023-01356-1

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  • Serum microRNA-501-3p is a potential diagnostic tool for detecting mild cognitive impairment: Ehime genome study. International journal

    Kensuke Toyama, Joshua M Spin, Philip S Tsao, Koutatsu Maruyama, Haruhiko Osawa, Masaki Mogi, Yasunori Takata

    Journal of neurochemistry   166 ( 6 )   960 - 971   2023.9

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    Tight junction disruption and dysfunction are involved in the progression of blood-brain barrier (BBB) breakdown. Recent investigations have revealed BBB disruption in patients with vascular cognitive decline. Our previous studies showed that miR-501-3p negatively regulates cerebral endothelial tight junction protein-1, resulting in the disruption of the BBB, and playing an important role in the development of vascular cognitive impairment. BBB breakdown in white matter lesions is often seen in the patients with vascular mild cognitive impairment (MCI). We therefore hypothesize that most early-phase MCI patients may demonstrate elevated expression of miR-501-3p and sought to investigate whether serum exosome miR-501-3p levels could be a clinical indicator for detecting mild cognitive impairment. One hundred and seventy-eight subjects (aged 73 [68-75] years, 53% male) were recruited for this study. The Japanese version of the Montreal Cognitive Assessment (MoCA-J) was used for detecting MCI. Serum exosome miR-501-3p expression levels were measured by qPCR methods. Patients were divided into two groups depending on whether their miR-501-3p ∆Ct values were above ("High"; n = 74) or below ("Low"; n = 104) cutoff levels determined by ROC curve. MCI was detected significantly more often in the miR-501-3p-High group (vs. -Low group, 63.5% vs. 47.1%, respectively; p < 0.05). Multivariate logistic regression analysis showed a significant association between MCI status and High miR-501-3p (odds ratio 2.662; p < 0.01), improved vs. known risk factors. In non-diabetic patients, High miR-501-3p was positively associated with MCI status (odds ratio 3.633; p < 0.01) and also positively associated with MCI status in those with atherosclerosis (odds ratio 3.219; p < 0.01). The present study demonstrates that elevated expression of blood exosomal miR-501-3p can indicate the presence of MCI in human patients. Early detection of vascular injuries may allow a reduction in progressive dementia through the management of vascular risk factors.

    DOI: 10.1111/jnc.15911

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  • Manganese exposure is a risk for brain atrophy. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 8 )   1883 - 1885   2023.8

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    DOI: 10.1038/s41440-023-01339-2

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  • Determinants and clinical implication of hypertension from childhood to old age in Asian subjects. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 8 )   1827 - 1828   2023.8

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    DOI: 10.1038/s41440-023-01337-4

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  • Sympathetic nervous activation and hypertension. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 7 )   1636 - 1637   2023.7

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    DOI: 10.1038/s41440-023-01319-6

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  • Topics 2023 in Hypertension Research leading to guidelines in Asia. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 6 )   1357 - 1362   2023.6

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    DOI: 10.1038/s41440-023-01285-z

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  • The new editorial board 2023 of Hypertension Research for global initiatives. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 7 )   1624 - 1635   2023.5

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    DOI: 10.1038/s41440-023-01296-w

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  • Preface-Metabolic aspects of hypertension in Asia. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 5 )   1071 - 1072   2023.5

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    DOI: 10.1038/s41440-023-01256-4

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  • Is the anti-aging effect of ACE2 due to its role in the renin-angiotensin system?-Findings from a comparison of the aging phenotypes of ACE2-deficient, Tsukuba hypertensive, and Mas-deficient mice. International journal

    Hikari Takeshita, Koichi Yamamoto, Masaki Mogi, Satoko Nozato, Hiromi Rakugi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 5 )   1210 - 1220   2023.5

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    Angiotensin converting enzyme 2 (ACE2) functions as an enzyme that produces angiotensin 1-7 (A1-7) from angiotensin II (AII) in the renin-angiotensin system (RAS). We evaluated aging phenotypes, especially skeletal muscle aging, in ACE2 systemically deficient (ACE2 KO) mice and found that ACE2 has an antiaging function. The characteristic aging phenotype observed in ACE2 KO mice was not reproduced in mice deficient in the A1-7 receptor Mas or in Tsukuba hypertensive mice, a model of chronic AII overproduction, suggesting that ACE2 has a RAS-independent antiaging function. In this review, the results we have obtained and related studies on the aging regulatory mechanism mediated by RAS components will be presented and summarized. We evaluated the aging phenotype of ACE2 systemically deficient (ACE2 KO) mice, particularly skeletal muscle aging, and found that ACE2 has an antiaging function. The characteristic aging phenotype observed in ACE2 KO mice was not reproduced in Mas KO mice, angiotensin 1-7 receptor-deficient mice or in Tsukuba hypertensive mice, a model of chronic angiotensin II overproduction, suggesting that the antiaging functions of ACE2 are independent of the renin-angiotensin system (RAS).

    DOI: 10.1038/s41440-023-01189-y

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  • Mechanical stress is involved in mechanism of hypertensive nephropathy. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 5 )   1335 - 1336   2023.5

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  • Reply to comments about "Aldosterone breakthrough". International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 5 )   1351 - 1352   2023.5

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  • Clues to suspect aldosterone breakthrough in the real world. International journal

    Masaki Mogi, Jose Alfie

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 7 )   1819 - 1820   2023.4

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  • Home blood pressure measurement: the original and the best for predicting the risk. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 7 )   1745 - 1746   2023.4

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    DOI: 10.1038/s41440-023-01280-4

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  • The importance of lifestyle modification for hypertension in Asia. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 4 )   815 - 816   2023.4

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    DOI: 10.1038/s41440-023-01213-1

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  • Perspectives on frailty as a total life-course disease with consideration of the fetal environment.

    Masaki Mogi, Shuang Liu, Ryusuke Watanabe, Matome Imai, Akiko Yano, Yasuhito Ikegawa, Hidemasa Kato

    Geriatrics & gerontology international   23 ( 4 )   263 - 269   2023.4

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    Frailty attracts research as it represents a significant target for intervention to extend the healthy life span. An unanswered question in this field is the time point during the life-course at which an individual becomes predisposed to frailty. Here, we propose that frailty has a fetal origin and should be regarded as part of the spectrum of the developmental origins of health and disease. The developmental origins of health and disease theory originated from findings linking the fetal environment to lifestyle-related disorders such as hypertension and diabetes. Coincidentally, a recent trend in frailty research also centers on vascular dysfunction and metabolic alterations as the causality of lifestyle-related disorders such as sarcopenia and dementia. Here, we explore the relationship between fetal programming, frailty-related disorders (sarcopenia and dementia), and other age-related diseases mainly based on reports on intrauterine growth restriction. We propose a "total" life-course approach to combat frailty. With this viewpoint, not only physicians and gerontologists but also obstetricians and pediatricians should team up to overcome age-related diseases in the elderly. Geriatr Gerontol Int 2023; 23: 263-269.

    DOI: 10.1111/ggi.14565

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  • LOX prevents abdominal aortic aneurysm ruptures. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 3 )   801 - 802   2023.3

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  • Prediction of intradialytic hypotension. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 3 )   774 - 775   2023.3

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  • Lifetime home BP-centered approach is the core from onset to aggravation of hypertension. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 3 )   553 - 555   2023.3

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    DOI: 10.1038/s41440-023-01174-5

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  • Intermittent environmental exposure to hydrogen prevents skin photoaging through reduction of oxidative stress.

    Takeshi Kiyoi, Shuang Liu, Erika Takemasa, Naohito Hato, Masaki Mogi

    Geriatrics & gerontology international   23 ( 4 )   304 - 312   2023.2

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    AIM: Molecular hydrogen is not only expected to be used as an energy-generating resource, but also to have preventive effects on a variety of clinical manifestations related to oxidative stress through scavenging radicals or regulating gene expression. In the current study, we investigated the influence of intermittent environmental exposure to hydrogen gas at a safe concentration (1.3%) on photoaging using an ultraviolet A (UVA)-irradiated murine model. METHODS: To mimic the expected human daily activity cycle, UVA exposure in the daytime and hydrogen exposure in the night-time, an original design, UVA-transmission, hydrogen-exposure system was established. Mice were bred under experimental conditions of UVA irradiation and normal air for 8 h (outdoor time 09.00-17.00 hours), and UVA non-irradiation and inhalation of hydrogen gas for 16 h (indoor time 17.00-09.00 hours), and the daily cycle was continued for up to 6 weeks. The progression of photoaging, including morphological changes, collagen degradation and UVA-related DNA damage, was evaluated. RESULTS: Intermittent administration of hydrogen gas by our system prevented UVA-induced epidermal signs, such as hyperplasia, melanogenesis and appearance of senescence cells, and UVA-induced dermal signs, such as collagen degradation. In addition, we detected attenuation of DNA damage in the hydrogen exposure group as indirect evidence that intermittent exposure to hydrogen gas reduced oxidative stress. CONCLUSIONS: Our findings support the notion that long-term, intermittent environmental exposure to hydrogen gas in daily life has a beneficial effect on UVA-induced photoaging. Geriatr Gerontol Int 2023; ••: ••-••.

    DOI: 10.1111/ggi.14562

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  • Preface-this month's Asian perspectives. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 2 )   343 - 344   2023.2

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    DOI: 10.1038/s41440-022-01122-9

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  • Target organ damage for the management of hypertension in the Asian population. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 2 )   297 - 298   2023.2

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    DOI: 10.1038/s41440-022-01090-0

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  • Introduction of the 13th Hypertension Research Awards for authors of outstanding papers in Hypertension Research. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 2 )   295 - 296   2023.2

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    DOI: 10.1038/s41440-022-01108-7

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  • Is renal denervation a natural antihypertensive treatment? International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   46 ( 1 )   289 - 290   2023.1

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  • Impact of Cancer-Related Sarcopenia on Systemic Immune Status

    Shuang Liu, Masaki Mogi

    Interdisciplinary Cancer Research   2023

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    DOI: 10.1007/16833_2022_108

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  • Long COVID and hypertension-related disorders: a report from the Japanese Society of Hypertension Project Team on COVID-19 International journal

    Chisa Matsumoto, Shigeru Shibata, Takuya Kishi, Satoshi Morimoto, Masaki Mogi, Koichi Yamamoto, Kazuo Kobayashi, Masami Tanaka, Kei Asayama, Eiichiro Yamamoto, Hironori Nakagami, Satoshi Hoshide, Masashi Mukoyama, Kazuomi Kario, Koichi Node, Hiromi Rakugi

    Hypertension Research   46 ( 3 )   601 - 619   2022.12

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    The coronavirus disease 2019 (COVID-19) affects infected patients even after the acute phase and impairs their health and quality of life by causing a wide variety of symptoms, referred to as long COVID. Although the evidence is still insufficient, hypertension is suspected to be a potential risk factor for long COVID, and the occurrence of cardiovascular diseases seems to be a key facet of multiple conditions observed in long COVID. Nonetheless, there are few reports that comprehensively review the impacts of long COVID on hypertension and related disorders. As a sequel to our previous report in 2020 which reviewed the association of COVID-19 and hypertension, we summarize the possible influences of long COVID on hypertension-related organs, including the cardiovascular system, kidney, and endocrine system, as well as the pathophysiological mechanisms associated with the disorders in this review. Given that the clinical course of COVID-19 is highly affected by age and sex, we also review the impacts of these factors on long COVID. Lastly, we discuss areas of uncertainty and future directions, which may lead to better understanding and improved prognosis of clinical problems associated with COVID-19. [Figure not available: see fulltext.]

    DOI: 10.1038/s41440-022-01145-2

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    Other Link: https://www.nature.com/articles/s41440-022-01145-2

  • COVID-19 pandemic and hypertension: an updated report from the Japanese Society of Hypertension project team on COVID-19 International journal

    Shigeru Shibata, Kazuo Kobayashi, Masami Tanaka, Kei Asayama, Eiichiro Yamamoto, Hironori Nakagami, Satoshi Hoshide, Takuya Kishi, Chisa Matsumoto, Masaki Mogi, Satoshi Morimoto, Koichi Yamamoto, Masashi Mukoyama, Kazuomi Kario, Koichi Node, Hiromi Rakugi

    Hypertension Research   46 ( 3 )   601 - 619   2022.12

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    The coronavirus disease 2019 (COVID-19) affects infected patients even after the acute phase and impairs their health and quality of life by causing a wide variety of symptoms, referred to as long COVID. Although the evidence is still insufficient, hypertension is suspected to be a potential risk factor for long COVID, and the occurrence of cardiovascular diseases seems to be a key facet of multiple conditions observed in long COVID. Nonetheless, there are few reports that comprehensively review the impacts of long COVID on hypertension and related disorders. As a sequel to our previous report in 2020 which reviewed the association of COVID-19 and hypertension, we summarize the possible influences of long COVID on hypertension-related organs, including the cardiovascular system, kidney, and endocrine system, as well as the pathophysiological mechanisms associated with the disorders in this review. Given that the clinical course of COVID-19 is highly affected by age and sex, we also review the impacts of these factors on long COVID. Lastly, we discuss areas of uncertainty and future directions, which may lead to better understanding and improved prognosis of clinical problems associated with COVID-19.

    DOI: 10.1038/s41440-022-01134-5

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  • Uncontrolled hypertension: the greatest challenge and perspectives in Asia. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 12 )   1847 - 1849   2022.12

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    DOI: 10.1038/s41440-022-01072-2

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  • Machine-learning-based analytics for risk forecasting of anaphylaxis during general anesthesia Reviewed

    Liu S, Suzuki Y, Yorozuya T, Mogi M

    ImmunoInformatics   8   100018   2022.12

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    DOI: 10.1016/j.immuno.2022.100018

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  • A recent advance in Renal denervation to clinical practice. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 12 )   1906 - 1907   2022.12

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    DOI: 10.1038/s41440-022-01050-8

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  • Effect of estrogen on fetal programming in offspring from high-fat-fed mothers. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 11 )   1835 - 1837   2022.11

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  • The eighth installment in Asian perspectives, salt, pregnancy, and masked hypertension. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 11 )   1677 - 1678   2022.11

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    DOI: 10.1038/s41440-022-01026-8

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  • Generation of DNA-aptamers targeting galectin-7 for the identification of cholesteatoma residue.

    Shuang Liu, Erika Takemasa, Yasuyuki Suzuki, Amarsanaa Javkhlant, Taro Takagi, Hiroyuki Yamada, Yasunori Abe, Naohito Hato, Masaki Mogi

    Journal of pharmacological sciences   150 ( 3 )   146 - 153   2022.11

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    PURPOSE: Aiming at complete excision of cholesteatoma during trympanomastoidectomy and therefore reducing the risk of recurrence, intraoperative imaging techniques are required to assist the visualization of cholesteatoma residue. Galectin-7 has been demonstrated to be a biomarker for cholesteatoma matrix and used for intraoperatively identifying the excision margins. METHODS: A galectin-7-targeted DNA-aptamer library was generated for labeling the cholesteatoma matrix using cell-systematic evolution of ligands by an exponential enrichment technique. The binding characteristics of the identified aptamers were analyzed, and structure optimization of the identified aptamers was carried out both in silico and in vitro. FINDINGS: A fluorophore-labeled structure-optimized DNA fragment was commercially synthesized as a non-invasive aptamer-based probe for intraoperative lesion detection. Using galectin-7-aptamer-guided molecular imaging, the excision margins of cholesteatoma matrix and surrounding normal tissue were successfully achieved within 15-20 min. CONCLUSIONS: Galectin-7-targeted aptamers could benefit molecular imaging-guided surgical treatment, which would enable clinicians to not only intraoperatively detect the locations of cholesteatoma matrix in the middle ear, but also assess the postoperative response of the expression profile to therapy. It is highly expected that further efforts for rational design and development should be directed towards the development of clinically translatable aptamer-based imaging agents.

    DOI: 10.1016/j.jphs.2022.08.002

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  • The next stage of hypertension management in Asia. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 10 )   1552 - 1552   2022.10

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    DOI: 10.1038/s41440-022-00998-x

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  • Digital Hypertension 2023: Concept, hypothesis, and new technology. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 10 )   1529 - 1530   2022.10

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    [Image: see text]

    DOI: 10.1038/s41440-022-00997-y

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  • Mast cells promote viral entry of SARS-CoV-2 via formation of chymase/spike protein complex. International journal

    Shuang Liu, Yasuyuki Suzuki, Erika Takemasa, Ryusuke Watanabe, Masaki Mogi

    European journal of pharmacology   930   175169 - 175169   2022.9

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    The pulmonary pathological findings associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) result from the release of multiple proinflammatory cytokines, which causes the subsequential damage of the lungs. The current study was undertaken to investigate the responses of mast cells to viral inoculation and their contribution to host defenses from the point of view of viral entry. Pseudovirions, in which the spike glycoprotein of SARS-CoV-2 was incorporated, triggered activation of mast cells, and a mast cell-derived chymase, MCP2, formed a complex with spike protein, which promoted protease-dependent viral entry. According to the quantification results of viral entry, 10 μM quercetin, a mast cell stabilizer, potentially potently inhibited 41.3% of viral entry, while 100 μM chymostatin, which served as a chymase inhibitor, suppressed 52.1% of viral entry, compared to non-treated cells. Study using mast cell-deficient mice showed that the absence of mast cells may influence early viral loading in the upper respiratory tract, which consequently increases the risk of viral invasion into the lower respiratory system. Furthermore, mast cell-deficient mice exhibited ongoing infection in the late phase post-viral inoculation, while clearance of virus-positive cells was observed in wild-type mice. In conclusion, mast cells act as a multifaceted immune modulator that is equipped with both protective effects and pathogenic influences on viral entry of SARS-CoV-2. The utility of mast cell stabilizers and chymase inhibitors in the treatment of SARS-CoV-2-induced acute respiratory syndrome should be optimized regarding the infection stage and the risk of cytokine storm.

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  • Effect of COVID-19 pandemic on seasonal cardiovascular mortality in Japan, and Asian evidence. International journal

    Kazuomi Kario, Masaki Mogi, Satoshi Hoshide

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 9 )   1405 - 1407   2022.9

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    DOI: 10.1038/s41440-022-00974-5

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  • The fifth story in Asian perspectives, regions, new markers, and renal denervation. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 8 )   1223 - 1224   2022.8

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    DOI: 10.1038/s41440-022-00964-7

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  • Update on Hypertension Research in 2021. International journal

    Masaki Mogi, Tatsuya Maruhashi, Yukihito Higashi, Takahiro Masuda, Daisuke Nagata, Michiaki Nagai, Kanako Bokuda, Atsuhiro Ichihara, Yoichi Nozato, Ayumi Toba, Keisuke Narita, Satoshi Hoshide, Atsushi Tanaka, Koichi Node, Yuichi Yoshida, Hirotaka Shibata, Kenichi Katsurada, Masanari Kuwabara, Takahide Kodama, Keisuke Shinohara, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 8 )   1276 - 1297   2022.8

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    In 2021, 217 excellent manuscripts were published in Hypertension Research. Editorial teams greatly appreciate the authors' contribution to hypertension research progress. Here, our editorial members have summarized twelve topics from published work and discussed current topics in depth. We hope you enjoy our special feature, "Update on Hypertension Research in 2021".

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  • Current status of hypertension and treatment in Asia. International journal

    Satoshi Hoshide, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 7 )   1095 - 1096   2022.7

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    DOI: 10.1038/s41440-022-00941-0

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  • Role of MicroRNAs in acceleration of vascular endothelial senescence International journal

    Kensuke Toyama, Joshua M. Spin, Alicia C. Deng, Yasunori Abe, Philip S. Tsao, Masaki Mogi

    Biochemistry and Biophysics Reports   30   101281 - 101281   2022.7

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    BACKGROUNDS: Many factors are involved in cellular aging, and senescence induction requires complex regulation of various signaling networks and processes. Specifically, in the area of aging-related vascular cognitive impairment, laboratory-based findings have not yet yielded agents of practical use for clinical settings. One possible reason is that the physiologic elements of aging have been insufficiently considered. We sought to establish techniques to better model cellular aging using modulation of microRNAs, aiming to identify key microRNAs capable of fine-tuning aging-associated genes, and thereby regulating the senescence of vascular endothelial cells. METHODS: We utilized expression microRNA arrays to evaluate control and senescent vascular endothelial cells in order to identify testable candidates. Bioinformatic analysis was used to select key microRNAs. These candidates were then modulated in vitro using microRNA mimics and inhibitors in endothelial cells, and senescence-associated gene expression patterns were evaluated by qPCR. RESULTS: Seventeen microRNAs were found to be significantly increased more than 2-fold in senescent cells. Of those, bioinformatic analysis concluded that miR-181a-5p, miR-30a-5p, miR-30a-3p, miR-100-5p, miR-21-5p, and miR-382-5p were likely associated with regulation of cellular senescence. We evaluated the potential targets of these six microRNAs by comparing them with cell-cycling and apoptosis-related genes from published mRNA transcriptional array data from aged tissues, and found that miR-181a-5p, miR-30a-5p and miR-30a-3p were enriched in overlapping targets compared with the other candidates. Modulation of these microRNAs in vascular endothelial cells revealed that over-expression of miR-30a-5p, and inhibition of both miR-30a-3p and miR-181a-5p, induced senescence. CONCLUSION: miR-181a-5p, miR-30a-5p and miR-30a-3p likely contribute to aging-associated vascular endothelial cell senescence.

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  • Long-term blood pressure lowering effect of renal denervation and its patient preference, salt intake, and stroke in Asia. International journal

    Kazuomi Kario, Satoshi Hoshide, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 6 )   933 - 935   2022.6

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    DOI: 10.1038/s41440-022-00915-2

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  • Long-term impact of maternal dietary intervention on metabolic homeostasis in male offspring in mice. International journal

    Megumi Ueno, Shuang Liu, Takeshi Kiyoi, Masaki Mogi, Takashi Sugiyama

    The Journal of nutritional biochemistry   104   108971 - 108971   2022.6

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    The long-term effect of changes in maternal dietary composition during pregnancy on the offspring's metabolic homeostasis is uncertain. We aimed to investigate the long-term effects of maternal balanced low-fat interventions on metabolic homeostasis of the offspring using a mouse model of gestational obesity induced by a high-fat diet (HFD). Male newborns in the balanced low-fat intervention group had significantly lower serum insulin and higher serum adiponectin levels than those in the HFD group. Changes in maternal dietary composition improved glucose tolerance in pups at 3 and 12 weeks of age. We also performed transcriptomic analysis of the liver in neonatal and 3-week-old pups. Genes in the peroxisome proliferator-activated receptor signaling pathway were significantly down-regulated in neonates in the balanced low-fat intervention group compared with the HFD group. A maternal balanced low-fat diet fully compensated for the detrimental effects of a maternal HFD on glucose metabolism, insulin tolerance, circulating insulin, dyslipidemia, and body weight gain in male offspring by changing the gene expression profile. These data suggest that maternal balanced low-fat intervention is critical for improving the metabolic health of future generations.

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  • Perinatal low-fat dietary intervention affects glucose metabolism in female adult and aging offspring.

    Megumi Ueno, Shuang Liu, Takeshi Kiyoi, Takashi Sugiyama, Masaki Mogi

    Geriatrics & gerontology international   22 ( 5 )   441 - 448   2022.5

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    AIM: Diabetes confers a high risk of developing poor health in later life in women. Based on the Developmental Origins of Health and Disease theory, the present study was undertaken to investigate the efficacy of perinatal fat restriction in maternal high-fat-exposed female offspring to maintain glucose homeostasis in later life between adulthood and aging. METHODS: Low-fat dietary intervention during either gestation or lactation was performed using a high-fat diet-induced maternal obesity mouse model (HFD mice). Physiological metabolic parameters, including body weight and serum levels of total cholesterol and triglycerides, were monitored. Glucose tolerance test and insulin sensitivity test were performed in 12- and 70-week-old offspring. Insulin-positive islet cells were also observed using immunohistochemical staining. RESULTS: HFD significantly induced abnormal weight gain, hyperlipidemia and impairment of both glucose tolerance and insulin sensitivity in offspring. Standard diet intake after weaning improved weight gain, serum total cholesterol level and glucose tolerance, but not insulin sensitivity, in 70-week-old offspring. Only perinatal fat restriction during both gestation and lactation, followed by standard food intake for the rest of their life, provided adequate efficacy to restore insulin sensitivity in aging female progeny. CONCLUSIONS: Perinatal low-fat intervention may prevent deterioration of glucose metabolism. To improve the health status over a female's lifespan, appropriate nutritional intervention during the early developmental stage may reset the disease trajectory and prevent the onset and development of diabetes. Geriatr Gerontol Int 2022; 22: 441-448.

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  • Is COVID-19 vaccination beneficial or harmful to endothelial cells? International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 5 )   920 - 921   2022.5

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  • Preface-special issue on hypertension in Asia: the second story. International journal

    Masaki Mogi, Satoshi Hoshide, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 5 )   747 - 747   2022.5

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    DOI: 10.1038/s41440-022-00894-4

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  • Aldosterone breakthrough from a pharmacological perspective. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 6 )   967 - 975   2022.4

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    Aldosterone (Aldo) breakthrough is a well-known phenomenon that occurs in patients with long-term renin-angiotensin aldosterone system (RAAS) blockade using inhibitors of renin or angiotensin converting enzyme or angiotensin II type 1 receptor blockers. The blockade of the mineralocorticoid receptor (MR), an Aldo binding receptor, is effective in managing patients with resistant hypertension, defined as uncontrollable blood pressure despite the concurrent use of three antihypertensive drugs. In other words, MR inhibitors are not used as first-line antihypertensive drugs in most guidelines for hypertension management. Aldo breakthrough puts hypertensive patients at higher risk of cardiovascular disease and worsens future outcomes. This review discusses Aldo secretion and the mechanism of Aldo breakthrough, dependent or independent of the RAAS, with consideration of the pharmacological aspects of this phenomenon, as well as hypothetical views.

    DOI: 10.1038/s41440-022-00913-4

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  • Preface-Special issue for hypertension in Asia: from the Okinawa declaration to the ISH 2022. International journal

    Satoshi Hoshide, Akira Nishiyama, Masaki Mogi, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 4 )   553 - 554   2022.4

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    DOI: 10.1038/s41440-022-00871-x

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  • Hypertension management to prevent dementia. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 4 )   573 - 575   2022.4

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    DOI: 10.1038/s41440-022-00869-5

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  • Latest hypertension research to inform clinical practice in Asia. International journal

    Kazuomi Kario, Masaki Mogi, Satoshi Hoshide

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 4 )   555 - 572   2022.4

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    Despite the challenges associated with the coronavirus pandemic, the last 2 years have been active periods for hypertension research and initiatives in Asia. There are new hypertension guidelines from the World Health Organization that can be interpreted and applied locally. This is also the case for data from the latest Blood Pressure Lowering Treatment Trialists' Collaboration meta-analysis, which showed that greater reductions in systolic blood pressure (BP) are associated with lower risks of cardiovascular events. The randomized controlled Strategy of Blood Pressure Intervention in the Elderly Hypertensive study and the Salt Substitute and Stroke Study provide local data to inform practice. Other initiatives to help reduce high salt intake in Asia are also underway. Both drug-resistant and nocturnal hypertension are appropriate areas of focus in Asia, and there are an increasing number of pharmacological and non-pharmacological treatment options for these conditions. Digital therapeutics to promote uptake and implementation of lifestyle interventions are showing promise, and other digital-based strategies such as telemedicine, wearable BP monitors to detect beat-by-beat BP and artificial intelligence will no doubt become integral parts of future strategies to reduce the burden of hypertension and hypertension-related disease. A number of initiatives from the Hypertension Cardiovascular Outcome Prevention and Evidence in Asia Network and Japanese Society of hypertension are underway, and there is good reason for optimism regarding the ongoing and future management of hypertension in Asia based on these and the active research activities in the region.

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  • CD4+T細胞におけるATP2B1の血圧への役割(Role of ATP2B1 in CD4+ T cell to blood pressure)

    Javkhlant Amarsanaa, 外山 研介, 阿部 康範, 茂木 正樹

    日本内分泌学会雑誌   97 ( 5 )   1498 - 1498   2022.3

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  • Dendritic cells as potential initiators of immune-mediated hypertensive disorders. International journal

    Akinori Higaki, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 3 )   527 - 529   2022.3

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  • New Editorial Hypertension Research: Looking back to 2021 and perspective to 2022. International journal

    Kazuomi Kario, Masaki Mogi, Satoshi Hoshide

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 2 )   181 - 185   2022.2

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    DOI: 10.1038/s41440-021-00813-z

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  • Hypertension and the development of hearing loss. International journal

    Kensuke Toyama, Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 1 )   172 - 174   2022.1

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  • Clinical study on angiotensin II vaccination-the first big step. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 1 )   162 - 163   2022.1

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  • Annual reports on hypertension research 2020. International journal

    Masaki Mogi, Yukihito Higashi, Kanako Bokuda, Atsuhiro Ichihara, Daisuke Nagata, Atsushi Tanaka, Koichi Node, Yoichi Nozato, Koichi Yamamoto, Ken Sugimoto, Hirotaka Shibata, Satoshi Hoshide, Hitoshi Nishizawa, Kazuomi Kario

    Hypertension research : official journal of the Japanese Society of Hypertension   45 ( 1 )   15 - 31   2022.1

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    In 2020, 199 papers were published in Hypertension Research. Many excellent papers have contributed to progress in research on hypertension. Here, our editorial members have summarized eleven topics from published work and discussed current topics in depth. We hope you enjoy our special feature, Annual Reports on Hypertension Research.

    DOI: 10.1038/s41440-021-00766-3

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  • Generation of a DNA-aptamer targeting human galectin-7 as a lesion indicator for cholesteatoma

    Liu Shuang, Takemasa Erika, Suzuki Yasuyuki, Hato Naohito, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   96   2-B-P-169   2022

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    Aiming at complete excision of cholesteatoma during trympanomastoidectomy and therefore reducing the risk of recurrence, the current study was undertaken to develop a seed DNA-aptamer-based fluorophore-probe, which targets human galectin-7, as an intraoperative lesion-identifying indicator for the surgical treatment of cholesteatoma. A galectin-7-targeted DNA-aptamer library was generated for labeling the cholesteatoma matrix using cell-based systematic evolution of ligands by an exponential enrichment technique. The binding characteristics of the identified aptamers were analyzed, and structure optimization of the identified aptamers was carried out both in silico and in vitro. Using galectin-7-aptamer guided molecular imaging, the excision margins of cholesteatoma matrix and surrounding normal tissue were successfully observed in a xenografted cholesteatoma model. It is highly expected that specific galectin-7-aptamers could progress to future clinical trials for both imaging and therapeutic applications and therefore benefit cholesteatoma patients.

    DOI: 10.1254/jpssuppl.96.0_2-b-p-169

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  • Cardioprotection by direct factor Xa inhibition in angiotensin II overexpression. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   44 ( 10 )   1355 - 1356   2021.10

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  • Double Deletion of Angiotensin II Type 2 and Mas Receptors Accelerates Aging-Related Muscle Weakness in Male Mice. International journal

    Hikari Takeshita, Koichi Yamamoto, Masaki Mogi, Yu Wang, Yoichi Nozato, Taku Fujimoto, Serina Yokoyama, Kazuhiro Hongyo, Futoshi Nakagami, Hiroshi Akasaka, Yoichi Takami, Yasushi Takeya, Ken Sugimoto, Masatsugu Horiuchi, Hiromi Rakugi

    Journal of the American Heart Association   10 ( 13 )   e021030   2021.7

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    Background The activation of AT2 (angiotensin II type 2 receptor ) and Mas receptor by angiotensin II and angiotensin-(1-7), respectively, is the primary process that counteracts activation of the canonical renin-angiotensin system (RAS). Although inhibition of canonical RAS could delay the progression of physiological aging, we recently reported that deletion of Mas had no impact on the aging process in mice. Here, we used male mice with a deletion of only AT2 or a double deletion of AT2 and Mas to clarify whether these receptors contribute to the aging process in a complementary manner, primarily by focusing on aging-related muscle weakness. Methods and Results Serial changes in grip strength of these mice up to 24 months of age showed that AT2/Mas knockout mice, but not AT2 knockout mice, had significantly weaker grip strength than wild-type mice from the age of 18 months. AT2/Mas knockout mice exhibited larger sizes, but smaller numbers and increased frequency of central nucleation (a marker of aged muscle) of single skeletal muscle fibers than AT2 knockout mice. Canonical RAS-associated genes, inflammation-associated genes, and senescence-associated genes were highly expressed in skeletal muscles of AT2/Mas knockout mice. Muscle angiotensin II content increased in AT2/Mas knockout mice. Conclusions Double deletion of AT2 and Mas in mice exaggerated aging-associated muscle weakness, accompanied by signatures of activated RAS, inflammation, and aging in skeletal muscles. Because aging-associated phenotypes were absent in single deletions of the receptors, AT2 and Mas could complement each other in preventing local activation of RAS during aging.

    DOI: 10.1161/JAHA.120.021030

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  • A disturbance beyond the barrier-chronic kidney disease allows angiotensinogen invasion. International journal

    Masaki Mogi

    Hypertension research : official journal of the Japanese Society of Hypertension   44 ( 7 )   874 - 876   2021.7

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  • Association between mutated Mas-related G-protein-coupled receptor-X2 and rocuronium-induced intraoperative anaphylaxis. Comment on Br J Anaesth 2020; 125: e448-50. International journal

    Yasuyuki Suzuki, Shuang Liu, Fumito Kadoya, Yasushi Takasaki, Toshihiro Yorozuya, Masaki Mogi

    British journal of anaesthesia   127 ( 1 )   e21-e22 - e22   2021.7

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  • The mechanism of increased intestinal palmitic acid absorption and its impact on hepatic stellate cell activation in nonalcoholic steatohepatitis. International journal

    Masakazu Hanayama, Yasunori Yamamoto, Hiroki Utsunomiya, Osamu Yoshida, Shuang Liu, Masaki Mogi, Bunzo Matsuura, Eiji Takeshita, Yoshiou Ikeda, Yoichi Hiasa

    Scientific reports   11 ( 1 )   13380 - 13380   2021.6

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    Dietary palmitic acid (PA) promotes liver fibrosis in patients with nonalcoholic steatohepatitis (NASH). Herein, we clarified the intestinal absorption kinetics of dietary PA and effect of trans-portal PA on the activation of hepatic stellate cells (HSCs) involved in liver fibrosis in NASH. Blood PA levels after meals were significantly increased in patients with NASH compared to those in the control. Expression of genes associated with fat absorption and chylomicron formation, such as CD36 and MTP, was significantly increased in the intestine of NASH model rats compared with that in the controls. Plasma levels of glucagon-like peptide-2, involved in the upregulation of CD36 expression, were elevated in NASH rats compared with those in the controls. Furthermore, portal PA levels after meals in NASH rats were significantly higher than those in control and nonalcoholic fatty liver rats. Moreover, PA injection into the portal vein to the liver in control rats increased the mRNA levels associated with the activation of HSCs. Increased intestinal absorption of diet-derived PA was observed in NASH. Thus, the rapid increase in PA levels via the portal vein to the liver may activate HSCs and affect the development of liver fibrosis in NASH.

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  • Toxicokinetics of methylmercury in diabetic KK-Ay mice and C57BL/6 mice. International journal

    Megumi Yamamoto, Rie Yanagisawa, Atsushi Sakai, Masaki Mogi, Satoshi Shuto, Masachika Shudo, Hazuki Kashiwagi, Megumi Kudo, Masaaki Nakamura, Mineshi Sakamoto

    Journal of applied toxicology : JAT   41 ( 6 )   928 - 940   2021.6

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    We compared the toxicokinetics of methylmercury (MeHg) in KK-Ay type 2 diabetic mice and C57BL/6J mice to evaluate how metabolic changes associated with diabetes affect MeHg toxicokinetics. A single dose of MeHg (0.2, 1, or 5 mg mercury/kg) was administered orally to 12-week-old KK-Ay and C57BL/6J male mice. Total mercury concentrations in plasma, blood cells, whole blood, and tissues (brain, kidneys, liver, and pancreas) were measured after 4, 7, 11, and 14 days. The volume of distribution/bioavailability and the elimination rate constant per day were higher in KK-Ay mice, while the terminal elimination half-life was lower in almost all samples of KK-Ay mice. The area under the curve was lower in all blood and almost all tissue samples from KK-Ay mice. Total clearance/bioavailability was lower in all blood and tissue samples of KK-Ay mice at all MeHg doses. These results indicate that MeHg is more rapidly absorbed by, and eliminated from, the blood cells, brain, liver, kidney, and pancreas of KK-Ay mice under the experimental conditions. Different patterns of tissue-to-plasma and tissue-to-whole blood partition coefficients suggest that notable differences in MeHg transfer between plasma and blood cells affect its distribution in tissues of the two mouse strains. These findings are useful to understand the selective distribution of MeHg to target organs and the sensitivity to MeHg in pathological states.

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  • Angiotensin II and Amyloid-β Synergistically Induce Brain Vascular Smooth Muscle Cell Senescence. International journal

    Hui-Yu Bai, Li-Juan Min, Bao-Shuai Shan, Jun Iwanami, Harumi Kan-No, Motoi Kanagawa, Masaki Mogi, Masatsugu Horiuchi

    American journal of hypertension   34 ( 5 )   552 - 562   2021.5

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    BACKGROUND: Amyloid-β (Aβ) induces cerebrovascular damage and is reported to stimulate endothelial cell senescence. We previously demonstrated that angiotensin II (Ang II)-promoted vascular senescence. We examined the possible cross-talk between Ang II and Aβ in regulating brain vascular smooth muscle cell (BVSMC) senescence. METHODS: BVSMCs were prepared from adult male mice and stimulated with Ang II (0, 0.1, 1, 10, and 100 nmol/l) and/or Aβ 1-40 (0, 0.1, 0.3, 0.5, 1, 3, and 5 µmol/l) for the indicated times. Cellular senescence was evaluated by senescence-associated β-galactosidase staining. RESULTS: Treatment with Ang II (100 nmol/l) or Aβ (1 µmol/l) at a higher dose increased senescent cells compared with control at 6 days. Treatment with Ang II (10 nmol/l) or Aβ (0.5 µmol/l) at a lower dose had no effect on senescence whereas a combined treatment with lower doses of Ang II and Aβ significantly enhanced senescent cells. This senescence enhanced by lower dose combination was markedly blocked by valsartan (Ang II type 1 receptor inhibitor) or TAK-242 (Aβ receptor TLR4 inhibitor) treatment. Moreover, lower dose combination caused increases in superoxide anion levels and p-ERK expression for 2 days, NF-κB activity, p-IκB, p-IKKα/β, p16 and p53 expression for 4 days, and an obvious decrease in pRb expression. These changes by lower dose combination, except in p-IκB expression and NF-κB activity, were significantly inhibited by pretreatment with U0126 (ERK inhibitor). CONCLUSIONS: Ang II and Aβ synergistically promoted BVSMC senescence at least due to enhancement of the p-ERK-p16-pRb signaling pathway, oxidative stress, and NF-κB/IκB activity.

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  • 健診データを用いた長期コホート研究 血小板値と難聴の関係

    阿部 康範, 外山 研介, 葛山 雅哉, 田中 伸司, 山泉 雅光, 上野 愛実, Spin Joshua, 羽藤 直人, 茂木 正樹

    日本耳鼻咽喉科学会会報   124 ( 4 )   614 - 614   2021.4

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  • Exosome miR-501-3p Elevation Contributes to Progression of Vascular Stiffness.

    Kensuke Toyama, Michiya Igase, Joshua M Spin, Yasunori Abe, Amarsanaa Javkhlant, Yoko Okada, Markus U Wagenhäuser, Hubert Schelzig, Philip S Tsao, Masaki Mogi

    Circulation reports   3 ( 3 )   170 - 177   2021.2

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    Background: Tight junction (TJ) disruption and dysfunction are involved in the progression of arteriosclerosis. miR-501-3p regulates endothelial TJ protein-1, resulting in TJ disruption. Because exosomal microRNAs can travel to distant tissues and influence cell behavior, patients with elevated miR-501-3p may experience accelerated vascular disease progression secondary to miR-501-3p-induced reductions in TJ. This study investigated whether plasma exosome miR-501-3p levels are associated with vascular stiffness, an indicator for arteriosclerotic changes. Methods and Results: Fifty-one subjects (mean [±SD] age 70±8 years, 37% male) enrolled in a medical checkup program were recruited to the study. Brachial-ankle arterial pulse wave velocity (baPWV) and plasma exosome miR-501-3p expression were measured. Patients were divided into 2 groups depending on whether their miR-501-3p ∆Ct values were above ("High"; n=24) or below ("Low"; n=27) the cut-off levels determined by receiver operating characteristic (ROC) curve analysis. Median (interquartile range) baPWV levels were significantly higher in the miR-501-3p High than Low group (1,664 [1,496-1,859] vs. 1,450 [1,353-1,686] cm/s, respectively; P<0.05). Multivariate logistic regression analysis showed a significant association between increased baPWV and High miR-501-3p expression (odds ratio 4.66). At follow-up visits (mean 62 months later), baPWV remained significantly higher in the miR-501-3p High than Low group (1,830 [1,624-2,056] vs. 1,620 [1,377-1,816] cm/s, respectively; P<0.05). Conclusions: High expression levels of exosome miR-501-3p contribute to arteriosclerotic changes.

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  • Effect of lysed Enterococcus faecalis FK-23 as a tyndallized probiotic in allergic diseases

    T. Kiyoi, S. Liu, M. Mogi

    Functional Foods and Nutraceuticals in Metabolic and Non-communicable Diseases   459 - 461   2021.1

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    Allergic diseases, including allergic rhinitis and asthma, reduce the quality of life when severe. Allergic disease is conventionally characterized by an increase in serum immunoglobulin E and activation of type 2 helper T cells and eosinophils. There is accumulated evidence that Enterococcus faecalis, a kind of lactobacillus preparation, has a significant effect on various allergic diseases through regulation of the systemic immune response. Since E. faecalis is a gram-positive, facultative anaerobic organism and causes infectious diseases such as bacteremia, E. faecalis preparations have been investigated and developed as a tyndallized probiotic. In addition, tyndallized treatment with E. faecalis FK-23 augments the effect on health promotion. It has been reported that lysed E. faecalis FK-23 (LFK) as a tyndallized probiotic has health-promoting effects by activation of Treg cells. We also reported that oral administration of LFK provides therapeutic benefit in ovalbumin-induced asthma model mice through regulation of the Treg/Th17 balance. Many of the studies were conducted by a group at Nichinichi Pharmaceutical Co., Ltd. The effects of LFK preparation on allergic diseases are introduced in this article.

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  • [Responses to the COVID-19 pandemic and its impacts on pharmacology education in the universities and colleges in Japan: nationwide emergency survey jointly conducted by the Physiological Society of Japan and the Japanese Pharmacological Society].

    Masaki Mogi, Tomoyuki Furuyashiki, Kazuhiro Takuma, Ken-Ichi Otsuguro, Satoshi Tanaka, Masabumi Minami

    Nihon yakurigaku zasshi. Folia pharmacologica Japonica   156 ( 6 )   324 - 329   2021

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    With the spread of new coronavirus infections (COVID-19), universities/colleges have transformed their educational format from conventional group education to distance learning. In order to share information on the new educational format among the members of the society, the Physiological Society of Japan and the Japanese Pharmacological Society (JPS) jointly conducted the "Emergency Joint Survey on Responses of Universities to COVID-19 and Its Impact on Physiology and Pharmacology Education". The JPS surveyed pharmacology departments/divisions at schools of pharmacy, medicine, dentistry, and veterinary medicine in 202 universities (response rate 89%) from August to September 2020. 85% of the universities changed the lecture method, and 70% changed the practical training. 30%, 30%, and 40% of the lectures were live, on-demand, and mixed (combination of live and on-demand) lectures, respectively. 25% of the practical training was live or a combination of live and on-demand lectures, and 45% was on-demand delivery. There are many problems to do online methods such as stable network environment, lack of the reality for students and difficulty of the check of their understanding. On the other hand, there are unexpected benefits in online methods such as anytime learning, an increase in questions from students and repeatable learning. More than 60% considered employing the newly introduced educational styles even after the pandemic. Students' mental health problems and disruption of daily rhythms, quality assurance of online education, and copyright issues were also concerned. Pharmacology education faces a significant turning point in introducing and improving distance learning with or post the COVID-19 pandemic.

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  • [Ehime University Graduate School of Medicine, Pharmacology].

    Toyama Kensuke, Masaki Mogi

    Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics   58 ( 1 )   167 - 169   2021

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    DOI: 10.3143/geriatrics.58.167

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  • Inhibition of Histamine Release from RBL-2H3 Cells by Zoledronate Did Not Affect Rab27a/Doc2a Interaction.

    Muhammad N A Sahid, Shuang Liu, Takeshi Kiyoi, Kazutaka Maeyama, Masaki Mogi

    Biological & pharmaceutical bulletin   44 ( 12 )   1902 - 1906   2021

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    Mast cell (MC) exocytosis is organized by prenylated protein, including Rab families. Among Rab proteins, Rab3a, Rab27a, and Rab11 are responsible for exocytosis arrangement. Rab3a and Rab27a are contributed to exocytosis by interacting with other exocytosis proteins. Zoledronate administration disrupted the Rab prenylation process that affected its interaction with other proteins, and finally, its function. The present study has investigated the effect of zoledronate on the histamine release (HR) from RBL-2H3 cells. The main focus is to answer the question of whether zoledronate affects Rab27a/Doc2a interaction. Histamine release on RBL-2H3 cells after zoledronate or clodronate administration was measured using HPLC-fluorometry. Dinitrophenylated bovine serum albumin (DNP-BSA) (20 ng/mL) or ionomycin (1 µM) are used as secretagogues. Calcium (Ca2+) influx observation was performed using Fura-2A/M. In situ proximity ligation assay (PLA) is used to investigate Rab27a/Doc2a interaction after bisphosphonates (BPs) treatment. Histamine concentration measurement with HPLC-fluorometry showed that zoledronate (30, 100 µM) inhibited HR from antigen-activated RBL-2H3 cells. Zoledronate showed less inhibition in cells activated with ionomycin. Intracellular Ca2+ concentration and Ca2+ flux rate from the extracellular compartment was not changed by zoledronate administration. No changes in Rab27a/Doc2a interaction after zoledronate treatment. Histamine release inhibition by zoledronate in DNP-BSA-activated RBL-2H3 cells is not related to the disruption of Rab27a/Doc2a interaction and is not involve the change in Ca2+ influx.

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  • Association between mutated Mas-related G protein-coupled receptor-X2 and rocuronium-induced intraoperative anaphylaxis. International journal

    Yasuyuki Suzuki, Shuang Liu, Fumito Kadoya, Yasushi Takasaki, Toshihiro Yorozuya, Masaki Mogi

    British journal of anaesthesia   125 ( 6 )   e446-e448 - e448   2020.12

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  • Hypertension and related diseases in the era of COVID-19: a report from the Japanese Society of Hypertension Task Force on COVID-19. International journal

    Shigeru Shibata, Hisatomi Arima, Kei Asayama, Satoshi Hoshide, Atsuhiro Ichihara, Toshihiko Ishimitsu, Kazuomi Kario, Takuya Kishi, Masaki Mogi, Akira Nishiyama, Mitsuru Ohishi, Takayoshi Ohkubo, Kouichi Tamura, Masami Tanaka, Eiichiro Yamamoto, Koichi Yamamoto, Hiroshi Itoh

    Hypertension research : official journal of the Japanese Society of Hypertension   43 ( 10 )   1028 - 1046   2020.10

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    Coronavirus disease-2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has affected more than seven million people worldwide, contributing to 0.4 million deaths as of June 2020. The fact that the virus uses angiotensin-converting enzyme (ACE)-2 as the cell entry receptor and that hypertension as well as cardiovascular disorders frequently coexist with COVID-19 have generated considerable discussion on the management of patients with hypertension. In addition, the COVID-19 pandemic necessitates the development of and adaptation to a "New Normal" lifestyle, which will have a profound impact not only on communicable diseases but also on noncommunicable diseases, including hypertension. Summarizing what is known and what requires further investigation in this field may help to address the challenges we face. In the present review, we critically evaluate the existing evidence for the epidemiological association between COVID-19 and hypertension. We also summarize the current knowledge regarding the pathophysiology of SARS-CoV-2 infection with an emphasis on ACE2, the cardiovascular system, and the kidney. Finally, we review evidence on the use of antihypertensive medication, namely, ACE inhibitors and angiotensin receptor blockers, in patients with COVID-19.

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  • Reply to comments on "Is sarcopenia primarily age- or renin-angiotensin system-related disorder?"

    Masaki Mogi

    Geriatrics & gerontology international   20 ( 10 )   1000 - 1000   2020.10

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  • 水素の持続吸入は血管リモデリングを抑制する

    茂木 正樹, 清井 武志, 劉 爽

    日本抗加齢医学会総会プログラム・抄録集   20回   239 - 239   2020.9

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  • Low‐Normal Platelets and Decreasing Platelets Are Risk Factors for Hearing Impairment Development Reviewed International journal

    Yasunori Abe, Kensuke Toyama, Masaya Kazurayama, Shinji Tanaka, Masamitsu Yamaizumi, Megumi Ueno, Joshua M. Spin, Naohito Hato, Masaki Mogi

    The Laryngoscope   131 ( 4 )   E1287-E1295 - E1295   2020.8

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    OBJECTIVE: Identification of undefined risk factors will be crucial for the development of therapeutic strategies in hearing impairment. Platelets are likely to affect the development of sudden sensorineural hearing loss, which is a primary risk factor for permanent hearing impairment. This implies that abnormal platelets might contribute to long-term hearing loss. This study investigated the role of platelets in the development of hearing impairment over a 5-year period. METHODS: This study was a retrospective cohort study and consisted of a population-based survey, which was performed for 1,897 participants in 2014 to 2019. To evaluate the effect of platelet level on hearing ability, the subjects were divided into two groups: a high-normal platelet group (25 ∼ 40 × 104 cells/μL) and a low-normal platelet group (15 ∼ 25 × 104 cells/μL). Subjects were defined as having hearing impairment when pure tone audiometry was over 25 dB HL in either ear (tested in 2017 and 2019). Incidence of hearing impairment was analyzed. RESULTS: Incidence of hearing impairment at low frequencies was significantly higher in the low-normal platelet group than in the high-normal group year over year. Low-normal platelet count associated with low-frequency hearing impairment (LFHI) incidence (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.15-4.76). In the low-normal platelet group, subjects whose counts declined from baseline developed more LFHI than those whose counts increased over time. Further, decreasing platelets appeared to be an independent risk factor contributing to the incidence of LFHI (OR, 2.10; 95%CI, 1.09-4.06) in the low-normal platelet group. CONCLUSION: Both a low-normal platelet and a declining platelet count were independently associated with the incidence of LFHI. LEVEL OF EVIDENCE: 3 Laryngoscope, 131:E1287-E1295, 2021.

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  • A novel MRGPRX2-targeting antagonistic DNA aptamer inhibits histamine release and prevents mast cell-mediated anaphylaxis. Reviewed International journal

    Yasuyuki Suzuki, Shuang Liu, Tomio Ogasawara, Tatsuya Sawasaki, Yasushi Takasaki, Toshihiro Yorozuya, Masaki Mogi

    European journal of pharmacology   878   173104 - 173104   2020.7

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    Anaphylaxis during general anaesthesia is a significant clinical challenge for anaesthesiologists. Approximately 50% of perioperative anaphylaxis cases lack the presence of specific IgE antibodies. Mas-related G-protein coupled receptor X2 (MRGPRX2) in humans and its mouse orthologue Mas-related G-protein coupled receptor B2 (Mrgprb2) are crucial receptors in non-IgE-dependent histamine release. Anaesthetics such as rocuronium and atracurium cause perioperative anaphylaxis by activating histamine release via the Mrgprb2 pathway. We hypothesized that antagonistic DNA aptamers that target MRGPRX2 can prevent perioperative anaphylaxis. Selection of a DNA aptamer that specifically binds MRGPRX2 was achieved by using our modified Systematic Evolution of Ligands by Exponential enrichment (SELEX) approach. Our SELEX process used MRGPRX2-proteoliposomes synthesised by a wheat germ cell-free system as templates. The activity of the selected aptamer to inhibit histamine release from MRGPRX2-activated mast cells and in an anaphylaxis rat model transplanted with this cell line was examined. Our selection process identified aptamer-X35 with the sequence 5'-ATGACCATGACCCTCCACACTGTAGGCACCACGGGTCCCTGGCAGTTAAAAGTACGTTTGTCAGACTGTGGCAGGGAAACA-3'. In silico 2D modelling of aptamer-X35 revealed a structure with a small loop and a long stem. Aptamer-X35 inhibited histamine release from mast cells by 70%. Subcutaneous injection of 30 nmol of aptamer-X35 inhibited the anaphylactic reaction in the rat anaphylaxis model. This study demonstrated that aptamer-X35 selected by the modified SELEX approach reduced histamine release by inhibiting the MRGPRX2 pathway. Overall, our findings establish aptamer-X35 as a potential therapeutic candidate against perioperative anaphylaxis.

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  • Effect of renin-angiotensin system on senescence.

    Masaki Mogi

    Geriatrics & gerontology international   20 ( 6 )   520 - 525   2020.6

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    The renin-angiotensin system (RAS) plays crucial roles in the control of blood pressure and sodium homeostasis. Moreover, RAS also acts as a key player in cell and organ senescence, mainly by activation of the classical axis of angiotensin (Ang) converting enzyme (ACE)/Ang II/Ang II type 1 receptor via overproduction of reactive oxygen species. Overactivation of the classical RAS axis induces organ dysfunction in the vasculature, brain, kidney and skeletal muscle, resulting in atherosclerosis, stroke, chronic kidney disease and sarcopenia. Moreover, RAS has been shown to regulate lifespan, using gene-modification models. Recently, mice lacking the Ang II type 1 receptor were shown to exhibit an increase in lifespan compared with control mice. Here, the effect of RAS on age-related tissue dysfunction in several organs is reviewed, including not only the classical axis but also protective functions of RAS such as the ACE2/Ang (1-7)/Mas axis. Geriatr Gerontol Int 2020; ••: ••-••.

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  • Temporal expression profiling of DAMPs-related genes revealed the biphasic post-ischemic inflammation in the experimental stroke model. International journal

    Atsushi Yamaguchi, Tatsuya Jitsuishi, Takashi Hozumi, Jun Iwanami, Keiko Kitajo, Hiroo Yamaguchi, Yasutake Mori, Masaki Mogi, Setsu Sawai

    Molecular brain   13 ( 1 )   57 - 57   2020.4

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    The neuroinflammation in the ischemic brain could occur as sterile inflammation in response to damage-associated molecular patterns (DAMPs). However, its long-term dynamic transcriptional changes remain poorly understood. It is also unknown whether this neuroinflammation contributes to the recovery or just deteriorates the outcome. The purpose of this study is to characterize the temporal transcriptional changes in the post-stroke brain focusing on DAMPs-related genes by RNA-sequencing during the period of 28 days. We conducted the RNA-sequencing on day 1, 3, 7, 14, 28 post-stroke in the mouse photothrombosis model. The gross morphological observation showed the ischemic lesion on the ipsilateral cortex turned into a scar with the clearance of cellular debris by day 28. The transcriptome analyses indicated that post-stroke period of 28 days was classified into four categories (I Baseline, II Acute, III Sub-acute-#1, IV Sub-acute-#2 phase). During this period, the well-known genes for DAMPs, receptors, downstream cascades, pro-inflammatory cytokines, and phagocytosis were transcriptionally increased. The gene ontology (GO) analysis of biological process indicated that differentially expressed genes (DEGs) are genetically programmed to achieve immune and inflammatory pathways. Interestingly, we found the biphasic induction of various genes, including DAMPs and pro-inflammatory factors, peaking at acute and sub-acute phases. At the sub-acute phase, we also observed the induction of genes for phagocytosis as well as regulatory and growth factors. Further, we found the activation of CREB (cAMP-response element binding protein), one of the key players for neuronal plasticity, in peri-ischemic neurons by immunohistochemistry at this phase. Taken together, these findings raise the possibility the recurrent inflammation occurs at the sub-acute phase in the post-stroke brain, which could be involved in the debris clearance as well as neural reorganization.

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  • Deterioration of cognitive function after transient cerebral ischemia with amyloid-β infusion-possible amelioration of cognitive function by AT2 receptor activation. International journal

    Li-Juan Min, Jun Iwanami, Masachika Shudou, Hui-Yu Bai, Bao-Shuai Shan, Akinori Higaki, Masaki Mogi, Masatsugu Horiuchi

    Journal of neuroinflammation   17 ( 1 )   106 - 106   2020.4

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    BACKGROUND: To promote understanding of the pathogenesis of cognitive impairment or dementia, we explored the potential interaction between transient cerebral ischemia and amyloid-β (Aβ) infusion in mediating cognitive decline and examined the possible ameliorative effect of angiotensin II type 2 (AT2) receptor activation in vascular smooth muscle cells (VSMC) on this cognitive deficit. METHODS: Adult male wild-type mice (WT) and mice with VSMC-specific AT2 receptor overexpression (smAT2) were subjected to intracerebroventricular (ICV) injection of Aβ1-40. Transient cerebral ischemia was induced by 15 min of bilateral common carotid artery occlusion (BCCAO) 24 h after Aβ injection. RESULTS: Aβ injection in WT induced a cognitive decline, whereas BCCAO did not cause a significant cognitive deficit. In contrast, WT with BCCAO following Aβ injection exhibited more marked cognitive decline compared to Aβ injection alone, in concert with increases in superoxide anion production, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity, and expression of p22phox, p40phox, monocyte chemoattractant protein (MCP)-1 and interleukin (IL)-1β in the hippocampus, and upregulation of RAGE (receptor for advanced glycation end product), an Aβ transporter. BCCAO following Aβ injection further enhanced neuronal pyknosis in the hippocampus, compared with BCCAO or Aβ injection alone. In contrast, smAT2 did not show a cognitive decline, increase in oxidative stress, inflammation, and RAGE level or neuronal pyknosis, which were induced by BCCAO with/without Aβ injection in WT. CONCLUSIONS: Transient cerebral ischemia might worsen Aβ infusion-mediated cognitive decline and vice versa, with possible involvement of amplified oxidative stress and inflammation and impairment of the RAGE-mediated Aβ clearance system, contributing to exaggerated neuronal degeneration. AT2 receptor activation in VSMC could play an inhibitory role in this cognitive deficit.

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  • Constitutive hydrogen inhalation prevents vascular remodeling via reduction of oxidative stress Reviewed International journal

    Kiyoi T, Liu S, Takemasa E, Nakaoka H, Hato N, Mogi M

    PLoS One   17 ( 4 )   e0227582   2020.4

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    Molecular hydrogen is thought to have an inhibitory effect on oxidative stress, thereby attenuating the onset and progression of various diseases including cardiovascular disease; however, few reports have assessed the preventive effect of constitutive inhalation of hydrogen gas on of vascular remodeling. Here, we investigated the effect of constitutive inhalation of hydrogen gas on vascular neointima formation using a cuff-induced vascular injury mouse model. After constitutive inhalation of compressed hydrogen gas (O2 21%, N2 77.7%, hydrogen 1.3%) or compressed air only (O2 21%, N2 79%) by C57BL/6 mice for 2 weeks from 8 weeks of age in a closed chamber, inflammatory cuff injury was induced by polyethylene cuff placement around the femoral artery under anesthesia, and hydrogen gas administration was continued until sampling of the femoral artery. Neointima formation, accompanied by an increase in cell proliferation, was significantly attenuated in the hydrogen group compared with the control group. NADPH oxidase NOX1 downregulation in response to cuff injury was shown in the hydrogen group, but the expression levels of NADPH oxidase subunits, p40phox and p47phox, did not differ significantly between the hydrogen and control groups. Although the increase in superoxide anion production did not significantly differ between the hydrogen and control groups, DNA damage was decreased as a result of reduction of reactive oxygen species such as hydroxyl radical (⋅OH) and peroxynitrite (ONOO-) in the hydrogen group. These results demonstrate that constitutive inhalation of hydrogen gas attenuates vascular remodeling partly via reduction of oxidative stress, suggesting that constitutive inhalation of hydrogen gas at a safe concentration in the living environment could be an effective strategy for prevention of vascular diseases such as atherosclerosis.

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  • Different effects of the deletion of angiotensin converting enzyme 2 and chronic activation of the renin-angiotensin system on muscle weakness in middle-aged mice. Reviewed International journal

    Hikari Takeshita, Koichi Yamamoto, Masaki Mogi, Satoko Nozato, Masatsugu Horiuchi, Hiromi Rakugi

    Hypertension research : official journal of the Japanese Society of Hypertension   43 ( 4 )   296 - 304   2020.4

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    Inhibition of the renin-angiotensin system (RAS) has been shown to alleviate muscle atrophy both under pathological conditions and during physiological aging. We recently reported that the deletion of angiotensin converting enzyme 2 (ACE2), which converts Angiotensin II to Angiotensin-(1-7) in mice, leads to the early manifestation of aging-associated muscle weakness along with the increased expression of p16INK4a, a senescence-associated gene, and increased central nuclei in the tibialis anterior (TA) muscle in middle age. As ACE2 is multifunctional and functions beyond its role in the RAS, we investigated whether activation of the RAS primarily contributes to muscle weakness in ACE2 knockout (KO) mice by comparing these mice to Tsukuba hypertensive (TH) mice that overproduce human angiotensin II. The grip strength of young (6 months) and middle-aged (15 months) TH mice was consistently lower than that of wild-type mice at the same ages. Middle-aged TH mice were continuously lean with extremely reduced adiposity. Central nuclei in the gastrocnemius (GM) muscle were increased in ACE2KO mice, while no apparent morphological change was observed in the GM muscles of TH mice. Increased expression of p16INK4a along with alterations in the expression of several sarcopenia-associated genes were observed in the GM muscles of ACE2KO mice but not TH mice. These findings suggest that chronic overactivation of the RAS does not primarily contribute to the early aging phenotypes of skeletal muscle in ACE2KO mice.

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  • Tachykinin-1 receptor antagonism suppresses substance-P- and compound 48/80-induced mast cell activation from rat mast cells expressing functional mas-related GPCR B3. International journal

    Muhammad N A Sahid, Shuang Liu, Masaki Mogi, Kazutaka Maeyama

    Inflammation research : official journal of the European Histamine Research Society ... [et al.]   69 ( 3 )   289 - 298   2020.3

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    OBJECTIVE: Mice and rats are important animal models for mast cell (MC) study. However, rat Mas-related-GPCR-B3 receptor (MRGPRB3) has been less studied than its mouse counterpart. Therefore, we aimed to characterize rat MRGPRB3. METHODS: Mrgprb3 mRNA expression was assessed in peritoneal cells (RPCs) and peritoneal MCs (RPMCs) of wild-type rats, RPCs of MC-deficient rats, and RBL-2H3 cells by reverse-transcriptase polymerase chain reaction (RT-PCR). RPMCs, MRGPRX2-transfected and non-transfected RBL-2H3 cells were activated by 15-30 min incubation with DNP-BSA, substance-P (SP), or compound-48/80. L732138 or CP96344 was used as a tachykinin/neurokinin-1-receptor antagonist. Histamine release from MCs was measured by HPLC fluorometry. RESULTS: Mrgprb3 mRNA expression was found in all cells, with the highest level in wild-type RPCs. All cells responded to DNP-BSA, but only MRGPRX2-transfected-RBL-2H3 cells and RPMCs responded to all activators. L732138 (0.1-10 μM) and CP96344 (1-100 μM) suppressed SP (10 μM)-induced RPMC activation. L732138 inhibition was dose independent, whereas CP96344 inhibition occurred in a dose-dependent manner. Additionally, only CP96344 suppressed SP (100 μM)- and compound-48/80 (10 μg/mL)-induced RPMC activation. CONCLUSIONS: RPMCs expressing functional MRGPRB3 response upon MRGPRX2 ligands to regulated MC-mediated activities. It`s provide novel insights for future pseudo-allergic studies in rodents.

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  • Effects of behavioral risk factors with reference to smoking on pathophysiology of cardiomyocyte dysfunction

    Ram B. Singh, Tomko Komatsu, Masaichi Changil Lee, Shaw Watanabe, Sarah O. Nwozo, Takeshi Kiyoi, Masaki Mogi, Shikha S. Gaur, Rashmi Gautam

    World Heart Journal   12 ( 1 )   9 - 13   2020

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  • Predication of the risk of anaphylaxis during the general anesthesia

    Liu Shuang, Suzuki Yasuyuki, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   93   3-P-385   2020

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    In present study, we aimed to investigate the feasibility of machine-learning-based classification using clinical features of patients for risk predication of anesthesia-related anaphylaxis.

    After data pre-processing, the performance of four classification methods, which were integrated with four feature selection methods, were evaluated using two-layer cross-validation. Linear Discriminate Analysis in conjunction with Recursive Feature Elimination presented the best performance, with accuracy of 0.867 and Matthews correlation coefficient of 0.558 with 25 features used in the classification.

    This study presents initial proof of the capability of a machine-learning-based strategy for forecasting low-prevalence anesthesia-related anaphylaxis. In future, we plan to utilize an extended database including preoperative information and vital-sign streams to define personalized risk status for anaphylaxis.

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  • View point. Can indo-mediterranean-style diets in father and mother influence fetal growth, inflammation, genetic profile, and cardio-metabolic risk in mother and infant?

    Wajdy Al-Awaida, Al Omar Bawareed, Ram B. Singh, Sergey Chibisov, Elena Kharlitskaya, Takeshi Kiyoi, Shuang Liu, Masaki Mogi, Ghizal Fatima, Rie Horuichi, Toru Takahashi, Shaw Watanabe

    World Heart Journal   12 ( 1 )   77 - 83   2020

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    Four publications in Nature and Cell followed by WHO advise on “life-course approach” on preconception and perinatal factors; these factors appear to be essential for achieving the population health goals of the UNO in 2030. The interaction of the genes and the internal and external environment can influence fetal development, the health of mothers and offspring. The role of pre-conception and perinatal behavioral factors of parents on genetic/epigenetic inheritance of cardio-metabolic diseases (CMDs) risk in the off-spring in humans is not least known. The role of epigenetic inheritance, the passing of phenotypic change to subsequent generations in ways that are outside the genetic code of DNA, are not well known. It is unclear whether a complex set of factors, including nutritional factors, come into play during epigenetic inheritance from father and mother to offspring. Chronic high-fat diet in fathers programs β-cell dysfunction in female rat offspring inducing obesity and insulin resistance not yet known in humans [1]. Pregnant women require more energy, protein, iron, iodine, vitamin A, folate, and other nutrients because nutrient deficiencies are associated with maternal complications and death, fetal and newborn death, birth defects, and decreased physical and mental potential of the child. Deficiency of omega-3 fatty acid and flavonoids during pregnancy can increase oxidative stress and systemic inflammation, which may predispose to impaired beta-cell function, and smooth muscle dysfunction leading to increased risk of CMDs. There is an unmet need to find out that adequate energy intake and a diversified diet that includes fruit, vegetables, and animal products throughout the life cycle helps ensure that women enter pregnancy and lactation without deficiencies and obtain adequate nutrients during periods of heightened demand. Since CMDs may develop due to transgenerational inheritance, our strategy is to find out the effects of Indo-Mediterranean diets vs control diet, among father and mother, on complications of pregnancy, fetal development and cardio-metabolic risk factors in the offspring. The outcome of this study may indicate beneficial effects on the mother's health, fetal development, insulin sensitivity, in infancy, mediated by epigenetic and genetic alterations.

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  • Activity of the consortium of pharmacological training in Chugoku-Shikoku region Reviewed

    Mogi Masaki, Imamura Takeshi, Saito Motoaki, Nishiyama Akira, Wada Koichiro

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   93 ( 0 )   1 - S16-4   2020

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    <p>Practice conducted in the Department of Pharmacology in medical schools plays an important role in learning the effect and risk of drugs through animal experiments as not only pharmacological but also ethical education. However, due to the budget reduction in the practice and cost cut for the instructors, performing practice with enough quality is so difficult in almost all medical schools. Thus, we have started a consortium of practice and education together with five pharmacology departments in the Chugoku and Shikoku regions to share practice tools and equipment, to develop human resource of instructors and to collaborate with each other. Here, we demonstrate our approach.</p>

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  • Assessment and Comparison of the Efficacy of Methotrexate, Prednisolone, Adalimumab, and Tocilizumab on Multipotency of Mesenchymal Stem Cells. International journal

    Shuang Liu, Takeshi Kiyoi, Marina Ishida, Masaki Mogi

    Frontiers in pharmacology   11   1004 - 1004   2020

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    Mesenchymal stem cell (MSC)-based articular regeneration might be beneficial for both protecting and rebuilding cartilaginous tissues in the management of rheumatoid arthritis. However, it is unclear how current immunosuppressive strategies influence the multipotency of MSCs. The present study was undertaken to profile the direct effectiveness of major antirheumatic drugs including methotrexate, prednisolone, adalimumab, and tocilizumab on the multipotency of MSCs, with a special focus on chondrogenesis. The inhibitory effects of methotrexate on adipogenesis, osteogenesis, and chondrogenesis were observed to occur in a dose-dependent manner in an in vitro differentiation system. Prednisolone enhanced adipogenesis, but reduced alkaline phosphatase activity in osteoprogenitors and suppressed the formation of chondrospheroids. Adalimumab suppressed alkaline phosphatase activity, while tocilizumab diminished osteogenesis and chondrogenesis of MSCs in vitro. Chondrogenesis of antirheumatic drug-treated MSCs was also evaluated in vivo using a scaffolded spheroid-engrafted murine model. The biologics examined appeared to be relatively safe for cartilaginous formation, but methotrexate and prednisolone exhibited opposing influences on chondrogenesis. Taken together, these results reveal the direct efficacy of major antirheumatic agents on the multipotency of MSCs. Therefore, our findings suggest that optimization of medication protocols is further required for therapeutic approaches involving cartilaginous tissue engineering.

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  • Angiotensin 1-7 alleviates aging-associated muscle weakness and bone loss, but is not associated with accelerated aging in ACE2-knockout mice. Reviewed International journal

    Satoko Nozato, Koichi Yamamoto, Hikari Takeshita, Yoichi Nozato, Yuki Imaizumi, Taku Fujimoto, Serina Yokoyama, Motonori Nagasawa, Masao Takeda, Kazuhiro Hongyo, Hiroshi Akasaka, Yoichi Takami, Yasushi Takeya, Ken Sugimoto, Masaki Mogi, Masatsugu Horiuchi, Hiromi Rakugi

    Clinical science (London, England : 1979)   133 ( 18 )   2005 - 2018   2019.9

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    The angiotensin-converting enzyme 2 (ACE2)-angiotensin 1-7 (A1-7)-A1-7 receptor (Mas) axis plays a protective role in the renin-angiotensin system (RAS). We recently found that ACE2 knockout (ACE2KO) mice exhibit earlier aging-associated muscle weakness, and that A1-7 alleviates muscle weakness in aging mice. In the present study, we investigated the role of the A1-7-Mas pathway in the effect of ACE2 on physiological aging. Male wild-type, ACE2KO, and Mas knockout (MasKO) mice were subjected to periodical grip strength measurement, followed by administration of A1-7 or vehicle for 4 weeks at 24 months of age. ACE2KO mice exhibited decreased grip strength after 6 months of age, while grip strength of MasKO mice was similar to that of wild-type mice. A1-7 improved grip strength in ACE2KO and wild-type mice, but not in MasKO mice. Muscle fibre size was smaller in ACE2KO mice than that in wild-type and MasKO mice, and increased with A1-7 in ACE2KO and WT mice, but not in MasKO mice. Centrally nucleated fibres (CNFs) and expression of the senescence-associated gene p16INK4a in skeletal muscles were enhanced only in ACE2KO mice and were not altered by A1-7. ACE2KO mice, but not MasKO mice, exhibited thinning of peripheral fat along with increased adipose expression of p16INK4a A1-7 significantly increased bone volume in wild-type and ACE2KO mice, but not in MasKO mice. Our findings suggest that the impact of ACE2 on physiological aging does not depend on the endogenous production of A1-7 by ACE2, while overactivation of the A1-7-Mas pathway could alleviate sarcopenia and osteoporosis in aged mice.

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  • Therapeutic perspective on vascular cognitive impairment. Reviewed International journal

    Toyama K, Spin JM, Mogi M, Tsao PS

    Pharmacological research   146   104266 - 104266   2019.5

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    Dementia is one of the greatest public health concerns for the modern aging world. Over the last decade, most researchers developing new therapeutic strategies for dementia have focused on amyloid-β. In contrast, numerous recent studies have indicated that vascular risk factors are associated with various forms of dementia, and that in fact most forms of dementia can be considered an extension of vascular disease. Accordingly, it is sensible to pursue treatment approaches that focus on the blood vessels. Blood-brain barrier (BBB) disruptions in the white matter of patients with vascular cognitive impairment (VCI) have been observed using imaging analysis, and might be potential targets for novel VCI treatment. Tight junctions between cerebral endothelial cells play an important role in the function of the BBB, and recent studies have demonstrated the essential role of microRNAs in regulating tight junctions. Further elucidation of the mechanisms of tight junction-disruption in dementia are likely to lead to promising novel treatments. In this article, we summarize current knowledge regarding microRNAs and vascular cognitive impairment and the possibility of utilizing microRNAs as biomarkers for BBB dysfunction, and seek to envision future therapeutic strategies.

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  • Controlled isoflurane anesthesia exposure is required for reliable behavioral testing in murine surgical models. Reviewed

    Toyama K, Spin JM, Abe Y, Suzuki Y, Deng AC, Wagenhäuser MU, Yoshino T, Mulorz J, Liu S, Tsao PS, Mogi M

    Journal of pharmacological sciences   140 ( 1 )   106 - 108   2019.5

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    We investigated the effects of variations in anesthesia exposure time prior to conducting anxiety response behavioral testing in sham controls from an experimental murine model. The staying time in the center area of the Open Field test in the "long exposure" group was significantly decreased compared to that of the "short exposure" group. Significant correlation was found between anesthesia time and the duration of staying time in the center area. We conclude that anesthesia time may have a significant impact on behavioral anxiety testing in this context, and advise careful control of this parameter in protocol optimization in related surgical animal models.

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  • Histamine uptake mediated by plasma membrane monoamine transporter and organic cation transporters in rat mast cell lines. Reviewed International journal

    Slamet Soetanto T, Liu S, Sahid MNA, Toyama K, Maeyama K, Mogi M

    European journal of pharmacology   849   75 - 83   2019.4

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    The resources of released histamine from activated mast cells, as initial effectors of allergic disease, include not only endogenous prepackaged histamine and newly synthesized histamine, but also histamine that is obtained through the de novo reuptake pathway. To investigate the de novo histamine production pathway, a mast cell line, RBL-2H3 Sc98 in which endogenous histamine production is lacking and only the de novo histamine release pathway via transporters is maintained, was used to dissect histamine reuptake in the present study. Histamine content measurements indicated that RBL-2H3 Sc98 cells took up extracellular histamine for storage in granules and subsequent release after stimulation by an antigen. Profiling and inhibition analysis of possible transporters suggested that the plasma membrane monoamine transporter and organic cation transporter 1 may be candidate transporters for histamine uptake from extracellular spaces, and that vesicular monoamine transporter 2 was responsible for intracellular vesicle uptake. These results may provide the foundation to understand the contribution of exogenous histamine to outward histamine release that is mediated by mechanisms other than conventional exocytosis.

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  • Morphological and functional analysis of beige (Chèdiak-Higashi syndrome) mouse mast cells with giant granules. Reviewed International journal

    Kiyoi T, Liu S, Sahid MNA, Shudou M, Ogasawara M, Mogi M, Maeyama K

    International immunopharmacology   69   202 - 212   2019.4

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    Chèdiak-Higashi syndrome is a rare autosomal recessive disease that causes hypopigmentation, recurrent infections, mild coagulation defects and neurological problems. Beige mice carry a mutation in the lysosome trafficking regulator (LYST) gene and display some of the key characteristics of human Chèdiak-Higashi syndrome, in particular, a high susceptibility to infection due to aberrant natural killer (NK) cell and polymorphonuclear leucocyte function. Morphological analysis of beige mice reveals the presence of enlarged lysosomes in a variety of cell types, including leucocytes, hepatocytes, fibroblasts and renal tubule cells. To examine the process of granule maturation and degranulation in beige mice mast cells, morphological studies have been conducted using a combination of electrophysiological techniques; however, few functional studies have been conducted with mast cells, such as mediator release. The aim of the present study was to determine the morphological and functional characteristics of skin and peritoneal mast cells and bone marrow-derived mast cells of homozygous (bg/bg) and heterozygous (bg/+) beige mice and wild-type (+/+) mice. The histamine concentration was lower in the peritoneal and bone marrow-derived mast cells of bg/bg mice compared with those of bg/+ and +/+ mice, but the histamine release response was potentiated. In vivo studies of passive cutaneous anaphylaxis showed no differences between bg/bg mice and either bg/+ or +/+ mice. Although bg/bg mast cells with enlarged granules display specific exocytotic processes in vitro, the consequences of mast cell activation in beige mice were similar to those of wild-type mice in vivo.

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  • microRNA-based biomarker for dementia. Reviewed International journal

    Toyama K, Mogi M, Tsao PS

    Aging   11 ( 5 )   1329 - 1330   2019.3

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  • AT2 receptor stimulation inhibits phosphate-induced vascular calcification. Reviewed International journal

    Kukida M, Mogi M, Kan-No H, Tsukuda K, Bai HY, Shan BS, Yamauchi T, Higaki A, Min LJ, Iwanami J, Okura T, Higaki J, Horiuchi M

    Kidney international   95 ( 1 )   138 - 148   2019.1

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    Vascular calcification is a common finding in atherosclerosis and in patients with chronic kidney disease. The renin-angiotensin system plays a role in the pathogenesis of cardiovascular remodeling. Here, we examined the hypothesis that angiotensin II type 2 receptor (AT2) stimulation has inhibitory effects on phosphate-induced vascular calcification. In vivo, calcification of the thoracic aorta induced by an adenine and high-phosphate diet was markedly attenuated in smooth muscle cell-specific AT2-overexpressing mice (smAT2-Tg) compared with wild-type and AT2-knockout mice (AT2KO). Similarly, mRNA levels of relevant osteogenic and vascular smooth muscle cell marker genes were unchanged in smAT2-Tg mice, while their expression was significantly altered in wild-type mice in response to high dietary phosphate. Ex vivo, sections of thoracic aorta were cultured in media supplemented with inorganic phosphate. Aortic rings from smAT2-Tg mice showed less vascular calcification compared with those from wild-type mice. In vitro, calcium deposition induced by high-phosphate media was markedly attenuated in primary vascular smooth muscle cells derived from smAT2-Tg mice compared with the two other mouse groups. To assess the underlying mechanism, we investigated the effect of PPAR-γ, which we previously reported as one of the possible downstream effectors of AT2 stimulation. Treatment with a PPAR-γ antagonist attenuated the inhibitory effects on vascular calcification observed in smAT2-Tg mice fed an adenine and high-phosphate diet. Our results suggest that AT2 activation represents an endogenous protective pathway against vascular calcification. Its stimulation may efficiently reduce adverse cardiovascular events in patients with chronic kidney disease.

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  • Hesperidin improves vascular remodeling in cuff-induced vascular injury mouse model

    Narumoto Aoi, Iwanami Jun, Narumoto Haruka, Kawakami Moe, Yamaguchi Risako, Kanno Harumi, Mogi Masaki, Min Li-Juan, Horiuchi Masatsugu

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   92   1 - P-071   2019

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    <p>Recently, we reported that drinking of <i>Citrus unshiu</i> juice (CU) or <i>Citrus iyo</i> juice (CI) drinking attenuated vascular remodeling in vascular injury mouse model. This effect was more marked with CI. Therefore, we focused on flavanone, hesperidin, which is more abundantly contained in CI compared with CU, and investigated the effect of hesperidin in vascular injury in mice. Eight-week-old male C57BL/6 mice were administrated 100 mg/kg/day hesperidin orally by gavage. Two weeks after administration, vascular injury was induced by polyethylene cuff placement on the femoral artery. Neointima formation was determined 14 days after cuff placement by evaluating intima/media ratio. One week after cuff placement, mRNA levels were measured by quantitative real-time RT-PCR. Treatment with hesperidin did not change systolic blood pressure and body weight compared with that in control mice. Neointima formation in the injured artery was significantly increased 2 weeks after cuff placement. Treatment with hesperidin significantly decreased neointimal formation. Expression of mRNA of tumor necrosis factor (TNF)-alpha and monocyte chemoattractant protein (MCP)-1 were increased by cuff placement. These increases tended to decrease in treatment with hesperidin. These results suggest that the intake of hesperidin in citrus fruits juice should prevent vascular injury.</p>

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  • Eating behavior and risk of cardio-metabolic diseases

    Magomedov Magomed, Ram B. Singh, Masaki Mogi, Masaichi Chang Il Lee, Sergey Chibisov, Al Omar Bawareed, Abdul Khabirov, Y. M. Alsmadi, Shaw Watanabe, Tomoko Komatsu, Nitin Agarwal

    World Heart Journal   11 ( 2 )   141 - 148   2019

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    Prediabetes, diabetes, hypertension, and coronary artery diseases are important components of metabolic syndrome which is a risk factor of CMDs. Eating slowly is a crucial concept in behavioral nutrition which is recommended for management of obesity. However, in subjects with diabetes and metabolic syndrome, eating slowly is believed to have an important effect on satiety control leading to weight loss. While fast eating without mastication is associated with metabolic syndrome and cardio-metabolic diseases (CMDs), slow eating with mastication may be protective against these diseases. Regular mastication may also inhibit memory dysfunction and dementia. Regular active mastication improves the performance of sustained cognitive tasks by increasing the activation of the hippocampus and the prefrontal cortex, the brain regions that are essential for cognitive processing. Abnormal mastication caused by experimental occlusal disharmony in animals produces chronic stress, which in turn suppresses spatial learning ability leading to decline in memory function. Mastication measurement device may be used to assess dose response in relation to health and diseases.

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  • Could Management of Blood Pressure Prevent Dementia in the elderly? International journal

    Masaki Mogi

    Clinical hypertension   25 ( 1 )   27 - 27   2019

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    BACKGROUND: Hypertension is one of the most relevant risk factors in vascular aging, stroke and vascular dementia (VD). In the elderly, the prevalence of mixed dementia, which consists of Alzheimer's disease (AD) and VD, is increased. Moreover, disorders of blood vessels are reported to be involved in the onset and progression of AD. Thus, hypertension generally plays an important role in dementia overall. MAIN TEXT: Mid-life hypertension is reported to be related to the incidence of dementia, but it is reported that antihypertensive treatment in aged people cannot prevent the onset and progression of dementia. The renin-angiotensin system (RAS) is deeply involved in not only hypertension but also lifestyle-related diseases, and may contribute to the pathological mechanism in dementia; thus, RAS regulation is expected to prevent dementia. Small vessel structural changes in lifestyle-related diseases may play a role in dementia in the elderly. CONCLUSION: Here, we discuss the role of blood pressure elevation in dementia and the therapeutic possibility of antihypertensive treatment against dementia.

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  • Can protective factors inculcate molecular adaptations of cardiomyocyte in the prevention of chronic heart failure?

    Ram B. Singh, V. I. Torshin, Sergey Chibisov, Ramesh K. Goyal, Shaw Watanabe, Hironori Nakagami, Masaki Mogi, Bichitra N. Nayak

    World Heart Journal   11 ( 2 )   149 - 157   2019

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    Adaptations may be defined as any alterations, molecular and clinical, that provide better capability to an organism to face the adverse effects of environmental factors. Adaptations could be clinical or biological, and could be subdivided into genetic, epigenetic, immunological (increase in PG1), and anti-oxidative. Exercise enhances the synthesis of CoQ10 antioxidant and high-density lipoprotein cholesterol, as well as vascular endothelial, neuronal and myocardial growth factors, whereas yoga stretching enhances resolvin, which are protective mechanisms of adaptations. Mediterranean-style diets decrease pro-inflammatory cytokines and increase anti-inflammatory cytokines, thus increasing the molecular capability of adaptation by counteracting the adverse effects of environmental risk factors. DNA is a reasonably conserved molecule but epigenetic and genetic alterations can occur due to environmental factors such as Western-style diets, pollutants and radiations resulting in to DNA methylation. Some of these changes occur to counteract the adverse effects of these environmental factors which may be called adaptations. The surface of the genes can be altered through manipulations via mRNA, siRNA, histone modification causing epigenetic modulation. Regulating telomere-associated genes we can induce molecular adaptation by Mediterranean-style diet and moderate physical activity. We can also enhance adaptation through beneficial mutations or using allele from the standing genetic variations. Whether it is DNA, RNA, protein, receptor, enzyme, all of these will contribute to molecular adaptability. Functional food such as curcumin, fenugreek and Mediterranean-style foods can alter transcription, thus bring about adaptation. Molecular adaptation may include biophysical changes which may terminate in clinical manifestations such as central obesity which is an adaptation against increased intake of Western-style diets and sedentary behavior. More studies are needed to establish the role of adaptation in cardiovascular and cardiomyocyte dysfunction that leads to chronic heart failure.

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  • Effect of angiotensin II type 2 receptor on cerebral ischemic injury in mice with fetal growth restriction

    Narumoto Haruka, Iwanami Jun, Shan Bao-Shuai, Mogi Masaki, Narumoto Aoi, Min Li-Juan, Horiuchi Masatsugu

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   92   2 - P-041   2019

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    <p>We previously observed that vascular remodeling in response to vascular injury is exaggerated in fetal growth restriction (FGR) mice. We reported that angiotensin II type 2 receptor (AT<sub>2</sub>R) stimulation prevented cerebral ischemic damage. The AT<sub>2</sub>R is highly expressed in fetal mice. However, the effects of AT<sub>2</sub>R on ischemic brain damage in FGR mice is unclear. Therefore, we investigated the roles of AT<sub>2</sub>R in brain damage in FGR mice using transgenic mice with overexpressed AT<sub>2</sub>R in vascular smooth muscle cell (smAT<sub>2</sub>-Tg) mice. Dams (wild-type and smAT<sub>2</sub>-Tg mice) were fed an isocaloric diet containing 20% protein (NP) or 8% protein (LP) until delivery. On the day of delivery, all dams were returned to the NP diet. After weaning, offspring were fed the NP diet. When male offspring were 10 weeks of age, cerebral ischemic injury was induced by transient middle cerebral artery occlusion (MCAO). Systolic blood pressure did not differ among all groups at 10 week of age. Ischemic area 48 hours after MCAO in NP mice was smaller in smAT<sub>2</sub>-Tg mice. Stroke size in WT-LP mice was significantly larger compared with WT-NP mice. This aggravation of stroke size by LP was weaker in smAT<sub>2</sub>-Tg-LP mice. Cerebral blood flow in the whole brain in smAT<sub>2</sub>-Tg mice was attenuated compared with that in WT mice at 48 hours after MCAO. These results suggested that AT<sub>2</sub>R could enhance the cerebral protective effects in FGR at least in part due to the increase of CBF after ischemia.</p>

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  • Genetic Manipulation of Calcium Release-Activated Calcium Channel 1 Modulates the Multipotency of Human Cartilage-Derived Mesenchymal Stem Cells. Reviewed International journal

    Liu S, Takahashi M, Kiyoi T, Toyama K, Mogi M

    Journal of immunology research   2019   7510214 - 7510214   2019

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    Calcium is a ubiquitous intracellular messenger that has a crucial role in determining the proliferation, differentiation, and functions of multipotent mesenchymal stem cells (MSCs). Our study is aimed at elucidating the influence of genetically manipulating Ca2+ release-activated Ca2+ (CRAC) channel-mediated intercellular Ca2+ signaling on the multipotency of MSCs. The abilities of genetically engineered MSCs, including CRAC-overexpressing and CRAC-knockout MSCs, to differentiate into multiple mesenchymal lineages, including adipogenic, osteogenic, and chondrogenic lineages, were evaluated. CRAC channel-mediated Ca2+ influx into these cells was regulated, and the differentiation fate of MSCs was modified. Upregulation of intracellular Ca2+ signals attenuated the adipogenic differentiation ability and slightly increased the osteogenic differentiation potency of MSCs, whereas downregulation of CRACM1 expression promoted chondrogenic differentiation potency. The findings demonstrated the effects of genetically manipulating MSCs by targeting CRACM1. CRAC-modified MSCs had distinct differentiation fates to adipocytes, osteoblasts, and chondrocytes. To aid in the clinical implementation of tissue engineering strategies for joint regeneration, these data may allow us to identify prospective factors for effective treatments and could maximize the therapeutic potential of MSC-based transplantation.

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  • Attenuation of stroke damage by angiotensin II type 2 receptor stimulation via peroxisome proliferator-activated receptor-gamma activation. Reviewed International journal

    Shan BS, Mogi M, Iwanami J, Bai HY, Kan-No H, Higaki A, Min LJ, Horiuchi M

    Hypertension research : official journal of the Japanese Society of Hypertension   41 ( 10 )   839 - 848   2018.10

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    The brain renin-angiotensin system plays a crucial role in ischemic stroke. It is known that stimulation of the angiotensin II type 2 (AT2) receptor protects against ischemic brain injury. We recently demonstrated that AT2 receptor stimulation by compound 21 (C21), a direct AT2 receptor agonist, inhibited vascular intimal proliferation with activation of peroxisome proliferator-activated receptor-gamma (PPAR-γ). However, whether direct AT2 receptor stimulation protects against ischemic brain injury via PPAR-γ activation is still unknown. 8-week-old male C57BL/6 J mice were subjected to middle cerebral artery (MCA) occlusion. 2 weeks before MCA occlusion, they were administered C21 with or without GW9662, a PPAR-γ antagonist. Neurologic deficit, ischemic size, superoxide anion, superoxide dismutase (SOD) activity, expression of NADPH subunits and blood brain barrier (BBB) stabilization were assessed 24 h after MCA occlusion. Cerebral blood flow (CBF) was measured in the core and periphery of the MCA territory before, immediately after, 1 h and 24 h after MCA occlusion. Treatment with C21 markedly decreased the neurologic deficit and ischemic size with an increase in CBF, SOD activity and BBB stabilization genes compared with the non-treated group. Co-administration of GW9662 partially attenuated this protective effect of C21 on neurologic deficit and ischemic size via an increase in superoxide anion production and a decrease of SOD activity and BBB stabilization genes, while GW9662 treatment alone had no significant effect on neurologic deficit and ischemic size. These results suggest that direct AT2 receptor stimulation has a preventive effect on stroke-induced brain injury partly due to activation of PPAR-γ.

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  • Deletion of interferon-regulatory factor-1 results in cognitive impairment. Reviewed International journal

    Mogi M, Iwanami J, Wang XL, Tsukuda K, Kan-No H, Bai HY, Shan BS, Higaki A, Min LJ, Horiuchi M

    Hypertension research : official journal of the Japanese Society of Hypertension   41 ( 10 )   809 - 816   2018.10

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    Interferon-regulatory factor (IRF)-1-dependent genes in neurons play a role in ischemic neuronal death; however, the roles of IRF-1 in dementia are not well investigated. Therefore, we assessed the effect of IRF-1 on cognitive function using a vascular cognitive impairment mouse model created by chronic cerebral hypoperfusion. Male 10-week-old C57BL/6 (wild-type; WT) and IRF-1-knockout (IRF-1KO) mice were used in this study. A chronic cerebral hypoperfusion mouse model was generated by bilateral common carotid artery stenosis (BCAS) treatment. After 6 weeks of BCAS, the mice were subjected to the Morris water maze test five times a day for 5 days. In the Morris water maze task, escape latency was significantly prolonged in sham-operated IRF-1KO mice compared with sham-operated WT mice. However, BCAS treatment cancelled such difference in spatial learning between WT and IRF-1KO mice. BCAS treatment decreased CBF, but no significant difference was observed between the two strains after BCAS. Sham-operated IRF-1KO mice showed a decrease in mRNA expression of caspase-1 and an increase in IRF-2 expression in the hippocampus. Expression of angiotensin II type 2 (AT2) receptor, which induces better cognitive function, is regulated by IRF-1; however, no obvious difference in AT2 receptor expression was observed between the two strains even after BCAS. These results suggest that IRF-1 has a protective effect on cognitive decline in a normal condition; however, there was no obvious effect on cognition after chronic cerebral hypoperfusion treatment.

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  • Evaluation of neurobehavioral impairment in methylmercury-treated KK-Ay mice by dynamic weight-bearing test. Reviewed International journal

    Yamamoto M, Motomura E, Yanagisawa R, Hoang VAT, Mogi M, Mori T, Nakamura M, Takeya M, Eto K

    Journal of applied toxicology : JAT   39 ( 2 )   221 - 230   2018.9

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    Methylmercury (MeHg) is known to cause neurobehavioral impairment in human and experimental animals. We previously reported that MeHg (5 mg Hg/kg) induced severe neurobehavioral dysfunction in 4-week-old KK-Ay mice, although it is difficult to evaluate quantitatively the neurobehavioral impairment in MeHg-treated KK-Ay mice because of their obesity. The aim of this study was to evaluate MeHg-induced neurobehavioral dysfunction in KK-Ay mice using the dynamic weight-bearing test, which analyzes the animal's weight distribution between the four limbs. Male 12-week-old KK-Ay mice were treated with MeHg (5 mg Hg/kg) three times per week for 5 weeks. Body weight loss began after approximately 2 weeks of MeHg treatment, and decreased significantly at 4 weeks. Seven of the nine MeHg-treated mice exhibited overt neurological symptoms such as ataxia and gait disturbance. The weight-bearing load was lower for the forelimb than for the hindlimb at baseline and until 1 week after MeHg treatment was initiated. In weeks 2-4, the dynamic weight-bearing loads on the forelimb and hindlimb were similar. The load on the forelimb exceeded the load on the hindlimb after 5 weeks of treatment. This finding indicates that the dynamic weight-bearing test is useful for semi-quantitative evaluation of neurobehavioral impairment in MeHg-treated rodents, and is less stressful for the animals. Infiltration of CD204-positive macrophages was observed in the sciatic nerve of MeHg-treated mice, suggesting that CD204 can serve as a useful marker of tissue injury in peripheral nerves and a possible target in regenerating peripheral nerves and controlling neuropathies.

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  • High-throughput screening system for dynamic monitoring of exocytotic vesicle trafficking in mast cells Reviewed International journal

    Takeshi Kiyoi, Shuang Liu, Muhammad Novrizal Abdi Sahid, Masachika Shudou, Kazutaka Maeyama, Masaki Mogi

    PLoS ONE   13 ( 6 )   e0198785   2018.6

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    Mast cells, in addition to endocrine cells and neurons, are typical secretory cells. Their function in allergic inflammation is to secrete inflammatory mediators from secretory vesicles. Intracellular synthesized inflammatory mediators are transported by vesicular monoamine transporters (VMATs) to vesicles where they are stored. After stimulation, the contents of the secretory vesicles are released via exocytosis. This study established a high throughput imaging screening system to monitor the functions of secretory vesicles in mast cells, including molecular uptake via VMAT2 and the exocytotic process, by using a novel fluorescent probe, FFN206, which was developed as a VMAT2 substrate. After loading with FFN206, the rapid uptake of FFN206 was observed and secretory vesicles in mouse bone marrow derived mast cells and a cultured mast cell line were clearly visualized. FFN206 uptake by secretory vesicles was time-dependent and was blocked by reserpine. Furthermore, exocytotic trafficking was monitored dynamically by real-time high-throughput fluorescence quantitation. In the present study, we verified the application of FFN206 for the monitoring of functional vesicles. This high-throughput screening system may benefit instinctive drug evaluation.

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  • Correlation between the 24-h urinary angiotensinogen or aldosterone level and muscle mass: Japan shimanami health promoting program study article Reviewed International journal

    Masaki Mogi, Katsuhiko Kohara, Yasuharu Tabara, Kana Tsukuda, Michiya Igase, Masatsugu Horiuchi

    Hypertension Research   41 ( 5 )   326 - 333   2018.5

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    Our previous report indicated that sarcopenia is associated with arterial stiffness and cardiovascular death. The renin-angiotensin system (RAS) plays an important role in cardiovascular disease and its activation may be correlated with sarcopenia according to basic research. However, few clinical studies have assessed the correlation between skeletal muscle loss and RAS component concentrations in healthy subjects. The purpose of this study was to investigate the relationships between the excretion of angiotensinogen (AGT) and aldosterone (Ald) in 24-h urine samples and clinical and sarcopenic indices. A total of 344 people participated in a voluntary medical check-up program, "Anti-Aging Doc", and underwent measurement of their sarcopenia-related indices. Urine samples were collected for 24-h within 8 weeks after a medical check-up using a partition cup and a proportional sampling method. Urine AGT and Ald levels were evaluated by enzyme-linked immunosorbent assay (ELISA). After compensating for possible confounding parameters, including baPWV, the 24-h urinary excretion of AGT was independently and negatively associated with the thigh muscle cross-sectional area. On the other hand, urinary Ald excretion was not associated with sarcopenia-related indices after compensation, even though it showed a modest but significantly positive association with sarcopenic indices in single regression analysis. Urinary AGT was related to sarcopenic indices and may be involved in the pathogenesis of sarcopenia. On the other hand, urinary Ald was not related to sarcopenic indices when considering other risk factors.

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  • Zoledronate modulates intracellular vesicle trafficking in mast cells via disturbing the interaction of myosinVa/Rab3a and sytaxin4/VAMP7 Reviewed International journal

    Shuang Liu, Muhammad N.A. Sahid, Erika Takemasa, Kazutaka Maeyama, Masaki Mogi

    Biochemical Pharmacology   151   18 - 25   2018.5

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    Nitrogen-containing bisphosphonates (NBPs) have been widely used as bone anti-resorptive drugs for the treatment of osteoclast-dependent bone disorders. Zoledronate is currently the most potent NBP, and has potential as an inhibitor of farnesyl pyrophosphate synthase. The present study was undertaken to elucidate the possible effects of zoledronate on FcεRI-dependent mast cell activity in vitro, which is essential for in maintaining homeostasis of the gastrointestinal mucosa. Treatment with zoledronate significantly diminished exocytosis of mast cells, which was reflected by a decrease of FcεRI-dependent histamine release compared to that in vehicle-treated mast cells. Our single-vesicle monitoring and biochemical results suggested that zoledronate modulates intracellular formation of the myosinVa/Rab3a complex and syntaxin4/VAMP7 complex, which are critical in vesicle motility, and therefore disturbs exocytosis via suppression of the velocity of intracellular vesicles and inhibition of membrane fusion. Our findings imply that oral administration of zoledronate could modulate mucosal immune function by blocking mast cell function, and this risk should be of concern in the clinical usage of NBPs.

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  • Recognition of early stage thigmotaxis in morris water maze test with convolutional neural network Reviewed International journal

    Akinori Higaki, Masaki Mogi, Jun Iwanami, Li-Juan Min, Hui-Yu Bai, Bao-Shuai Shan, Harumi Kan-no, Shuntaro Ikeda, Jitsuo Higaki, Masatsugu Horiuchi

    PLoS ONE   13 ( 5 )   e0197003   2018.5

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    The Morris water maze test (MWM) is a useful tool to evaluate rodents’ spatial learning and memory, but the outcome is susceptible to various experimental conditions. Thigmotaxis is a commonly observed behavioral pattern which is thought to be related to anxiety or fear. This behavior is associated with prolonged escape latency, but the impact of its frequency in the early stage on the final outcome is not clearly understood. We analyzed swim path trajectories in male C57BL/6 mice with or without bilateral common carotid artery stenosis (BCAS) treatment. There was no significant difference in the frequencies of particular types of trajectories according to ischemic brain surgery. The mouse groups with thigmotaxis showed significantly prolonged escape latency and lower cognitive score on day 5 compared to those without thigmotaxis. As the next step, we made a convolutional neural network (CNN) model to recognize the swim path trajectories. Our model could distinguish thigmotaxis from other trajectories with 96% accuracy and specificity as high as 0.98. These results suggest that thigmotaxis in the early training stage is a predictive factor for impaired performance in MWM, and machine learning can detect such behavior easily and automatically.

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  • アンジオテンシンII2型(AT2)受容体刺激はLPSにより誘導される急性腎障害に対して保護的に働く

    莖田 昌敬, 大藏 隆文, 長尾 知明, 三好 賢一, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣, 檜垣 實男

    日本腎臓学会誌   60 ( 3 )   460 - 460   2018.4

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  • Functional G-protein-coupled receptor (GPCR) synthesis: The pharmacological analysis of human histamine H1 receptor (HRH1) synthesized by a wheat germ cell-free protein synthesis system combined with asolectin glycerosomes Reviewed International journal

    Yasuyuki Suzuki, Tomio Ogasawara, Yuki Tanaka, Hiroyuki Takeda, Tatsuya Sawasaki, Masaki Mogi, Shuang Liu, Kazutaka Maeyama

    Frontiers in Pharmacology   9 ( FEB )   38 - 38   2018.2

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    G-protein-coupled receptors (GPCRs) are membrane proteins distributed on the cell surface, and they may be potential drug targets. However, synthesizing GPCRs in vitro can be challenging. Recently, some cell-free protein synthesis systems have been shown to produce a large amount of membrane protein combined with chemical chaperones that include liposomes and glycerol. Liposomes containing high concentrations of glycerol are known as glycerosomes, which are used in new drug delivery systems. Glycerosomes have greater morphological stability than liposomes. Proteoglycerosomes are defined as glycerosomes that contain membrane proteins. Human histamine H1 receptor (HRH1) is one of the most studied GPCRs. In this study, we synthesized wild-type HRH1 (WT-HRH1) proteoglycerosomes and D107A-HRH1, (in which Asp107 was replaced by Ala) in a wheat germ cell-free protein synthesis system combined with asolectin glycerosomes. The mutant HRH1 has been reported to have low affinity for the H1 antagonist. In this study, the amount of synthesized WT-HRH1 in one synthesis reaction was 434 ± 66.6 μg (7.75 ± 1.19 × 103pmol). The specific binding of [3H]pyrilamine to the WT-HRH1 proteoglycerosomes became saturated as the concentration of the radioligand increased. The dissociation constant (Kd) and maximum density (Bmax) of the synthesized WT-HRH1 were 9.76 ± 1.25 nM and 21.4 ± 0.936 pmol/mg protein, respectively. However, specific binding to D107A-HRH1 was reduced compared with WT-HRH1 and the binding did not become saturated. The findings of this study highlight that HRH1 synthesized using a wheat germ cell-free protein synthesis system combined with glycerosomes has the ability to bind to H1 antagonists.

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  • Beneficial effect of mas receptor deficiency on vascular cognitive impairment in the presence of angiotensin II type 2 receptor Reviewed International journal

    Akinori Higaki, Masaki Mogi, Jun Iwanami, Li-Juan Min, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Toshifumi Yamauchi, Kana Tsukuda, Harumi Kan-no, Shuntaro Ikeda, Jitsuo Higaki, Masatsugu Horiuchi

    Journal of the American Heart Association   7 ( 3 )   2018.2

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    Background--The classical renin-angiotensin system is known as the angiotensin (Ang)-converting enzyme/Ang II/Ang type 1 receptor axis, which induces various organ damage including cognitive decline. The angiotensin-converting enzyme 2/Ang-(1-7)/ Mas axis is known to exert antagonistic actions against the classical renin-angiotensin system axis in the cardiovascular system. However, its roles in the brain remain unclear. We examined possible roles of the angiotensin-converting enzyme 2/Ang-(1-7)/Mas axis in cognitive function, employing vascular cognitive impairment model mice. Methods and Results--Male 10-week-old C57BL6 (wild-type mice, Mas1 knockout mice, Ang II type 2 receptor knockout mice, and Ang II type 2 receptor/Mas1 double knockout mice were subjected to bilateral carotid artery stenosis (BCAS) surgery. Six weeks after treatment, they were subjected to cognitive tasks. Brain samples were used for histopathological analysis. Cognitive function was significantly impaired in wild-type and double knockout mice after BCAS. On the other hand, the cognitive function of Mas1 knockout mice was maintained in spite of the reduction of cerebral blood flow with BCAS. Total cell number in the dentate gyrus region was significantly reduced after BCAS in wild-type but not in Mas1 knockout mice. The number of doublecortin-positive cells in the subgranular zone was not significantly different between wild-type and Mas1 knockout mice. Ang-(1-7) administration did not improve cognitive function in all mice after BCAS surgery. Conclusions--Lack of the Mas receptor may have a protective effect against chronic brain ischemia when the Ang II type 2 receptor exists.

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  • Animal models of vasculitis

    M. Mogi, Shuang Liu

    Methods in Molecular Biology   1868   223 - 232   2018

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    The diagnosis of vasculitis in rheumatoid arthritis (RV) is associated with considerable mortality; therefore, understanding the basic mechanisms underlying the pathogenesis of vasculitis is very important. Animal models of vasculitis have contributed to elucidating such mechanisms. We here introduce a Candida albicans water-soluble (CAWS) glycoprotein-induced vasculitis model and the methodological approach to evaluate inflammatory vascular change.

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  • [Milk, Daily products and Bone health.Effect of Milk or Milk Protein on Cognitive Function.] Reviewed

    Mogi M

    Clinical calcium   28 ( 4 )   499 - 506   2018

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    Increase in milk and dairy intake reduces the development of all-cause dementia, especially Alzheimer's disease(AD)in elderly Japanese population from the Hisayama study. Recent meta-analysis also indicates that beneficial effect of milk and dairy intake on cognitive disorders is significantly observed in Asian population. We have reported that oral administration of milk peptide, CH-3 to AD model mice not only improved cognitive function but also suppressed the expression of inflammatory cytokines and production of oxidative stress. Moreover, administration of other milk proteins improves cognitive function or outcome in AD patients. These findings indicate that milk and dairy intake have possible anti-dementia effects. Further analysis should be necessary to overcome the explosion of dementia worldwide with lifestyle modification.

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  • APSH YI-06 EFFECTS OF ANGIOTENSIN II TYPE 2 RECEPTOR IN FETAL GROWTH RESTRICTION MICE. Reviewed

    Yamauchi T, Mogi M, Nakaoka H, Tsukuda K, Kukida M, Higaki A, Bai HY, Shan BS, Min LJ, Iwanami J, Horiuchi M

    Journal of hypertension   34 Suppl 1 - ISH 2016 Abstract Book   e386   2016.9

  • OS 25-05 Mas1 RECEPTOR DEFICIENCY DOES NOT DETERIORATE COGNITIVE FUNCTION IN VASCULAR DEMENTIA MODEL OF MICE. Reviewed

    Higaki A, Mogi M, Iwanami J, Min LJ, Nakaoka H, Shan BS, Kukida M, Yamauchi T, Okura T, Higaki J, Horiuchi M

    Journal of hypertension   34 Suppl 1 - ISH 2016 Abstract Book   e246   2016.9

  • To overcome two diseases with one pill Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   39 ( 6 )   399 - 400   2016.6

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  • Angiotensin II Type 2 Receptor Inhibits Vascular Intimal Proliferation With Activation of PPAR gamma Reviewed International journal

    Masayoshi Kukida, Masaki Mogi, Kousei Ohshima, Hirotomo Nakaoka, Jun Iwanami, Harumi Kanno, Kana Tsukuda, Toshiyuki Chisaka, Li-Juan Min, Xiao-Li Wang, Hui-Yu Bai, Bao-Shuai Shan, Akinori Higaki, Toshifumi Yamauchi, Takafumi Okura, Jitsuo Higaki, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   29 ( 6 )   727 - 736   2016.6

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    Angiotensin II type 2 (AT(2)) receptor stimulation could exert beneficial effects on vascular remodeling. Previously, we reported that AT(2) receptor stimulation ameliorated insulin resistance in diabetic mice accompanied by PPAR gamma activation which also plays a variety of crucial roles in the vasculature. Therefore, this study aimed to investigate the vascular protective effect of the AT(2) receptor with activation of PPAR gamma involving AT(2) receptor-interacting protein (ATIP).
    Vascular injury was induced by polyethylene-cuff placement around the femoral artery in C57BL/6J mice. Treatment with compound 21 (C21), an AT(2) receptor agonist, decreased neointimal formation, cell proliferation, and the mRNA levels of monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor (TNF)-alpha, and interleukin-1 beta, and phosphorylation of nuclear factor-kappa B, and increased PPAR gamma DNA-binding activity in the injured artery, whereas these inhibitory effects of C21 were attenuated by co-treatment with a PPAR gamma antagonist, GW9662. Treatment of vascular smooth muscle cells (VSMC) with C21 prepared from smAT(2) transgenic mice, which highly express the AT(2) receptor in VSMC, increased both PPAR gamma activity and its DNA-binding activity determined by dual-luciferase assay and electrophoresis mobility shift assay (EMSA), respectively. We observed that ATIP was involved in PPAR gamma complex formation, and that transfection of siRNA of ATIP1 attenuated the AT(2) receptor-mediated increase in PPAR gamma activity in VSMC. In response to AT(2) receptor stimulation, ATIP was translocated from the plasma membrane to the nucleus.
    Our results suggest a new mechanism by which AT(2) receptor stimulation activates PPAR gamma, thereby resulting in amelioration of vascular intimal proliferation, and that ATIP plays an important role in AT(2) receptor-mediated PPAR gamma activation.

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  • Low-Protein Diet-Induced Fetal Growth Restriction Leads to Exaggerated Proliferative Response to Vascular Injury in Postnatal Life Reviewed International journal

    Toshiyuki Chisaka, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-no, Kana Tsukuda, Xiao-Li Wang, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Jun Iwanami, Takashi Higaki, Ei-ichi Ishii, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   29 ( 1 )   54 - 62   2016.1

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    BACKGROUND
    We investigated the effects of fetal growth restriction (FGR) induced by maternal protein restriction on inflammatory vascular remodeling using a cuff-induced vascular injury mouse model.
    METHODS
    Dams (C57BL/6J strain mice) were fed an isocaloric diet containing 20% protein (normal protein; NP) or 8% protein (low protein; LP) from 10 weeks of age until delivery. On the day of delivery, all dams were returned to the NP diet. After weaning, offspring were fed the NP diet. When offspring were 10 weeks of age, vascular injury was induced by polyethylene cuff placement around the femoral artery.
    RESULTS
    Birth weight in offspring from dams fed LP until delivery (LPO) was significantly lower, but body weight was the same at 2 weeks after birth compared with that in NP offspring (NPO). Arterial blood pressure at 12 weeks of age did not differ between LPO and NPO. Neointima formation was exaggerated in LPO compared with NPO and associated with an increase in cell proliferation assessed by proliferating cell nuclear antigen (PCNA) staining index. Moreover, LPO showed enhanced expression of monocyte chemotactic protein-1, interleukin (IL)-6, IL-1 beta, tumor necrosis factor-a, and production of superoxide anion in the injured artery. Moreover, mRNA expression of isoforms of NAD(P)H oxidase subunits such as p22phox, p40phox, p47phox, p67phox, gp91phpx, and Rac1 in the injured arteries were enhanced in LPO. Furthermore, HIF-1 alpha expression was increased in LPO compared with that in NPO.
    CONCLUSIONS
    These results suggest that maternal low-protein diet-induced FGR increases susceptibility of the vasculature to postnatal injury.

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  • Role of the renal sympathetic nerve in renal glucose metabolism during the development of type 2 diabetes in rats Reviewed International journal

    Kazi Rafiq, Yoshihide Fujisawa, Shamshad J. Sherajee, Asadur Rahman, Abu Sufiun, Hiroyuki Kobori, Hermann Koepsell, Masaki Mogi, Masatsugu Horiuchi, Akira Nishiyama

    DIABETOLOGIA   58 ( 12 )   2885 - 2898   2015.12

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    Aims/hypothesis Recent clinical studies have shown that renal sympathetic denervation (RDX) improves glucose metabolism in patients with resistant hypertension. We aimed to elucidate the potential contribution of the renal sympathetic nervous system to glucose metabolism during the development of type 2 diabetes.
    Methods Uninephrectomised diabetic Otsuka Long-Evans Tokushima Fatty (OLETF) rats underwent RDX at 25 weeks of age and were followed up to 46 weeks of age.
    Results RDX decreased plasma and renal tissue noradrenaline (norepinephrine) levels and BP. RDX also improved glucose metabolism and insulin sensitivity, which was associated with increased in vivo glucose uptake by peripheral tissues. Furthermore, RDX suppressed overexpression of sodium-glucose cotransporter 2 (Sglt2 [also known as Slc5a2]) in renal tissues, which was followed by an augmentation of glycosuria in type 2 diabetic OLETF rats. Similar improvements in glucose metabolism after RDX were observed in young OLETF rats at the prediabetic stage (21 weeks of age) without changing BP.
    Conclusions/interpretation Here, we propose the new concept of a connection between renal glucose metabolism and the renal sympathetic nervous system during the development of type 2 diabetes. Our data demonstrate that RDX exerts beneficial effects on glucose metabolism by an increase in tissue glucose uptake and glycosuria induced by Sglt2 suppression. These data have provided a new insight not only into the treatment of hypertensive type 2 diabetic patients, but also the pathophysiology of insulin resistance manifested by sympathetic hyperactivity.

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  • Angiotensin II type 2 receptor signaling affects dopamine levels in the brain and prevents binge eating disorder Reviewed International journal

    Hirotomo Nakaoka, Masaki Mogi, Harumi Kan-no, Kana Tsukuda, Kousei Ohshima, Xiao-Li Wang, Toshiyuki Chisaka, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Jun Iwanami, Masatsugu Horiuchi

    JOURNAL OF THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM   16 ( 4 )   749 - 757   2015.12

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    Introduction: Binge eating disorder (BED) is associated with dopaminergic activation as food reward, resulting in metabolism-related disorders. Stimulation of angiotensin type 2 (AT(2)) receptor is reported to inhibit dopamine synthesis. We investigated the possible roles of AT(2) receptor-mediated dopamine regulation in the pathogenesis of BED.
    Materials and methods: Male C57BL/6 mice, type 2 diabetic (KKAy) mice and AT(2) receptor-null (AT(2)KO) mice at eight weeks old were treated with AT(2) receptor agonist, compound 21 (C21) or saline for two weeks. Mice were subjected to fasting for two days followed by re-feeding for seven days.
    Results: Treatment with C21 attenuated the rebound proportion of body weight, food intake and water intake in KKAy mice, but not in C57BL/6 and AT(2)KO mice. Dopamine concentration in the striatum was further increased by fasting in KKAy and AT(2)KO mice. Administration of C21 significantly attenuated this fasting-induced increase in dopamine level only in KKAy mice. Dopamine receptor D1, D2 expression in the substantia nigra were markedly lower in KKAy mice compared with C57BL/6 mice, while administration of C21 increased their expression in KKAy mice.
    Conclusions: Our study suggests that AT(2) receptor stimulation may be a new therapeutic approach to improve eating disorder associated with dopamine resistance.

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  • Platelet-endothelial cell interaction in brain microvessels of angiotensin II type-2 receptor knockout mice following transient bilateral common carotid artery occlusion Reviewed International journal

    Takuya Fukuoka, Takeshi Hayashi, Makiko Hirayama, Hajime Maruyama, Masaki Mogi, Masatsugu Horiuchi, Masaki Takao, Norio Tanahashi

    JOURNAL OF THROMBOSIS AND THROMBOLYSIS   40 ( 4 )   401 - 405   2015.11

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    The purpose of this study was to investigate the behavior of platelets (rolling and adhesion) in cerebral microvessels of angiotensin II type-2 receptor-knockout (AT2RKO) mice after transient bilateral carotid artery occlusion using intravital fluorescence microscopy. Twenty AT2RKO mice, consisting of 11 mice in the sham group and 9 mice in the ischemia reperfusion group (reperfusion after 15 min of bilateral, total carotid artery occlusion) were used in this study. The hole traversed the bone and dura mater, but arachnoid, pia mater, and cerebral parenchyma were preserved. Platelets were harvested from donor mice and stained using carboxyfluorescein diacetate succinimidyl ester. The number of platelets showing rolling and adhesion to pial vessels in AT2 deficient mice at 3 and 6 h after cerebral ischemia reperfusion was significantly higher than that in the sham group (P &lt; 0.05). In addition, AT2 receptor has an inhibitory role in platelet rolling and adhesion after cerebral ischemia reperfusion.

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  • Does chronic hypertension prevent cancer progression? Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   38 ( 11 )   711 - 712   2015.11

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    DOI: 10.1038/hr.2015.87

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  • Pre-treatment with LCZ696, an orally active angiotensin receptor neprilysin inhibitor, prevents ischemic brain damage Reviewed International journal

    Hui-Yu Bai, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-no, Kana Tsukuda, Toshiyuki Chisaka, Xiao-Li Wang, Masayoshi Kukida, Bao-Shuai Shan, Toshifumi Yamauchi, Akinori Higaki, Jun Iwanami, Masatsugu Horiuchi

    EUROPEAN JOURNAL OF PHARMACOLOGY   762   293 - 298   2015.9

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    Angiotensin II receptor blockers (ARBs) are known to prevent ischemic brain damage after stroke. Natriuretic peptides, which are increased by a neprilysin inhibitor, are also reported to protect against brain damage. Therefore, we investigated the possible protective effect of valsartan (VAL) compared with LCZ696 (VAL+ neprilysin inhibitor; 1:1) after middle cerebral artery (MCA) occlusion. Eight-week-old male C57BL/6J mice were treated with VAL (3 mg/kg per day) or LCZ696 (6 mg/kg per day) for 2 weeks before MCA occlusion. Blood pressure and heart rate were measured by telemetry. Cerebral blood flow (CBF) was determined by laser-Doppler flowmetry, Ischemic area was evaluated by tripherlytetrasodium chloride staining, and oxidative stress was determined by dihydroethidium staining. Blood pressure and heart rate were not significantly different before and after treatment. Pre-treatment with LCZ696 or VAL reduced the ischemic area, and this effect of LCZ696 was more marked than that of VAL pre-treatment. The decrease in CBF in the peripheral region of the ischemic area was significantly attenuated by pretreatment with LCZ696 or VAL, without any significant effect on CBF in the core region. VAL or LCZ696 pre-treatment significantly decreased the increase of superoxide anion production in the cortex on the ischemic side. However, no significant difference in CBE. and superoxide anion production was observed between VAL and LCZ696 pre-treatment. The preventive effect of LCZ696 on ischemic brain damage after stroke was more marked than that of VAL. LCZ696 could be used as a new approach to prevent brain damage after stroke. (246 words) (C) 2015 Elsevier B.V. All rights reserved,

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  • Direct angiotensin II type 2 receptor stimulation by compound 21 prevents vascular dementia Reviewed International journal

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Xiao-Li Wang, Hirotomo Nakaoka, Harumi Kan-no, Toshiyuki Chisaka, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   9 ( 4 )   250 - 256   2015.4

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    Angiotensin II type 2 (AT(2)) receptor activation has been reported to play a role in cognitive function, although its detailed mechanisms and pathologic significance are not fully understood. We examined the possibility that direct AT(2) receptor stimulation by compound 21 (C2I) could prevent cognitive decline associated with hypoperfusion in the brain. We employed a bilateral common carotid artery stenosis (BCAS) model in mice as a model of vascular dementia. The Morris water maze task was performed 6 weeks after BCAS operation. Azilsartan (0.1 mg/kg/day) or C2I (10 Ag/kg/day) was administered from I week before BCAS. Cerebral blood flow (CBF) and inflammatory cytokine levels were also determined. Wild type (WT) mice showed significant prolongation of escape latency after BCAS, and this cognitive impairment was attenuated by pretreatment with azilsartan. Cognitive impairment was more marked in AT(2) receptor knockout (AT(2)KO) mice, and the preventive effect of azilsartan on cognitive decline was weaker in AT(2)KO mice than in WT mice, suggesting that the improvement of cognitive decline by azilsartan may involve stimulation of the AT(2) receptor. The significant impairment of spatial learning after BCAS in WT mice was attenuated by C2I treatment. The decrease in CBF in the BCAS treated group was blunted by C2I treatment, and the increase in TNF-alpha and MCP-1 mRNA expression after BCAS was attenuated by C2I treatment. These findings indicate that direct AT(2) receptor stimulation attenuates ischemic vascular dementia induced by hypoperfusion at least in part through an increase in CBF, and a reduction of inflammation. (C) 2015 American Society of Hypertension. All rights reserved.

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  • Drinking Citrus Fruit Juice Inhibits Vascular Remodeling in Cuff-Induced Vascular Injury Mouse Model Reviewed International journal

    Arika Ohnishi, Rie Asayama, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-no, Kana Tsukuda, Toshiyuki Chisaka, Xiao-Li Wang, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Jun Iwanami, Masatsugu Horiuchi

    PLOS ONE   10 ( 2 )   e0117616   2015.2

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    Citrus fruits are thought to have inhibitory effects on oxidative stress, thereby attenuating the onset and progression of cancer and cardiovascular disease; however, there are few reports assessing their effect on vascular remodeling. Here, we investigated the effect of drinking the juice of two different citrus fruits on vascular neointima formation using a cuff-induced vascular injury mouse model. Male C57BL6 mice were divided into five groups as follows: 1) Control (water) (C), 2) 10% Citrus unshiu (CU) juice (CU10), 3) 40% CU juice (CU40), 4) 10% Citrus iyo (CI) juice (CI10), and 5) 40% CI juice (CI40). After drinking them for 2 weeks from 8 weeks of age, cuff injury was induced by polyethylene cuff placement around the femoral artery. Neointima formation was significantly attenuated in CU40, CI10 and CI40 compared with C; however, no remarkable preventive effect was observed in CU10. The increases in levels of various inflammatory markers including cytokines such as monocyte chemotactic protein-1, interleukin-6 (IL-6), IL-1 beta, and tumor necrosis factor-alpha in response to vascular injury did not differ significantly between C, CU10 and CI10. The increases in cell proliferation and superoxide anion production were markedly attenuated in CI10, but not in CU10 compared with C. The increase in phosphorylated ERK expression was markedly attenuated both in CU10 and CI10 without significant difference between CU10 and CI10. Accumulation of immune cells did not differ between CU10 and CI10. These results indicate that drinking citrus fruit juice attenuates vascular remodeling partly via a reduction of oxidative stress. Interestingly, the preventive efficacy on neointima formation was stronger in CI than in CU at least in part due to more prominent inhibitory effects on oxidative stress by CI.

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  • Serum levels of renin-angiotensin system components in acute stroke patients Reviewed

    Masaki Mogi, Masakazu Kawajiri, Kana Tsukuda, Shoji Matsumoto, Takeshi Yamada, Masatsugu Horiuchi

    GERIATRICS & GERONTOLOGY INTERNATIONAL   14 ( 4 )   793 - 798   2014.10

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    AimThe renin-angiotensin system (RAS) is involved in the pathogenesis of ischemic brain damage, and is suggested to have therapeutic potential in stroke by large clinical trials. However, the changes of serum RAS components in patients with acute stroke are totally unknown. We assessed the serum levels of RAS components in acute stroke patients, and investigated the relationship between RAS and stroke subtype.
    MethodsLevels of angiotensin-converting enzyme (ACE), ACE2 and angiotensinII in serum from patients with acute stroke (n=117; male 75, female 42, age 6913years) were measured by an established enzyme-linked immunosorbent assay method. Diagnosis of subtypes of ischemic stroke was based on the Trial of Org10172 in Acute Stroke Treatment classification. The Kruskal-Wallis test with post-hoc Mann-Whitney U-test with Bonferroni correction was carried out for statistical analysis.
    ResultsClassification of stroke was as follows: large-artery atherosclerosis (n=44), cardioembolism (n=33), small-vessel occlusion (n=31), stroke of other determined etiology (n=9). Levels of angiotensinII and ACE did not show significant differences among each group. However, serum ACE2 level was significantly higher in the cardioembolism group than in the small-vessel occlusion group (cardioembolism 13 +/- 9.3ng/mL, large-artery atherosclerosis 10.2 +/- 6.8ng/mL, small-vessel occlusion 7.2 +/- 3.7ng/mL, stroke of other determined etiology 10.2 +/- 7.3ng/mL). ACE2 level showed a positive correlation with serum brain natriuretic peptide level (P=0.031). In contrast, angiotensinII concentration showed a negative correlation with National Institute of Health Stroke Scale score on admission (P=0.023).
    ConclusionsThese findings suggest that changes of serum RAS components could reflect stroke subtypes and predict stroke severity. Geriatr Gerontol Int 2014; 14: 793-798.

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  • Direct Stimulation of Angiotensin II Type 2 Receptor Initiated After Stroke Ameliorates Ischemic Brain Damage Reviewed International journal

    Li-Juan Min, Masaki Mogi, Kana Tsukuda, Fei Jing, Kousei Ohshima, Hirotomo Nakaoka, Harumi Kan-no, Xiao-Li Wang, Toshiyuki Chisaka, Hui-Yu Bai, Jun Iwanami, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   27 ( 8 )   1036 - 1044   2014.8

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    Background
    Stroke is a leading cause of death and disability; however, meta-analysis of randomized controlled trials of blood pressure-lowering drugs in acute stroke has shown no definite evidence of a beneficial effect on functional outcome. Accumulating evidence suggests that angiotensin II type 1 receptor blockade with angiotensin II type 2 (AT(2)) receptor stimulation could contribute to protection against ischemic brain damage. We examined the possibility that direct AT(2) receptor stimulation by compound 21 (C21) initiated even after stroke can prevent ischemic brain damage.
    Methods
    Stroke was induced by middle cerebral artery (MCA) occlusion, and the area of cerebral infarction was measured by magnetic resonant imaging. C21 (10 mu g/kg/day) treatment was initiated immediately after MCA occlusion by intraperitoneal injection followed by treatment with C21 once daily.
    Results
    We observed that ischemic area was enlarged in a time dependent fashion and decreased on day 5 after MCA occlusion. Treatment with C21 initiated after MCA occlusion significantly reduced the ischemic area, with improvement of neurological deficit in a time-dependent manner without affecting blood pressure. The decrease of cerebral blood flow after MCA occlusion was also ameliorated by C21 treatment. Moreover, treatment with C21 significantly attenuated superoxide anion production and expression of proinflammatory cytokines, monocyte chemoattractant protein 1, and tumor necrosis factor a. Interestingly, C21 administration significantly decreased blood-brain barrier permeability and cerebral edema on the ischemic side.
    Conclusions
    These results provide new evidence that direct AT2 receptor stimulation with C21 is a novel therapeutic approach to prevent ischemic brain damage after acute stroke.

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  • Role of angiotensin-converting enzyme 2/angiotensin-(1-7)/Mas axis in the hypotensive effect of azilsartan Reviewed International journal

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Xiao-Li Wang, Hirotomo Nakaoka, Kousei Ohshima, Toshiyuki Chisaka, Hui-Yu Bai, Harumi Kanno, Li-Juan Min, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   37 ( 7 )   616 - 620   2014.7

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    The possible counteracting effect of angiotensin (Ang)-converting enzyme (ACE) 2/Ang-(1-7)/Mas axis against the ACE/Ang II/Ang II type 1 (AT(1)) receptor axis in blood pressure control has been previously described. We examined the possibility that this pathway might be involved in the anti-hypertensive effect of a newly developed AT(1) receptor blocker (ARB), azilsartan, and compared azilsartan's effects with those of another ARB, olmesartan. Transgenic mice carrying the human renin and angiotensinogen genes (hRN/hANG-Tg) were given azilsartan or olmesartan. Systolic and diastolic blood pressure, as determined by radiotelemetry, were significantly higher in hRN/hANG-Tg mice than in wild-type (WT) mice. Treatment with azilsartan or olmesartan (1 or 5 mg kg(-1) per day) significantly decreased systolic and diastolic blood pressure, and the blood pressure-lowering effect of azilsartan was more marked than that of olmesartan. The urinary Na concentration decreased in an age-dependent manner in hRN/hANG-Tg mice. Administration of azilsartan or olmesartan increased urinary Na concentration, and this effect was weaker with olmesartan than with azilsartan. Azilsartan decreased ENaC-alpha mRNA expression in the kidney and decreased the ratio of heart to body weight. Olmesartan had a similar but less-marked effect. ACE2 mRNA expression was lower in the kidneys and hearts of hRN/hANG-Tg mice than in WT mice. This decrease in ACE2 mRNA expression was attenuated by azilsartan, but not by olmesartan. These results suggest that the hypotensive and anti-hypertrophic effects of azilsartan may involve activation of the ACE2/Ang-(1-7)/Mas axis with AT(1) receptor blockade.

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  • アンジオテンシンII2型受容体刺激は糖尿病マウスの過食に伴った体重リバウンドを抑制する

    茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 千阪 俊行, 茎田 昌敬, 王 小俐, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   3回   136 - 136   2014.5

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  • 高食塩負荷アンジオテンシン過剰発現高血圧マウスにおけるテルミサルタンの効果

    岩波 純, 茂木 正樹, 佃 架奈, 中岡 裕智, 大島 弘世, 千阪 俊行, 茎田 昌敬, 王 小俐, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   3回   135 - 135   2014.5

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  • 急性期脳梗塞患者の血清サンプルにおけるACE2濃度

    茂木 正樹, 川尻 真和, 岩波 純, 中岡 裕智, 王 小俐, 中垣 英明, 佃 架奈, 閔 莉娟, 山田 猛, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   3回   116 - 116   2014.5

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  • 脳梗塞急性期におけるAT2受容体刺激による脳保護効果

    岩波 純, 茂木 正樹, 佃 架奈, 中岡 裕智, 大島 弘世, 千阪 俊行, 茎田 昌敬, 王 小俐, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   3回   136 - 136   2014.5

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  • Possible Role of Angiotensin-Converting Enzyme 2 and Activation of Angiotensin II Type 2 Receptor by Angiotensin-(1-7) in Improvement of Vascular Remodeling by Angiotensin II Type 1 Receptor Blockade Reviewed International journal

    Kousei Ohshima, Masaki Mogi, Hirotomo Nakaoka, Jun Iwanami, Li-Juan Min, Harumi Kanno, Kana Tsukuda, Toshiyuki Chisaka, Hui-Yu Bai, Xiao-Li Wang, Akiyoshi Ogimoto, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   63 ( 3 )   E53 - E59   2014.3

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    Cross talk between the angiotensin-converting enzyme (ACE)/angiotensin II (Ang II)/Ang II type 1 (AT1) receptor axis and the ACE2/Ang-(1-7)/Mas axis plays a role in the pathogenesis of cardiovascular remodeling. Furthermore, possible stimulation of the Ang II type 2 (AT2) receptor by Ang-(1-7) has been highlighted as a new pathway. Therefore, we examined the possibility of whether the ACE2/Ang-(1-7)/Mas axis and Ang-(1-7)/AT2 receptor axis are involved in the inhibitory effects of AT1 receptor blockers on vascular remodeling. Wild-type, Mas-knockout, and AT2 receptor knockout mice were used in this study. Vascular injury was induced by polyethylene-cuff placement around the mouse femoral artery. Some mice were treated with azilsartan, an AT1 receptor blocker, or Ang-(1-7). Neointimal formation 2 weeks after cuff placement was more marked in Mas-knockout mice compared with wild-type mice. Treatment with azilsartan or Ang-(1-7) attenuated neointimal area, vascular smooth muscle cell proliferation, increases in the mRNA levels of monocyte chemoattractant protein-1, tumor necrosis factor-α, and interleukin-1β, and superoxide anion production in the injured artery; however, these inhibitory effects of azilsartan and Ang-(1-7) were less marked in Mas-knockout mice. Administration of azilsartan or Ang-(1-7) attenuated the decrease in ACE2 mRNA and increased AT2 receptor mRNA but did not affect AT1 receptor mRNA or the decrease in Mas mRNA. The inhibitory effect of Ang-(1-7) on neointimal formation was less marked in AT2 receptor knockout mice compared with wild-type mice. These results suggest that blockade of the AT1 receptor by azilsartan could enhance the activities of the ACE2/Ang-(1-7)/Mas axis and ACE2/Ang-(1-7)/AT2 receptor axis, thereby inhibiting neointimal formation.

    DOI: 10.1161/HYPERTENSIONAHA.113.02426

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  • Possible synergistic effect of direct angiotensin II type 2 receptor stimulation by compound 21 with memantine on prevention of cognitive decline in type 2 diabetic mice Reviewed International journal

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Fei Jing, Kousei Ohshima, Xiao-Li Wang, Hirotomo Nakaoka, Harumi Kan-no, Toshiyuki Chisaka, Hui-Yu Bai, Li-Juan Min, Masatsugu Horiuchi

    EUROPEAN JOURNAL OF PHARMACOLOGY   724 ( 1 )   9 - 15   2014.2

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    Type 2 diabetes mellitus (T2DM) is known to be associated with increased risk of cognitive impairment including Alzheimer disease. Recent studies have suggested an interaction between angiotensin II and N-methyl-D-aspartic acid (NMDA) glutamate receptors. We previously reported that stimulation of the angiotensin II type 2 (AT(2)) receptor exerts brain protective effects. A newly developed AT(2) receptor agonist, compound 21 (C21), has enabled examination of the direct effect of AT(2) receptor stimulation in vivo. Accordingly, we examined the possible synergistic effect of C21 and memantine on cognitive impairment in T2DM mice, KKAy. KKAy were divided into four groups; (1) control, (2) treatment with C21 (10 mu g/kg/day), (3) treatment with memantine (20 mg/kg/day), and (4) treatment with both for 4 weeks, and subjected to Morris water maze tasks. Treatment with C21 or memantine alone at these doses tended to shorten escape latency compared to that in the control group. C21 treatment increased cerebral blood flow (CBF), but memantine did not influence CBE Treatment with C21 or C21 plus memantine increased hippocampal field-excitatory postsynaptic potential (f-ERSP). Moreover, treatment with memantine or C21 increased acetylcholine level, which was lower in KKAy than in wild-type mice, and C21 plus memantine treatment enhanced memantine or C21-induced acetylcholine secretion. This study provides an insight into new approaches to understand the interaction of angiotensin II and neurotransmitters. We can anticipate a new therapeutic approach against cognitive decline using C21 and memantine. (C) 2013 Elsevier B.V. All rights reserved.

    DOI: 10.1016/j.ejphar.2013.12.015

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  • アンジオテンシンII連続刺激で誘導されるアストロサイトの老化

    閔 莉娟, 茂木 正樹, 中岡 裕智, 大島 弘世, 王 小俐, 白 薈ぎょく, 菅野 晴美, 千阪 俊行, 佃 架奈, 岩波 純, 堀内 正嗣

    Anti-aging Science   5 ( 3 )   227 - 227   2013.12

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  • アジルサルタンのACE2/Ang(1-7)/Mas系亢進による降圧・心肥大抑制効果

    岩波 純, 茂木 正樹, 王 小俐, 佃 架奈, 中岡 裕智, 大島 弘世, 千阪 俊行, 白 薈ぎょく, 菅野 晴美, 閔 莉娟, 堀内 正嗣

    Anti-aging Science   5 ( 3 )   224 - 224   2013.12

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  • ACE2-欠如マウスにおいて、ACE2 Angiotensin-(1-7)/Mas axisは認知機能に重要な役割を果たす(ACE2 Angiotensin-(1-7)/Mas axis plays an important role on cognitive function using ACE2-deficient mice)

    王 小俐, 茂木 正樹, 岩波 純, 閔 莉娟, 佃 架奈, 中岡 裕智, 白 薈ぎょく, 菅野 晴美, 大島 弘世, 千阪 俊行, 堀内 正嗣

    Anti-aging Science   5 ( 3 )   219 - 219   2013.12

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  • 糖尿病マウスにおけるドパミン抵抗性の改善と過食の抑制

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 大島 弘世, 千阪 俊行, 王 小俐, 白 薈ぎょく, 閔 莉娟, 岩波 純, 堀内 正嗣

    Anti-aging Science   5 ( 3 )   226 - 226   2013.12

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  • ロスバスタチンとAT2アゴニストによる、血管リモデリング相乗的阻害効果(Synergistic inhibitory effect of rosuvastatin and an AT2 agonist on vascular remodeling)

    白 薈ぎょく, 茂木 正樹, 中岡 裕智, 菅野 晴美, 王 小俐, 佃 架奈, 大島 弘世, 千阪 俊行, 閔 莉娟, 岩波 純, 堀内 正嗣

    Anti-aging Science   5 ( 3 )   224 - 224   2013.12

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  • 生活習慣病モデルマウスにおける筋傷害後再生の検討

    茂木 正樹, 小原 克彦, 中岡 裕智, 佃 架奈, 大島 弘世, 王 小俐, 千阪 俊行, Bai Huiyu, 菅野 晴美, 閔 莉娟, 岩波 純, 三木 哲郎, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   352 - 352   2013.10

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  • アンジオテンシンIIタイプ2受容体刺激はドパミン抵抗性を改善し、糖尿病マウスにおける過食を抑制する

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 大島 弘世, 千阪 俊行, 王 小俐, Bai Huiyu, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   273 - 273   2013.10

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  • レニン・アンジオテンシン・アルドステロン系研究の最先端 アンジオテンシンII2型受容体活性化による臓器保護作用

    茂木 正樹, 岩波 純, 中岡 裕智, 大島 弘世, 佃 架奈, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   211 - 211   2013.10

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  • 血管リモデリングにおけるACE2/アンジオテンシン(1-7)/Mas系とアンジオテンシン(1-7)/アンジオテンシンIIタイプ2受容体系のクロストーク

    大島 弘世, 茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 千坂 俊行, Bai Huiyu, 王 小俐, 閔 莉娟, 岩波 純, 大木元 明義, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   299 - 299   2013.10

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  • アンジオテンシンIIタイプ2受容体直接刺激はPPARγ活性化を伴って血管リモデリングを抑制する

    大島 弘世, 茂木 正樹, 中岡 裕智, 閔 莉娟, 菅野 晴美, 佃 架奈, 千坂 俊行, Huiyu Bai, 王 小俐, 岩波 純, 大木元 明義, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   280 - 280   2013.10

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  • AT2受容体刺激とNMDA受容体調節による糖尿病性認知機能低下の改善効果

    岩波 純, 茂木 正樹, 王 小俐, 佃 架奈, 中岡 裕智, 大島 弘世, 千阪 俊行, Huiyu Bai, 菅野 晴美, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   341 - 341   2013.10

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  • ACE2/Ang-(1-7)/Masaxis亢進によるアジルサルタンの降圧効果

    岩波 純, 茂木 正樹, 王 小俐, 佃 架奈, 中岡 裕智, 大島 弘世, 千阪 俊行, Huiyu Bai, 菅野 晴美, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   36回   340 - 340   2013.10

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  • Role of renin-angiotensin-aldosterone system in adipose tissue dysfunction Reviewed International journal

    Fei Jing, Masaki Mogi, Masatsugu Horiuchi

    MOLECULAR AND CELLULAR ENDOCRINOLOGY   378 ( 1-2 )   23 - 28   2013.9

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    The renin-angiotensin-aldosterone system (RAAS) is known to be closely linked to the pathogenesis of insulin resistance. The angiotensin (Ang) II type 1 (AT(1)) receptor mediates the major effects of Ang II in adipose tissue, and blockade of the AT(1) receptor improves insulin sensitivity, with enhanced adipocyte differentiation. In contrast, the role of angiotensin type 2 (AT(2)) receptor activation in insulin sensitivity is still controversial, although AT(2) receptor functions are thought to be mutually antagonistic against those of the AT(1) receptor in the cardiovascular system. Aldosterone exerts its biological roles via the mineral-corticoid receptor (MR), and inhibition of MR signaling in adipose tissue ameliorates inflammation, with upregulation of insulin-mediated glucose transport and adipocyte differentiation. Clinical studies indicate that blockade of RAAS prevents the new onset of type 2 diabetes and improves the metabolic syndrome in diabetic patients. We here review the recent concepts of the roles of RAAS in adipose tissue. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

    DOI: 10.1016/j.mce.2012.03.005

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  • 体内老化因子を探る 体内老化因子としてのレニン・アンジオテンシン系

    茂木 正樹, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   13回   108 - 108   2013.6

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  • 脳梗塞急性期にAT2受容体を直接刺激することにより梗塞サイズの軽減効果が認められる

    茂木 正樹, 閔 莉娟, 堀内 正嗣

    日本老年医学会雑誌   50 ( Suppl. )   119 - 119   2013.5

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  • 血管性認知症モデルである慢性脳低灌流マウスにおけるAT2受容体アゴニストの効果

    茂木 正樹, 閔 莉娟, 堀内 正嗣

    日本老年医学会雑誌   50 ( Suppl. )   118 - 119   2013.5

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  • 血液細胞中のアンジオテンシンII2型受容体相互作用タンパク、ATIPは脂肪細胞の分化に影響を与え、糖尿病マウスの糖代謝を改善する

    茂木 正樹, 閔 莉娟, 堀内 正嗣

    日本老年医学会雑誌   50 ( Suppl. )   79 - 79   2013.5

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  • Effect of Angiotensin II Type 2 Receptor-Interacting Protein on Adipose Tissue Function via Modulation of Macrophage Polarization Reviewed International journal

    Fei Jing, Masaki Mogi, Li-Juan Min, Kousei Ohshima, Hirotomo Nakaoka, Kana Tsukuda, Xiaoli Wang, Jun Iwanami, Masatsugu Horiuchi

    PLOS ONE   8 ( 4 )   e60067   2013.4

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    We demonstrated that angiotensin II type 2 (AT(2)) receptor-interacting protein (ATIP) 1 ameliorates inflammation-mediated vascular remodeling independent of the AT(2) receptor, leading us to explore the possibility of whether ATIP1 could exert anti-inflammatory effects and play a role in other pathophysiological conditions. We examined the possible anti-inflammatory effects of ATIP1 in adipose tissue associated with amelioration of insulin resistance. In mice fed a high-cholesterol diet, adipose tissue macrophage (ATM) infiltration and M1-to-M2 ratio were decreased in ATIP1 transgenic mice (ATIP1-Tg) compared with wild-type mice (WT), with decreased expression of inflammatory cytokines such as tumor necrosis factor-alpha and monocyte chemoattractant protein-1 in white adipose tissue (WAT), but an increase in interleukin-10, an anti-inflammatory cytokine. Moreover, 2-[H-3]deoxy-d-glucose (2-[H-3]DG) uptake was significantly increased in ATIP1-Tg compared with WT. Next, we examined the roles of ATIP1 in BM-derived hematopoietic cells, employing chimeric mice produced by BM transplantation into irradiated type 2 diabetic mice with obesity, KKAy, as recipients. ATM infiltration and M1-to-M2 ratio were decreased in ATIP1 chimera (ATIP1-tg as BM donor), with improvement of insulin-mediated 2-[H-3] DG uptake and amelioration of inflammation in WAT. Moreover, serum adiponectin concentration in ATIP1 chimera was significantly higher than that in WT chimera (WT as BM donor) and KKAy chimera (KKAy as BM donor). These results indicate that ATIP1 could exert anti-inflammatory effects in adipose tissue via macrophage polarization associated with improvement of insulin resistance, and ATIP1 in hematopoietic cells may contribute to these beneficial effects on adipose tissue functions in type 2 diabetes.

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  • Effect of angiotensin II type 2 receptor on stroke, cognitive impairment and neurodegenerative diseases Reviewed

    Masaki Mogi, Masatsugu Horiuchi

    GERIATRICS & GERONTOLOGY INTERNATIONAL   13 ( 1 )   13 - 18   2013.1

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    Here, we briefly review the role of the renin-angiotensin system (RAS) in cognitive impairment and neurodegenerative disease, mainly discussing our experimental studies on the angiotensin II type 2 (AT(2)) receptor. Ischemic brain damage is enhanced in mice with overexpression of angiotensin II, with reduced cerebral blood flow in the penumbra and an increase in oxidative stress in the ischemic area. Angiotensin II binds two types of receptors, type 1 (AT(1)) and type 2 (AT(2)). Our previous experiments showed that AT(1) receptor signaling has a harmful effect, and AT(2) receptor signaling has a protective effect on the brain after stroke. AT(2) receptor signaling in bone marrow stromal cells or hematopoietic cells was shown to prevent ischemic brain damage after middle cerebral artery occlusion. In contrast, AT(2) receptor signaling also affects cognitive function. We showed that direct stimulation of the AT(2) receptor by a newly generated direct AT(2) receptor agonist, Compound 21 (C21), enhanced cognitive function in wild-type (C57BL6) mice and an Alzheimer's disease mouse model with intracerebroventricular injection of amyloid beta (1-40). Finally, we carried out clinical research by investigating the levels of RAS components in patients with neurodegenerative diseases. We observed a reduction of angiotensin II and angiotensin converting enzyme (ACE) 2 levels, and an increase in ACE level in cerebrospinal fluid from patients with multiple sclerosis. These results suggest that RAS is also involved in neurodegenerative disease. Therefore, regulation of RAS might be a new therapeutic target to protect neurons from neural diseases. Geriatr Gerontol Int 2013; 13: 13-18.

    DOI: 10.1111/j.1447-0594.2012.00900.x

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  • Therapeutic approach for neuronal disease by regulating reninangiotensin system Reviewed International journal

    Kousei Ohshima, Masaki Mogi, Masatsugu Horiuchi

    Current Hypertension Reviews   9 ( 2 )   99 - 107   2013

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    The renin-angiotensin system (RAS) has been postulated to regulate not only systemic hemodynamic and hydromineral homeostasis but also individualorgan function in the normal condition. On the other hand, its systemic and localactivationleads to hypertension and diabetes mellitus,resulting intarget end organ damage.RAS in the brain is also well known to be involved in the pathogenesis and progression of neuronal disease, as well as regulating blood pressure, sympathetic activity, vasopressin secretion, thirst and sodium appetite.There is increasing evidence that RAS may contribute to neuroinflammation associated with many neuronal diseases in several animal models. Moreover, recent clinical evidence indicates that RAS blockade, including that byangiotensin converting enzyme inhibitors and angiotensin II receptor blockers, has beneficial effects in treating stroke, cognitive dysfunction, Alzheimer disease and other neuronal diseases, suggesting the potential of RAS as a new therapeutic target in neuronal diseases. This article reviews the recent findings ofbrain RAS involvement and thetherapeutic potential of regulating RAS in neuronal disease. © 2013 Bentham Science Publishers.

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  • Renin-angiotensin system in neuronal disease Reviewed International journal

    Masaki Mogi, Naohisa Hosomi, Akira Nishiyama, Kousei Ohshima

    Current Hypertension Reviews   9 ( 2 )   85 - 85   2013

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  • Inhibition of MCP-1/CCR2 signaling pathway is involved in synergistic inhibitory effects of irbesartan with rosuvastatin on vascular remodeling Reviewed

    Kousei Ohshima, Masaki Mogi, Hirotomo Nakaoka, Fei Jing, Jun Iwanami, Li-Juan Min, Kana Tsukuda, Harumi Kanno, Akiyoshi Ogimoto, Jitsuo Higaki, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   6 ( 6 )   375 - 384   2012.11

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    Additional beneficial effects of angiotensin II type 1 (AT(1)) receptor blockers beyond AT(1) receptor blockade have been highlighted. Irbesartan is reported to act as an antagonist of the monocyte chemoattractant protein-1 (MCP-1) receptor, C-C chemokine receptor 2 (CCR2). We examined the possible synergistic effects of the combination of irbesartan with rosuvastatin on preventing vascular remodeling focusing on the MCP-1/CCR2 pathway. We observed that administration of irbesartan and CCR2 antagonist, propagermanium, at noneffective doses, decreased the neointima with a decrease in PCNA labeling index in the injured mouse femoral artery induced by cuff placement. We also observed that administration of a noneffective dose of rosuvastatin with propagermanium decreased the neointima area, suggesting that the inhibitory effect of rosuvastatin on neointima formation is at least partly attributable to blockade of the MCP-1/CCR2 pathway. Moreover, we demonstrated that the combination of irbesartan with rosuvastatin decreased neointima formation. MCP-1 mRNA level was significantly increased in injured femoral arteries, and administration of irbesartan with rosuvastatin decreased the mRNA levels of MCP-1, TNF alpha, and IL-1 beta, and increased PPAR gamma mRNA expression. These results suggest that the synergistic inhibitory effects of irbesartan with rosuvastatin on neointima formation may involve attenuation of MCP-1/CCR2 signaling. J Am Soc Hypertens 2012;6(6):375-384. (C) 2012 American Society of Hypertension. All rights reserved.

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  • 高血圧から血管年齢のアンチエイジングを考える レニン・アンジオテンシン系による血管細胞老化とアンチエイジング

    茂木 正樹, 閔 莉娟, 岩波 純, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   194 - 194   2012.11

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  • 糖尿病性認知機能低下へのAT2受容体とNMDA受容体の効果

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   210 - 210   2012.11

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  • 中大脳動脈梗塞モデル急性期投与によるAT2受容体直接刺激薬の脳梗塞縮小効果

    茂木 正樹, 閔 莉娟, 岩波 純, 佃 架奈, 景 斐, 大島 弘世, 王 小俐, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   201 - 201   2012.11

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  • 胎内低栄養環境で生じる高血圧へのレニン・アンジオテンシン系の関与

    佃 架奈, 茂木 正樹, 岩波 純, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   212 - 212   2012.11

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  • 血管性認知症におけるAT2受容体刺激の効果

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   219 - 219   2012.11

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  • 糖尿病が血液脳関門に与える影響と、テルミサルタンのPPARγを介した血液脳関門障害抑制による糖尿病性認知障害予防効果

    茂木 正樹, 閔 莉娟, 岩波 純, 佃 架奈, 景 斐, 大島 弘世, 王 小俐, 堀内 正嗣

    Anti-aging Science   4 ( 3 )   218 - 218   2012.11

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  • Direct Angiotensin II Type 2 Receptor Stimulation Ameliorates Insulin Resistance in Type 2 Diabetes Mice with PPAR gamma Activation Reviewed International journal

    Kousei Ohshima, Masaki Mogi, Fei Jing, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Akiyoshi Ogimoto, Bjorn Dahlof, Ulrike M. Steckelings, Tomas Unger, Jitsuo Higaki, Masatsugu Horiuchi

    PLOS ONE   7 ( 11 )   e48387   2012.11

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    Objectives: The role of angiotensin II type 2 (AT(2)) receptor stimulation in the pathogenesis of insulin resistance is still unclear. Therefore we examined the possibility that direct AT(2) receptor stimulation by compound 21 (C21) might contribute to possible insulin-sensitizing/anti-diabetic effects in type 2 diabetes (T2DM) with PPAR gamma activation, mainly focusing on adipose tissue.
    Methods: T2DM mice, KK-Ay, were subjected to intraperitoneal injection of C21 and/or a PPAR gamma antagonist, GW9662 in drinking water for 2 weeks. Insulin resistance was evaluated by oral glucose tolerance test, insulin tolerance test, and uptake of 2-[H-3] deoxy-D-glucose in white adipose tissue. Morphological changes of adipose tissues as well as adipocyte differentiation and inflammatory response were examined.
    Results: Treatment with C21 ameliorated insulin resistance in KK-Ay mice without influencing blood pressure, at least partially through effects on the PPAR gamma pathway. C21 treatment increased serum adiponectin concentration and decreased TNF-alpha concentration; however, these effects were attenuated by PPAR gamma blockade by co-treatment with GW9662. Moreover, we observed that administration of C21 enhanced adipocyte differentiation and PPAR gamma DNA-binding activity, with a decrease in inflammation in white adipose tissue, whereas these effects of C21 were attenuated by co-treatment with GW9662. We also observed that administration of C21 restored beta cell damage in diabetic pancreatic tissue.
    Conclusion: The present study demonstrated that direct AT(2) receptor stimulation by C21 accompanied with PPAR gamma activation ameliorated insulin resistance in T2DM mice, at least partially due to improvement of adipocyte dysfunction and protection of pancreatic beta cells.

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  • アンジオテンシンIIタイプ2受容体直接刺激はPPARγ活性化を伴って2型糖尿病マウスのインスリン抵抗性を改善する

    大島 弘世, 茂木 正樹, 景 斐, 岩波 純, 佃 架奈, 閔 莉娟, 中岡 裕智, 大木元 明義, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   506 - 506   2012.9

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  • [Current topic of next generation of angiotensin II type 1 receptor blockers]. Reviewed

    Mogi M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   70 ( 9 )   1621 - 1626   2012.9

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    Angiotensin receptor blockers(ARBs) are used as the first-choice anti-hypertensives for prevention of multiple organ damage. Recently, the next-generation ARBs have been expected to have more preventive effect for cardiovascular diseases. For example, metabosartans which have a partial agonistic effect of peroxisome proliferator-activated receptor gamma induce an improvement of metabolism compared with ordinary ARBs. Moreover, LCZ696, ARB with a neprilysin inhibitor which increases natriuretic peptides has a significant reduction in blood pressure compared with ARB. Furthermore, ARBs with nitric oxide donor or endothelin receptor blocker have been reported to have a benefit beyond ordinary ARBs. Dual action in the next multi-functional ARBs may be a strong therapeutic contributor for patients with multiple organ dysfunction.

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  • Influence of angiotensin II type 1 receptor-associated protein on prenatal development and adult hypertension after maternal dietary protein restriction during pregnancy Reviewed

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Li-Juan Min, Fei Jing, Kousei Ohshima, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   6 ( 5 )   324 - 330   2012.9

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    An adverse relationship between suboptimal fetal environments and the development of adult diseases, such as hypertension, type II diabetes, and cardiovascular disease, has been reported in numerous studies. The purpose of this study was to investigate the strain difference of offspring's response to maternal malnutrition during pregnancy and the involvement of the renin-angiotensin system (RAS) in the development of adult hypertension using C57BL/6J (C57) mice and angiotensin II (Ang II) type 1 receptor-associated protein-transgenic (ATRAP-Tg) mice. Pregnant dams were fed an isocaloric diet containing either 20% (normal protein; NP) or 8% (low protein; LP) protein. Birth weight was significantly reduced in C57-LP offspring, but not in ATRAP-Tg-LP offspring. Arterial blood pressure was higher in C57-LP offspring than in the other groups. In contrast, ATRAP-Tg-LP offspring did not show an increase in blood pressure compared with NP offspring. Renal angiotensin II type 1 (AT(1)) receptor expression was not altered by maternal malnutrition, whereas angiotensin II type 2 receptor expression was significantly decreased in C57-LP offspring. In conclusion, these findings suggest that a suboptimal intrauterine environment induces adult hypertension because of an alteration of expression of RAS components, which was partly suppressed by sustained ATRAP overexpression via attenuation of the AT(1) receptor-mediated pathological response. J Am Soc Hypertens 2012;6(5):324-330. (C) 2012 American Society of Hypertension. All rights reserved.

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  • 糖尿病モデルマウスにおけるAT2受容体とNMDA受容体の相互作用による認知機能低下改善効果

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 景 斐, 大島 弘世, 中岡 裕智, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   504 - 504   2012.9

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  • 胎生期低栄養に起因する生後高血圧の発症とレニン・アンジオテンシン系

    佃 架奈, 茂木 正樹, 岩波 純, 閔 莉娟, 景 斐, 大島 弘世, 中岡 裕智, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   428 - 428   2012.9

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  • アンジオテンシンII2型受容体相互作用タンパク、ATIPは血液細胞を介して脂肪細胞分化を改善し、糖尿病マウスにおける糖代謝を改善する

    茂木 正樹, 景 斐, 大島 弘世, 閔 莉娟, 佃 架奈, 中岡 裕智, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   389 - 389   2012.9

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  • 慢性脳低灌流による認知機能低下へのAT2受容体アゴニストの効果

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 景 斐, 大島 弘世, 中岡 裕智, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   480 - 480   2012.9

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  • テルミサルタンは2型糖尿病マウスにおける血液脳関門障害を改善し認知機能低下を抑制する PPARγ刺激の関与

    閔 莉娟, 茂木 正樹, 岩波 純, 景 斐, 佃 架奈, 中岡 裕智, 大島 弘世, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   430 - 430   2012.9

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  • Regulation of angiotensin II receptors beyond the classical pathway Reviewed International journal

    Masatsugu Horiuchi, Jun Iwanami, Masaki Mogi

    CLINICAL SCIENCE   123 ( 3-4 )   193 - 203   2012.8

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    The RAS (renin-angiotensin system) plays a role not only in the cardiovascular system, including blood pressure regulation, but also in the central nervous system. AngII (angiotensin II) binds two major receptors: the AT(1) receptor (AngII type 1 receptor) and AT(2) receptor (AngII type 2 receptor). It has been recognized that AT(2) receptor activation not only opposes AT(1) receptor actions, but also has unique effects beyond inhibitory cross-talk with AT(1) receptor signalling. Novel pathways beyond the classical actions of RAS, the ACE (angiotensin-converting enzyme)/AngII/AT(1) receptor axis, have been highlighted: the ACE2/Ang-(1-7) [angiotensin-(1-7)]/Mas receptor axis as a new opposing axis against the ACE/AngII/AT(1) receptor axis, novel AngII-receptor-interacting proteins and various AngII-receptor-activation mechanisms including dimer formation. ATRAP (AT(1)-receptor-associated protein) and ATIP (AT(2)-receptor-interacting protein) are well-characterized AngII-receptor-associated proteins. These proteins could regulate the functions of AngII receptors and thereby influence various pathophysiological states. Moreover, the possible cross-talk between PPAR (peroxisome-proliferator-activated receptor)-gamma and AngII receptor subtypes is an intriguing issue to be addressed in order to understand the roles of RAS in the metabolic syndrome, and interestingly some ARBs (AT(1)-receptor blockers) have been reported to have an AT(1)-receptor-blocking action with a partial PPAR-gamma agonistic effect. These emerging concepts concerning the regulation of AngII receptors are discussed in the present review.

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  • Angiotensin II type 2 receptor-interacting protein prevents vascular senescence Reviewed

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Fei Jing, Kana Tsukuda, Kousei Ohshima, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   6 ( 3 )   179 - 184   2012.5

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    Angiotensin II type 2 (AT(2)) receptor-interacting protein (ATIP), which interacts with the C-terminal tail of the AT(2) receptor, regulates the functions of the AT(2) receptor. We have reported that AT(2) receptor stimulation attenuated vascular senescence. Therefore, we examined the possible negative role of ATIP in regulating vascular senescence. We generated ATIP-transgenic (Tg) mice, and cultured vascular smooth muscle cells (VSMCs). Persistent angiotensin II stimulation induced increases in SA-beta-gal-positive cells and the level of a DNA damage marker, 8-OHdG in VSMC, whereas these effects of angiotensin II were attenuated in VSMC prepared from ATIP-Tg mice. Angiotensin II treatment also upregulated the expression of methyl methanesulfonate-sensitive 2 (MMS2), a DNA repair factor, and Src homology 2 domain-containing protein-tyrosine phosphatase I (SHP-1) activity, whereas these effects of angiotensin II were further enhanced in ATIP-Tg VSMC. In vivo, x-ray irradiation to mice caused increases in SA-beta-gal-positive area and 8-OHdG level in the thoracic aorta; however, these effects were reduced in ATIP-Tg mice, with a significant increase in MMS2 expression. These results suggest that ATIP could inhibit VSMC senescence, involving MMS2 expression and SHP-1 activity. ATIP might be a new therapeutic molecule to treat vascular aging and age-related vascular diseases. J Am Soc Hypertens 2012;6(3):179-184. (C) 2012 American Society of Hypertension. All rights reserved.

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  • Peroxisome Proliferator-Activated Receptor-gamma Activation With Angiotensin II Type 1 Receptor Blockade Is Pivotal for the Prevention of Blood-Brain Barrier Impairment and Cognitive Decline in Type 2 Diabetic Mice Reviewed International journal

    Li-Juan Min, Masaki Mogi, Masachika Shudou, Fei Jing, Kana Tsukuda, Kousei Ohshima, Jun Iwanami, Masatsugu Horiuchi

    HYPERTENSION   59 ( 5 )   1079 - +   2012.5

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    We reported previously that an angiotensin II type 1 receptor blocker, telmisartan, improved cognitive decline with peroxisome proliferator-activated receptor-gamma activation; however, the detailed mechanisms are unclear. Enhanced blood-brain barrier (BBB) permeability with alteration of tight junctions is suggested to be related to diabetes mellitus. Therefore, we examined the possibility that telmisartan could attenuate BBB impairment with peroxisome proliferator-activated receptor-gamma activation to improve diabetes mellitus-induced cognitive decline. Type 2 diabetic mice KKA(y) exhibited impairment of cognitive function, and telmisartan treatment attenuated this. Cotreatment with GW9662, a peroxisome proliferator-activated receptor-gamma antagonist, interfered with these protective effects of telmisartan against cognitive function. BBB permeability was increased in both the cortex and hippocampus in KKAy mice. Administration of telmisartan attenuated this increased BBB permeability. Coadministration of GW9662 reduced this effect of telmisartan. Significant decreases in expression of tight junction proteins and increases in matrix metalloproteinase expression, oxidative stress, and proinflammatory cytokine production were observed in the brain, and treatment with telmisartan restored these changes. Swollen astroglial end-feet in BBB were observed in KKAy mice, and this change in BBB ultrastructure was decreased in telmisartan. These effects of telmisartan were weakened by cotreatment with GW9662. In contrast, administration of another angiotensin II type 1 receptor blocker, losartan, was less effective compared with telmisartan in terms of preventing BBB permeability and astroglial end-foot swelling, and coadministration of GW9662 did not affect the effects of losartan. These findings are consistent with the possibility that, in type 2 diabetic mice, angiotensin II type 1 receptor blockade with peroxisome proliferator-activated receptor-gamma activation by telmisartan may help with protection against cognitive decline by preserving the integrity of the BBB.

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  • 血管性認知症モデルマウスへのアンジオテンシンII2型受容体刺激薬の効果

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 景 斐, 大島 弘世, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   1回   139 - 139   2012.4

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  • Improvement of cognitive impairment in female type 2 diabetes mellitus mice by spironolactone Reviewed International journal

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Fei Jing, Kousei Ohshima, Masaharu Ito, Masatsugu Horiuchi

    JOURNAL OF THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM   13 ( 1 )   84 - 90   2012.3

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    Patients with type 2 diabetes mellitus (T2DM) exhibit more severe cognitive decline in females compared with males; however, the preventive approach to this gender-specific cognitive decline is still an enigma. Spironolactone is a potassium-sparing diuretic that also acts as an androgen receptor antagonist. Here, we investigated whether spironolactone attenuates cognitive impairment observed in female T2DM mice. Adult wild-type (WT) mice and an obese T2DM model, KKAy mice, were employed in this study. Cognitive function was evaluated by the shuttle avoidance test and Morris water maze test. Administration of spironolactone (50 mg/kg per day in chow) had no significant effect on blood pressure, glucose tolerance or insulin resistance. In WT mice, no significant sex difference in cognitive function was observed; however, treatment with spironolactone improved spatial memory in the water maze, especially in female WT mice. Administration of spironolactone markedly improved the cognitive decline in female KKAy mice up to the level in male KKAy mice. Spironolactone treatment also improved cognitive function in ovariectomized-KKAy mice, but failed to improve it in those with administration of estradiol (200 A mu g/kg per day). In diabetic mice, spironolactone improved impaired cognitive function observed in female mice, suggesting that spironolactone may prevent cognitive impairment associated with diabetes in females clinically.

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  • Direct stimulation of angiotensin II type 2 receptor enhances spatial memory Reviewed International journal

    Fei Jing, Masaki Mogi, Akiko Sakata, Jun Iwanami, Kana Tsukuda, Kousei Ohshima, Li-Juan Min, Ulrike M. Steckelings, Thomas Unger, Bjoern Dahloef, Masatsugu Horiuchi

    JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM   32 ( 2 )   248 - 255   2012.2

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    We examined the possibility that direct stimulation of the angiotensin II type 2 (AT(2)) receptor by a newly generated direct AT(2) receptor agonist, Compound 21 (C21), enhances cognitive function. Treatment with C21 intraperitoneal injection for 2 weeks significantly enhanced cognitive function evaluated by the Morris water maze test in C57BL6 mice, but this effect was not observed in AT(2) receptor-deficient mice. However, C21-induced cognitive enhancement in C57BL6 mice was attenuated by coadministration of icatibant, a bradykinin B-2 receptor antagonist. Administration of C21 dose dependently increased cerebral blood flow assessed by laser speckle flowmetry and hippocampal field-excitatory postsynaptic potential (f-EPSP) determined by electrophysiological techniques in C57BL6 mice. Furthermore, activation of the AT(2) receptor by C21 promoted neurite outgrowth of cultured hippocampal neurons prepared from fetal transgenic mice expressing green fluorescent protein. Finally, we investigated the pathologic relevance of C21 for spatial learning using an Alzheimer's disease mouse model with intracerebroventricular injection of amyloid-beta (1 to 40). We observed that treatment with C21 prevented cognitive decline in this model. These results suggest that a direct AT(2) receptor agonist, C21, enhances cognitive function at least owing to an increase in CBF, enhancement of f-EPSP, and neurite outgrowth in hippocampal neurons. Journal of Cerebral Blood Flow & Metabolism (2012) 32, 248-255; doi:10.1038/jcbfm.2011.133; published online 5 October 2011

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  • Roles of Interleukin 17 in Angiotensin II Type 1 Receptor-Mediated Insulin Resistance Reviewed International journal

    Kousei Ohshima, Masaki Mogi, Fei Jing, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   59 ( 2 )   493 - +   2012.2

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    Interleukin 17 (IL-17) is known to contribute to the pathogenesis of hypertension, atherosclerosis, and adipocyte differentiation; however, the roles of IL-17 in glucose metabolism remain to be elucidated. Angiotensin II type 1 receptor blockers improve insulin resistance at least in part because of the amelioration of inflammation. Therefore, we examined the possible roles of IL-17 in the pathogenesis of insulin resistance in type 2 diabetes mellitus using a mouse model, KK-Ay, and angiotensin II type 1 receptor-mediated insulin resistance. KK-Ay mice were administered control-IgG(2A) or anti-IL-17 antibody 5 times at a dose of 100 mu g every second day by IP injection. KK-Ay mice were administered telmisartan for 2 weeks. C57BL/6J mice treated with angiotensin II infusion for 2 weeks were administered telmisartan or hydralazine. Insulin resistance was evaluated by oral glucose tolerance test, insulin tolerance test, and uptake of 2-[H-3]deoxy-D-glucose in peripheral tissues. Serum IL-17 concentration in KK-Ay mice was significantly higher than that in C57BL/6J mice. Treatment of KK-Ay mice with anti-IL-17 antibody significantly increased 2-[H-3]deoxy-D-glucose uptake in skeletal muscle but not in white adipose tissue and attenuated the increase in blood glucose level after a glucose load. Blockade of IL-17 enhanced the expression of adipocyte differentiation markers and adiponectin. Treatment with telmisartan decreased serum IL-17 concentration in KK-Ay and ameliorated angiotensin II-induced insulin resistance with a decrease in serum IL-17 level in C57BL/6J. In conclusion, IL-17 could play an important role in the pathogenesis of angiotensin II type 1 receptor-induced insulin resistance. (Hypertension. 2012;59[part 2]:493-499.). Online Data Supplement

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  • Inflammation and vascular remodeling Reviewed International journal

    Ken-Ichi Aihara, Masaki Mogi, Rei Shibata, David Bishop-Bailey, Muredach P. Reilly

    International Journal of Vascular Medicine   2012   596796 - 596796   2012

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  • Role of peroxisome proliferator-activated receptor- γ in vascular inflammation Reviewed International journal

    Kousei Ohshima, Masaki Mogi, Masatsugu Horiuchi

    International Journal of Vascular Medicine   2012   508416 - 508416   2012

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    Vascular inflammation plays a crucial role in atherosclerosis, and its regulation is important to prevent cerebrovascular and coronary artery disease. The inflammatory process in atherogenesis involves a variety of immune cells including monocytes/macrophages, lymphocytes, dendritic cells, and neutrophils, which all express peroxisome proliferator-activated receptor-γ (PPAR-γ). PPAR-γ is a nuclear receptor and transcription factor in the steroid superfamily and is known to be a key regulator of adipocyte differentiation. Increasing evidence from mainly experimental studies has demonstrated that PPAR-γ activation by endogenous and synthetic ligands is involved in lipid metabolism and anti-inflammatory activity. In addition, recent clinical studies have shown a beneficial effect of thiazolidinediones, synthetic PPAR-γ ligands, on cardiovascular disease beyond glycemic control. These results suggest that PPAR-γ activation is an important regulator in vascular inflammation and is expected to be a therapeutic target in the treatment of atherosclerotic complications. This paper reviews the recent findings of PPAR-γ involvement in vascular inflammation and the therapeutic potential of regulating the immune system in atherosclerosis. © 2012 Kousei Ohshima et al.

    DOI: 10.1155/2012/508416

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  • Roles of brain angiotensin II in cognitive function and dementia Reviewed International journal

    Masaki Mogi, Jun Iwanami, Masatsugu Horiuchi

    International Journal of Hypertension   2012   169649 - 169649   2012

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    The brain renin-angiotensin system (RAS) has been highlighted as having a pathological role in stroke, dementia, and neurodegenerative disease. Particularly, in dementia, epidemiological studies indicate a preventive effect of RAS blockade on cognitive impairment in Alzheimer disease (AD). Moreover, basic experiments suggest a role of brain angiotensin II in neural injury, neuroinflammation, and cognitive function and that RAS blockade attenuates cognitive impairment in rodent dementia models of AD. Therefore, RAS regulation is expected to have therapeutic potential for AD. Here, we discuss the role of angiotensin II in cognitive impairment and AD. Angiotensin II binds to the type 2 receptor (AT and works mainly by binding with the type 1 receptor (AT. ATreceptor signaling plays a role in protection against multiple-organ damage. A direct ATreceptor agonist is now available and is expected to reduce inflammation and oxidative stress and enhance cell differentiation. We and other groups reported that ATreceptor activation enhances neuronal differentiation and neurite outgrowth in the brain. Here, we also review the effect of the ATreceptor on cognitive function. RAS modulation may be a new therapeutic option for dementia including AD in the future. © 2012 Masaki Mogi et al.

    DOI: 10.1155/2012/169649

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  • Is CKD a surrogate marker for predicting cognitive impairment? Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   34 ( 12 )   1251 - 1252   2011.12

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    DOI: 10.1038/hr.2011.148

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  • AT2受容体の受容体関連タンパクであるATIPにおける代謝性疾患への影響を検討

    景 斐, 茂木 正樹, 大島 弘世, 佃 架奈, 閔 莉娟, 岩波 純, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   320 - 320   2011.11

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  • [Sympathetic nervous system and renin-angiotensin-aldosterone system in hypertension]. Reviewed

    Iwanami J, Mogi M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   69 ( 11 )   1916 - 1919   2011.11

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  • 血管平滑筋細胞の老化におけるアンジオテンシンIIとアルドステロンの相互作用の検討

    閔 莉娟, 茂木 正樹, 岩波 純, 佃 加奈, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   329 - 329   2011.11

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  • 糖尿病モデルマウスのインスリン抵抗性におけるインターロイキン-17の役割とアンジオテンシンIIタイプI受容体との相互関係

    大島 弘世, 茂木 正樹, 景 斐, 岩波 純, 佃 加奈, 閔 莉娟, 檜垣 實男, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   323 - 323   2011.11

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  • アンジオテンシンII受容体関連タンパクによる血管老化への作用

    閔 莉娟, 茂木 正樹, 岩波 純, 佃 加奈, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   329 - 329   2011.11

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  • アンジオテンシンII2型受容体刺激による血管平滑筋細胞老化の抑制作用 酸化ストレスの減少およびMMS2の活性化の影響

    閔 莉娟, 茂木 正樹, 岩波 純, 佃 加奈, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   329 - 329   2011.11

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  • 胎生期低栄養に起因する生後高血圧とレニン・アンジオテンシン系

    佃 架奈, 茂木 正樹, 岩波 純, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   331 - 331   2011.11

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  • 骨髄ストローマ細胞による脳保護効果におけるAT2受容体の役割

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   332 - 332   2011.11

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  • 血液細胞におけるAT2受容体の脳梗塞への影響

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   332 - 332   2011.11

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  • 慢性脳低灌流モデルマウスにおけるAT2受容体アゴニストの効果

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   336 - 336   2011.11

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  • MCP-1/CCR2シグナル抑制による脳梗塞ダメージへのイルベサルタンの効果

    佃 加奈, 茂木 正樹, 岩波 純, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   333 - 333   2011.11

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  • AT2受容体アゴニストとNMDA受容体阻害薬による認知機能への効果

    岩波 純, 茂木 正樹, 佃 加奈, 景 斐, 閔 莉娟, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   336 - 336   2011.11

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  • 糖尿病マウスにおける認知機能の性差とスピロノラクトンの影響

    岩波 純, 茂木 正樹, 坂田 暁子, 佃 加奈, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   336 - 336   2011.11

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  • 生活習慣が認知機能に与える影響

    茂木 正樹, 岩波 純, 佃 加奈, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   337 - 337   2011.11

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  • アンジオテンシンタイプII2型受容体刺激は認知機能を改善する

    景 斐, 茂木 正樹, 岩波 純, 佃 加奈, 大島 弘世, 閔 莉娟, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   336 - 336   2011.11

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  • Role of angiotensin-converting enzyme 2 in cardiac hypertrophy induced by nitric oxide synthase inhibition Reviewed International journal

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   29 ( 11 )   2236 - 2245   2011.11

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    Objective Angiotensin-converting enzyme 2 (ACE2) generates angiotensin-(1-7) [Ang-(1-7)], a peptide highlighted as exerting a pivotal role in cardiovascular remodeling. Moreover, the ACE2/Ang-(1-7)/Mas axis directly activates endothelial nitric oxide (NO) synthase and NO generation in the heart. However, the role of ACE2 in cardiovascular remodeling induced by persistent inhibition of NO under chronic activation of the renin-angiotensin system (RAS) remains poorly understood.
    Methods and results Chimeric hypertensive mice that exhibit activation of the human RAS were produced by mating human renin (hRN) and human angiotensinogen (hANG) transgenic mice. Persistent NO inhibition with N(G)-nitro-L-arginine methyl ester (L-NAME) was started at 8 weeks of age for 4 weeks. After administration of L-NAME, blood pressure (BP) markedly increased in the chimeric mice (hRN/hANG-Tg), whereas wild-type mice (C57BL/6J) showed little increase in BP. Cardiovascular remodeling with enhanced oxidative stress in hRN/hANG-Tg was markedly accelerated by NO inhibition compared with that in wild-type mice. Moreover, ACE2 mRNA expression and activity in cardiac tissue were markedly reduced in L-NAME-treated hRN/hANG-Tg. Co-administration of an angiotensin II type 1 (AT(1)) receptor blocker (ARB), olmesartan, inhibited L-NAME-induced cardiovascular remodeling and improved the reduction in cardiac ACE2. The preventive effect of olmesartan on cardiac hypertrophy was blunted by co-administration of a selective Ang-(1-7) antagonist, [D-Ala(7)]-Ang-(1-7).
    Conclusion Our findings demonstrate that cardiovascular remodeling induced by persistent NO inhibition was enhanced in hRN/hANG-Tg. An ARB, olmesartan, blunted cardiac remodeling induced by NO inhibition with RAS activation partially through the ACE2/Ang-(1-7)/Mas axis in addition to directly through its classical ACE/Ang II/AT(1) receptor axis-blocking action. J Hypertens 29: 2236-2245 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

    DOI: 10.1097/HJH.0b013e32834bbb4d

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  • テルミサルタンによる糖尿病マウスの血液脳関門破綻の改善機構

    閔 莉娟, 茂木 正樹, 岩波 純, 佃 加奈, 景 斐, 大島 弘世, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   338 - 338   2011.11

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  • 糖尿病モデルマウスのインスリン抵抗性におけるインターロイキン-17とレニン・アンジオテンシン系の相互作用

    大島 弘世, 茂木 正樹, 斐 景, 岩波 純, 佃 架奈, 閔 莉娟, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   587 - 587   2011.10

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  • イルベサルタンのMCP-1/CCR2シグナル抑制による虚血性脳傷害の抑制効果

    佃 架奈, 茂木 正樹, 岩波 純, 閔 莉娟, 景 斐, 大島 弘世, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   411 - 411   2011.10

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  • 慢性脳低灌流モデルマウスの認知機能低下における新規AT2受容体アゴニストの作用

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 景 斐, 大島 弘世, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   387 - 387   2011.10

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  • アンジオテンシンII2型受容体関連タンパク、ATIPによる血管老化抑制作用

    閔 莉娟, 茂木 正樹, 岩波 純, 景 斐, 佃 架奈, 大島 弘世, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   428 - 428   2011.10

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  • 糖尿病マウスの血液脳関門障害におけるテルミサルタンの作用

    閔 莉娟, 茂木 正樹, 岩波 純, 景 斐, 佃 架奈, 大島 弘世, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   420 - 420   2011.10

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  • Effect of Angiotensin II Type 2 Receptor Deletion in Hematopoietic Cells on Brain Ischemia-Reperfusion Injury Reviewed International journal

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Li-Juan Min, Akiko Sakata, Fei Jing, Kousei Ohshima, Masatsugu Horiuchi

    HYPERTENSION   58 ( 3 )   404 - U155   2011.9

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    The angiotensin II type 2 (AT(2)) receptor is expressed in bone marrow cells and may affect cell differentiation. We previously reported a beneficial role of the AT(2) receptor in ischemic brain damage. Here, we investigated the effect of AT(2) receptor stimulation in hematopoietic cells on ischemic brain injury using chimeric mice. Chimeric mice were generated by bone marrow transplantation into wild-type mice after irradiation. Bone marrow cells were prepared from wild-type (Agtr2(+)) or AT(2) receptor-deficient mice (Agtr2(-)). Six weeks after bone marrow transplantation, these chimeric mice were subjected to ischemia/reperfusion injury. Both Agtr2(+) and Agtr2(-) chimeric mice did not show a significant change in systolic and diastolic blood pressures, whereas body weight decreased in Agtr2(-) chimera. Twenty-four hours after ischemia/reperfusion injury, ischemic brain damage in Agtr2(-) chimera was exaggerated compared with that in Agtr2(+) chimera. Moreover, cerebral blood flow in the peripheral region before and after ischemia/reperfusion injury was decreased in Agtr2(-) chimera. The inflammatory response in the ipsilateral hemisphere was not significantly different, whereas tumor necrosis factor-alpha and monocyte chemoattractant protein 1 expressions tended to increase in the Agtr2 chimeric brain. Expression of methylmethane sulfonate 2, which has a neuroprotective effect, was lower in the brain of Agtr2(-) chimera. These results indicate that deletion of AT(2) receptor in blood cells has a harmful effect on ischemic brain injury. (Hypertension. 2011;58:404-409.)

    DOI: 10.1161/HYPERTENSIONAHA.111.177873

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  • Role of angiotensin II receptor subtype activation in cognitive function and ischaemic brain damage Reviewed International journal

    Masatsugu Horiuchi, Masaki Mogi

    BRITISH JOURNAL OF PHARMACOLOGY   163 ( 6 )   1122 - 1130   2011.7

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    Recent clinical studies have demonstrated that angiotensin II type 1 (AT(1)) receptor blockers (ARBs) reduce the onset of stroke, stroke severity and the incidence and progression of Alzheimer's disease and dementia. We can expect that ARBs exert these effects by both AT(1) receptor blockade and angiotensin II type 2 (AT(2)) receptor stimulation. Moreover, recent experimental results support the notion that AT(2) receptor stimulation with AT(1) receptor blockade could contribute to protection against ischaemic brain damage at least partly due to an increase in cerebral blood flow and decrease in oxidative stress, and prevent cognitive decline. Cellular therapy has been focused on as a new therapeutic approach to restore injured neurons. In this context, it has been reported that AT(2) receptor stimulation enhances neurite outgrowth and decreases neural damage, thereby enhancing neurogenesis. Moreover, additional beneficial effects of ARBs with an AT(1) receptor blocking action with a partial peroxisome proliferator-activated receptor (PPAR)-gamma agonistic effect have been reported, and interaction of AT(2) receptor activation and PPAR-gamma might be involved in these ARBs' effects. This article reviews the effects of regulation of activation of angiotensin II receptor subtypes on ischaemic brain damage and cognitive function, focusing on the effects of AT(2) receptor stimulation.

    DOI: 10.1111/j.1476-5381.2010.01167.x

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  • Irbesartan attenuates ischemic brain damage by inhibition of MCP-1/CCR2 signaling pathway beyond AT(1) receptor blockade Reviewed International journal

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Li-Juan Min, Fei Jing, Kousei Oshima, Masatsugu Horiuchi

    BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS   409 ( 2 )   275 - 279   2011.6

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    Angiotensin II type 1 (AT(1)) receptor blockers (ARBs) are known to prevent the onset of stroke and to attenuate neural damage. Additional beneficial effects of ARBs, independent of AT(1) receptor blockade, have been highlighted. Irbesartan is reported to act as an antagonist of the monocyte chemoattractant protein-1 (MCP-1) receptor, C-C chemokine receptor 2 (CCR2), due to its molecular structure. We examined the possible synergistic effects of co-administration of irbesartan with propagermanium, a CCR2 antagonist, on ischemic brain damage. Administration of propagermanium decreased ischemic brain area after middle cerebral artery occlusion (MCAO). To study the possible synergistic effects of propagermanium with ARBs, we employed non-effective lower doses of irbesartan and losartan. Administration of irbesartan with propagermanium decreased the ischemic brain area more markedly compared with propagermanium alone, but co-administration of losartan did not. MCP-1 mRNA level was significantly increased on the ipsilateral side after MCAO, and administration of irbesartan with propagermanium decreased the MCP-1 level, whereas co-administration of losartan did not. Similar results were obtained for MCP-1 protein level. CCR2 mRNA expression was significantly elevated on the ipsilateral side: however, no significant difference was observed between each group. mRNA levels of other inflammatory cytokines such as TNF-alpha and IL-1 beta also significantly increased on the ipsilateral side, but the expression levels were not changed by each drug treatment. Taking these findings together, irbesartan exerts more beneficial effects on ischemic brain damage with an MCP-1 receptor blocker, at least due to its inhibitory effects on MCP-1/CCR2 signaling beyond AT(1) receptor blockade. (C) 2011 Elsevier Inc. All rights reserved.

    DOI: 10.1016/j.bbrc.2011.04.142

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  • Angiotensin II and aldosterone-induced neuronal damage in neurons through an astrocyte-dependent mechanism Reviewed International journal

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Akiko Sakata, Fei Jing, Kana Tsukuda, Kousei Ohshima, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   34 ( 6 )   773 - 778   2011.6

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    The contribution of the renin-angiotensin-aldosterone system (RAAS) to central nervous system (CNS) disorders is not yet fully understood. RAAS has been shown to be involved in the proliferation of astrocytes, which have a role in neuronal damage contributing to neurodegenerative diseases. However, the direct relationship between RAAS and neuronal damage is still unclear. We therefore examined the effect of angiotensin (Ang) II and aldosterone (Aldo) on damage to spinal ganglion neurons (SGNs) by regulating astrocytes. Ang II stimulation significantly increased DNA damage in SGNs in a time-dependent manner. This increase in DNA damage was further enhanced when SGNs were co-cultured with astrocytes. On the other hand, no significant increase was observed in SGNs co-cultured with astrocytes without Ang II stimulation. Moreover, the addition of conditioned medium from Ang II-treated astrocytes exacerbated SGN DNA damage. An Ang II type 1 receptor blocker, valsartan, inhibited Ang II-stimulated DNA damage but not DNA damage induced by conditioned medium prepared from astrocyte cultures. In contrast, an Aldo antagonist, eplerenone, significantly inhibited DNA damage induced by the culture medium from Ang II-treated astrocytes. Ang II-stimulated Aldo secretion in the conditioned medium from astrocytes. Furthermore, the administration of Aldo alone also enhanced DNA damage in SGNs. Finally, flow cytometric analysis showed that Ang II or Aldo treatment markedly increased the percentage of dead SGNs. In conclusion, Ang II- and Aldo-induced neuronal damage in SGNs through astrocytes regulation. Blocking Ang II and Aldo to target astrocytes might be useful for the treatment of CNS disorders. Hypertension Research (2011) 34, 773-778; doi:10.1038/hr.2011.38; published online 7 April 2011

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  • Temporary Treatment With AT(1) Receptor Blocker, Valsartan, From Early Stage of Hypertension Prevented Vascular Remodeling Reviewed International journal

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   24 ( 5 )   550 - 556   2011.5

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    BACKGROUND
    The present study examined the inhibitory action of temporary treatment with an angiotensin type 1 (AT(1)) receptor blocker (ARB) on vascular remodeling using hypertensive mice with overexpression of the human renin (hRN) and angiotensinogen (hANG) genes.
    METHODS
    hRN/hANG transgenic mice (hRN/hANG-Tg) were treated with an ARB, valsartan, from 4 weeks of age. In some mice, valsartan treatment was stopped at 8 weeks of age (temporary treatment). Inflammatory vascular injury was induced by polyethylene-cuff placement around the femoral artery at the age of 10 weeks.
    RESULTS
    Compared with wild-type (WT) mice, hRN/hANG-Tg showed higher blood pressure (BP) and enhancement of oxidative stress and medial thickening even before cuff placement. Inflammatory vascular remodeling and oxidative stress after cuff placement were further enhanced in hRN/hANG-Tg.Temporary treatment with valsartan continuously lowered BP even after cessation of administration, and inhibited these changes. In contrast, administration of hydralazine lowered BP to a similar level to that with valsartan, but did not inhibit medial thickening and inflammatory vascular remodeling. In contrast to the valsartan treatment, BP immediately increased to the untreated level after cessation of hydralazine.
    CONCLUSIONS
    These results indicate that temporary ARB treatment leads to prolonged effect of BP lowering and prevents vascular remodeling in hypertensive mice induced by activation of the human reninangiotensin system.The inhibitory action of valsartan is not due to the BP lowering but is at least in part due to a decrease in oxidative stress and inflammation.

    DOI: 10.1038/ajh.2011.6

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  • 血液透析による血管内皮前駆細胞(EPC)への影響に関する検討 Reviewed

    前田 明信, 高石 義浩, 武智 伸介, 小原 克彦, 三木 哲郎, 田原 康玄, 佃 架奈, 茂木 正樹, 堀内 正嗣

    日本透析医学会雑誌   44 ( Suppl.1 )   376 - 376   2011.5

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  • Neurovascular Coupling in Cognitive Impairment Associated With Diabetes Mellitus Reviewed

    Masaki Mogi, Masatsugu Horiuchi

    CIRCULATION JOURNAL   75 ( 5 )   1042 - 1048   2011.5

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    Although it is feared that diabetes-induced cognitive decline will become a major clinical problem worldwide in the future, the detailed pathological mechanism is not well known. Because patients with diabetes have various complications of vascular disease, with not only macrovascular but also microvascular disorders, vascular disorders in the brain are considered to be one of the mechanisms in diabetes-induced cognitive impairment. Indeed, disruption of the blood-brain barrier (BBB) has been observed in some diabetic patients and experimental diabetes models. Moreover, white matter lesions, part of the evidence of BBB dysfunction, are reported to be observed more frequently in patients with diabetes. Animal studies demonstrate that diabetes enhances BBB permeability through a decrease in the level of tight junction proteins and an increase in matrix metalloproteinase activity. However, there are several reports indicating that BBB disruption does not occur with diabetes. Therefore, the association of BBB breakdown with diabetes-induced cognitive impairment is not conclusive. Recently, neuronal diseases involving dementia have been induced experimentally through dysfunction of neurovascular coupling, which involves blood vessels, astrocytes and neutrons. Diabetes-induced cognitive decline may be induced via disruption of neurovascular coupling, with not only vascular disorder but also impairment of astrocytic trafficking. Here, the relation between vascular disorder and cognitive impairment in diabetes is discussed. (Circ J 2011; 75: 1042 1048)

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  • 生活習慣病に伴う認知機能低下に対するアンジオテンシン受容体ブロッカーの効果

    佃 架奈, 茂木 正樹, 閔 莉娟, 岩波 純, 景 斐, 大島 弘世, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   11回   267 - 267   2011.4

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  • C-Reactive Protein Beyond Biomarker of Inflammation in Metabolic Syndrome Reviewed International journal

    Masatsugu Horiuchi, Masaki Mogi

    HYPERTENSION   57 ( 4 )   672 - 673   2011.4

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  • Blockade of AT1 Receptors Protects the Blood-Brain Barrier and Improves Cognition in Dahl Salt-Sensitive Hypertensive Rats Reviewed International journal

    Nicolas Pelisch, Naohisa Hosomi, Masaki Ueno, Daisuke Nakano, Hirofumi Hitomi, Masaki Mogi, Kenji Shimada, Hiroyuki Kobori, Masatsugu Horiuchi, Haruhiko Sakamoto, Masayasu Matsumoto, Masakazu Kohno, Akira Nishiyama

    AMERICAN JOURNAL OF HYPERTENSION   24 ( 3 )   362 - 368   2011.3

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    BACKGROUND
    The present study tested the hypothesis that inappropriate activation of the brain renin-angiotensin system (RAS) contributes to the pathogenesis of blood-brain barrier (BBB) disruption and cognitive impairment during development of salt-dependent hypertension. Effects of an angiotensin II (AngII) type-1 receptor blocker (ARB), at a dose that did not reduce blood pressure, were also examined.
    METHODS
    Dahl salt-sensitive (DSS) rats at 6 weeks of age were assigned to three groups: low-salt diet (DSS/L; 0.3% NaCl), high-salt diet (DSS/H; 8% NaCl), and high-salt diet treated with ARB, olmesartan at 1 mg/kg.
    RESULTS
    DSS/H rats exhibited hypertension, leakage from brain microvessels in the hippocampus, and impaired cognitive functions, which were associated with increased brain AngII levels, as well as decreased mRNA levels of tight junctions (us) and collagen-IV in the hippocampus. In DSS/H rats, olmesartan treatment, at a dose that did not alter blood pressure, restored the cognitive decline, and ameliorated leakage from brain microvessels. Olmesartan also decreased brain AngII levels and restored mRNA expression of TJs and collagen-IV in DSS/H rats.
    CONCLUSIONS
    These results suggest that during development of salt-dependent hypertension, activation of the brain RAS contributes to BBB disruption and cognitive impairment. Treatment with an ARB could elicit neuroprotective effects in cognitive disorders by preventing BBB permeability, which is independent of blood pressure changes.

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  • [New antihypertensive drugs including angiotensin II type 2 receptor agonist]. Reviewed

    Mogi M, Horiuchi M

    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine   100 ( 2 )   432 - 440   2011.2

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  • Female type 2 diabetes mellitus mice exhibit severe ischemic brain damage Reviewed

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Fei Jing, Kousei Ohshima, Masaharu Ito, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   5 ( 1 )   7 - 11   2011.1

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    Type 2 diabetes can impair the outcome of stroke as well as increase stroke risk; however, the sex difference in ischemic brain damage is not well known, and even less is known about the difference in diabetes. We therefore investigated the possible gender difference in brain damage after stroke associated with type 2 diabetes using a mouse model, KKAy. Female KKAy showed a much larger ischemic area compared with male KKAy. NADPH oxidase activity in the brain was also increased more in female than in male mice. Ovariectomy enhanced the ischemic area, and treatment with estradiol markedly attenuated the ischemic area to that in female KKAy, with a reduction of NADPH oxidase activity. Female and OVX mice showed improvement of cerebral blood flow (CBF) at 1 hour after middle cerebral artery (MCA) occlusion, but no significant difference in CBF of the ipsilateral penumbra and ipsilateral core 24 hours after MCA occlusion was observed among each group. Severe ischemic brain damage was observed in female KKAy compared with male KKAy. Estrogen showed a protective effect on the brain, at least partly from attenuation of oxidative stress in the female brain. These findings suggest that brain damage in diabetes mellitus might be more marked in women than in men. J Am Soc Hypertens 2011;5(1):7-11. (c) 2011 American Society of Hypertension. All rights reserved.

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  • Clinical Interaction between Brain and Kidney in Small Vessel Disease. Reviewed International journal

    Mogi M, Horiuchi M

    Cardiology research and practice   2011 ( 1 )   306189 - 306189   2011.1

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    Patients with chronic kidney disease (CKD) are well known to have a higher prevalence of cardiovascular disease from epidemiological studies. Recently, CKD has also been shown to be related to neurological disorders, not only ischemic brain injury but also cognitive impairment. This cerebrorenal connection is considered to involve small vessel disease in both the kidney and brain, based on their hemodynamic similarities. Clinical studies suggest that markers for CKD such as estimated glomerular filtration rate (eGFR), proteinuria, and albuminuria may be helpful to predict brain small vessel disease, white matter lesions (WMLs), silent brain ischemia (SBI), and microhemorrhages. Recently, changes in the vascular system of the brain have been shown to contribute to the onset and progression of cognitive impairment, not only vascular dementia but also Alzheimer's disease. Patients with CKD are also reported to have higher risk of impaired cognitive function in the future compared with non-CKD subjects. These results indicate that CKD markers may be helpful to predict the future risk of neuronal disease.

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  • Interactions between CKD and MetS and the development of CVD Reviewed

    Ken-Ichi Aihara, Masaki Mogi, Rei Shibata, David Bishop-Bailey, Xin L. Ma

    Cardiology Research and Practice   1 ( 1 )   2011

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  • Interactions between CKD and MetS and the Development of CVD. Reviewed International journal

    Aihara K, Mogi M, Shibata R, Bishop-Bailey D, Ma XL

    Cardiology research and practice   2011 ( 1 )   878065 - 878065   2011

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  • 血球細胞におけるアンジオテンシンII2型受容体シグナルが脳梗塞に及ぼす影響

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 景 斐, 大島 弘世, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   33回   349 - 349   2010.10

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  • Nifedipine Inhibits Vascular Smooth Muscle Cell Dedifferentiation via Downregulation of Akt Signaling Reviewed International journal

    Taeko Kaimoto, Osamu Yasuda, Mitsuru Ohishi, Masaki Mogi, Yukihiro Takemura, Toshimitsu Suhara, Toshio Ogihara, Keisuke Fukuo, Hiromi Rakugi

    HYPERTENSION   56 ( 2 )   247 - U133   2010.8

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    Calcium is an essential signaling molecule that controls vascular smooth muscle cell (VSMC) contraction, proliferation, and differentiation. Here, we show that the calcium antagonist nifedipine inhibits VSMC dedifferentiation in vitro and in vivo. Differentiated VSMCs cultured on laminin-coated dishes were transferred to laminin-free dishes to induce dedifferentiation. Induction of dedifferentiation resulted in the upregulation of nonmuscle myosin heavy chain expression, a marker of dedifferentiation, and the downregulation of smooth muscle myosin heavy chain expression, a marker of differentiation. Nifedipine significantly inhibited both the induction of these phenotypic changes and upregulation of Akt signaling in these cells. Administration of nifedipine at a low concentration that did not affect blood pressure could inhibit the increase in nonmuscle myosin heavy chain expression and decrease in smooth muscle myosin heavy chain expression in a rat balloon-injury model. Furthermore, nifedipine suppressed neointimal hyperplasia and upregulation of Akt signaling. However, phospho-Akt expression was not suppressed in the regenerating arterial endothelium of the nifedipine-treated rats. The inhibitory effect of the downregulation of Akt signaling by dominant-negative Akt on the induction of VSMC dedifferentiation in the intima was identical to that of nifedipine. In contrast, upregulation of Akt signaling by transfection of the cells with a constitutively active Akt reversed the nifedipine-induced inhibition of VSMC dedifferentiation. In conclusion, nifedipine inhibits VSMC dedifferentiation by suppressing Akt signaling, thereby preventing neointimal thickening. (Hypertension. 2010;56:247-252.)

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  • Low dose of telmisartan prevents ischemic brain damage with peroxisome proliferator-activated receptor-gamma activation in diabetic mice Reviewed International journal

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Li-Juan Min, Akiko Sakata, Fei Jing, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   28 ( 8 )   1730 - 1737   2010.8

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    Background Telmisartan is a unique AT(1) receptor blocker with a peroxisome proliferator-activated receptor gamma (PPAR-gamma) agonistic action. Activation of PPAR-gamma could prevent inflammation and brain damage.
    Method We investigated the beneficial effect of telmisartan on ischemic brain damage via PPAR-gamma activation as well as AT(1) receptor blockade. Eight-week-old male KK-Ay mice were subjected to middle cerebral artery occlusion. Before middle cerebral artery occlusion, they were administered telmisartan or losartan, with or without GW9662, a PPAR-gamma antagonist, for 2 weeks. Ischemic area, neurological score, oxidative stress, inflammation and cerebral blood flow were assessed 24 h after middle cerebral artery occlusion.
    Results Administration of telmisartan, losartan, GW9662 and these AT(1) receptor blockers with GW9662 had no significant effect on blood pressure. KK-Ay mice exhibited a significant increase in the ischemic area compared with C57BL6 mice. Treatment with telmisartan decreased the ischemic area and improved the neurological score compared with the no-treatment group, with an increase in cerebral blood flow and a reduction in superoxide production and expression of inflammatory cytokines. These protective effects of telmisartan were partially attenuated by coadministration of GW9662, although GW9662 treatment alone had no significant effect on ischemic area. Losartan treatment showed a reduction in ischemic area compared with nontreated KK-Ay mice. However, coadministration of GW9662 had no effect on the losartan-mediated reduction in ischemic area.
    Conclusion These results suggest that telmisartan has a beneficial effect on stroke partly due to activation of PPAR-gamma as well as AT(1) receptor blockade. J Hypertens 28: 1730-1737 (c) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

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  • Direct renin inhibition improved insulin resistance and adipose tissue dysfunction in type 2 diabetic KK-A(y) mice Reviewed International journal

    Masaru Iwai, Harumi Kanno, Yumiko Tomono, Shinji Inaba, Izumi Senba, Megumi Furuno, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   28 ( 7 )   1471 - 1481   2010.7

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    Objective The renin-angiotensin system affects insulin sensitivity mainly through the angiotensin II type 1 receptor. In this study, the effects of renin inhibition on insulin resistance and adipose tissue dysfunction were explored in type 2 diabetic KK-A(y) mice.
    Methods and results Male KK-A(y) mice were treated with a direct renin inhibitor, aliskiren, administered subcutaneously at a dose of 50 mg/kg per day for 14 days using an osmotic minipump. This dose of aliskiren strongly inhibited plasma renin activity and lowered blood pressure about 17% in KK-A(y) mice. Aliskiren decreased body weight and plasma glucose level, and increased plasma insulin level in a fed condition. Aliskiren also lowered the plasma levels of cholesterol, fatty acids and triglycerides. In the oral glucose tolerant test, the plasma glucose elevation after glucose load was reduced by aliskiren, without a significant change in insulin level. Insulin tolerance test showed that aliskiren enhanced insulin&apos;s effect on plasma glucose. Aliskiren also reduced the epididymal adipose tissue mass by 25% and retroperitoneal adipose tissue mass by 35%. In adipose tissue, expression of the insulin receptor was not changed by aliskiren; however, expression of insulin receptor substrate-1, glucose transporter type 4, adiponectin, peroxisome proliferator-activated receptor-gamma and CCAAT/enhancer-binding proteind was increased by aliskiren. Moreover, NADPH oxidase activity and expression of inflammatory factors were reduced in adipose tissue. Aliskiren increased the pancreatic beta-cell area in KK-A(y) mice.
    Conclusion These results suggest that renin inhibition by aliskiren improved insulin resistance and adipose tissue dysfunction in type 2 diabetic mice through an increase in insulin sensitivity, insulin secretion and adipocyte differentiation, and a reduction of oxidative stress. J Hypertens 28: 1471-1481 (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

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  • Listening to the sound of silence between men and women Reviewed International journal

    Akiko Sakata, Masaki Mogi, Masaharu Ito, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   33 ( 7 )   668 - 669   2010.7

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  • Cardiac-Specific Activation of Angiotensin II Type 1 Receptor-Associated Protein Completely Suppresses Cardiac Hypertrophy in Chronic Angiotensin II-Infused Mice Reviewed International journal

    Hiromichi Wakui, Kouichi Tamura, Yutaka Tanaka, Miyuki Matsuda, Yunzhe Bai, Toru Dejima, Shin-ichiro Masuda, Atsu-ichiro Shigenaga, Akinobu Maeda, Masaki Mogi, Naoaki Ichihara, Yusuke Kobayashi, Nobuhito Hirawa, Tomoaki Ishigami, Yoshiyuki Toya, Machiko Yabana, Masatsugu Horiuchi, Susumu Minamisawa, Satoshi Umemura

    HYPERTENSION   55 ( 5 )   1157 - U138   2010.5

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    We cloned a novel molecule interacting with angiotensin II type 1 receptor, which we named ATRAP (for angiotensin II type 1 receptor associated protein). Previous in vitro studies showed that ATRAP significantly promotes constitutive internalization of the angiotensin II type 1 receptor and further attenuates angiotensin II mediated hypertrophic responses in cardiomyocytes. The present study was designed to investigate the putative functional role of ATRAP in cardiac hypertrophy by angiotensin II infusion in vivo. We first examined the effect of angiotensin II infusion on endogenous ATRAP expression in the heart of C57BL/6J wild-type mice. The angiotensin II treatment promoted cardiac hypertrophy, concomitant with a significant decrease in cardiac ATRAP expression, but without significant change in cardiac angiotensin 11 type 1 receptor expression. We hypothesized that a downregulation of the cardiac ATRAP to angiotensin II type 1 receptor ratio is involved in the pathogenesis of cardiac hypertrophy. To examine this hypothesis, we next generated transgenic mice expressing ATRAP specifically in cardiomyocytes under control of the alpha-myosin heavy chain promoter. In cardiac-specific ATRAP transgenic mice, the development of cardiac hypertrophy, activation of p38 mitoen-activated protein kinase, and expression of hypertrophy-related genes in the context of angiotensin treatment were completely suppressed, in spite of there being no significant difference in blood pressure on radiotelemetry between the transgenic mice and littermate control mice. These results demonstrate that cardiomyocyte-specific overexpression of ATRAP in vivo abolishes the cardiac hypertrophy provoked by chronic angiotensin II infusion, thereby suggesting ATRAP to be a novel therapeutic target in cardiac hypertrophy. (Hypertension. 2010;55:1157-1164.)

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  • Female exhibited severe cognitive impairment in type 2 diabetes mellitus mice Reviewed International journal

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Fei Jing, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    LIFE SCIENCES   86 ( 17-18 )   638 - 645   2010.4

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    Aims: Sex-specific medicine has been highlighted as a different approach to the diagnosis and treatment of diseases between men and women. Type 2 diabetes has been reported to be a risk factor for cognitive impairment. Here, we investigated the sex difference in cognitive function associated with diabetes using KKAy mice.
    Main methods: Cognitive function was evaluated by shuttle avoidance test and Morris water maze test. Changes in gene expression in the brain were evaluated by PCR array and confirmed by quantitative RT-PCR. To evaluate the effect of estradiol, some female KKAy were ovariectomized and treated with or without estradiol.
    Key findings: In KKAy mice, female significantly exhibited impaired cognitive function compared with male, while there was no sex difference in these cognitive functions in C57BL6, wild-type mice. Female KKAy mice showed hyperinsulinemia, impaired glucose tolerance and increased oxidative stress compared with male KKAy mice. Female KKAy also showed a significant decrease in peroxisome proliferators-activated receptor (PPAR)-gamma expression in the brain compared with male KKAy. Estradiol treatment improved the insulin resistance and higher superoxide production, but failed to improve the cognitive task performance, serum insulin level and lower expression of PPAR-gamma.
    Significance: In diabetic mice, female showed significantly impaired cognitive function, with greater insulin resistance, lower expression of PPAR-gamma and higher superoxide production compared with male. Estrogen had little effect on cognitive function. These results indicate that a sex-specific approach to cognitive impairment is necessary for diabetic patients, especially for women. (C) 2010 Elsevier Inc. All rights reserved.

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  • The angiotensin II type 2 receptor in the brain Reviewed International journal

    Masatsugu Horiuchi, Masaki Mogi, Masaru Iwai

    JOURNAL OF THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM   11 ( 1 )   1 - 6   2010.3

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    Recent clinical studies indicate that blockade of the renin-angiotensin system is important to prevent stroke, and accumulating results of basic research also indicate the possible involvement of the central renin-angiotensin system in ischaemic brain damage and cognition. When the angiotensin II type 1 receptor is blocked by an angiotensin type 1 receptor blocker, unbound angiotensin II acts preferentially on the angiotensin II type 2 (AT(2)) receptor. These results suggest the pathophysiological importance of the AT(2) receptor in the clinical use of angiotensin type 1 receptor blockers, which are widely used in patients with hypertension with the expectation of a decrease in the onset of cardiovascular and cerebrovascular disease. We review here the possible roles of AT(2) receptor activation in the brain, focusing on ischaemic stroke, cognitive function and neurogenesis, and potential effects of specific AT(2) receptor agonists.

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  • Remote control of brain angiotensin II levels by angiotensin receptor blockers Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   33 ( 2 )   116 - 117   2010.2

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  • Angiotensin II type 1 receptor-associated protein prevents vascular smooth muscle cell senescence via inactivation of calcineurin/nuclear factor of activated T cells pathway Reviewed International journal

    Li-Juan Min, Masaki Mogi, Kouichi Tamura, Jun Iwanami, Akiko Sakata, Teppei Fujita, Kana Tsukuda, Fei Jing, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY   47 ( 6 )   798 - 809   2009.12

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    Emerging new research suggests that the functions of the angiotensin (Ang) II type 1 (AT(1)) receptor are regulated in a complex manner. AT(1) receptor-associated protein (ATRAP) has been reported to reduce AT(1) receptor signaling with enhancement of AT(1) receptor internalization and to regulate the calcineurin/nuclear factor of activated T cells (NFAT) pathway. We examined the possibility that ATRAP could attenuate AT(1) receptor-mediated vascular senescence via inactivation with the calcineurin/NFAT pathway. Ang II stimulation significantly increased senescence-associated beta-galactosidase (SA-beta-gal) -stained cells, oxidative stress, and expression of p53 and p21 in wild-type (WT) vascular smooth muscle cells (VSMC). Moreover, in WT VSMC, Ang II stimulation enhanced NFAT transcriptional activity, which was prevented by CAML-siRNA treatment. NFAT-siRNA treatment attenuated Ang-II-increased SA-beta-gal activity and p53 and p21 expression. Treatment with a calcineurin activity inhibitor, cyclosporin A, reduced Ang-II-induced NFAT transcriptional activity and senescent VSMC. In contrast, VSMC prepared from ATRAP transgenic (ATRAP-Tg) mice exhibited attenuation of Ang-II-induced SA-beta-gal activity, oxidative stress, NFAT transcriptional activity, and expression of p53 and p21. Moreover, ATRAP-Tg VSMC showed a more reduction of Ang-II-induced NFAT transcriptional activity by CAML-siRNA treatment than WT VSMC. Furthermore, we demonstrated that in ATRAP-Tg VSMC, NFAT activity and senescent cells induced by ultraviolet irradiation were decreased compared with those in WT VSMC. Treatment with an AT(1) receptor blocker, valsartan, blocked these senescent cells but did not change NFAT activity in both cells. These results suggest that ATRAP negatively regulates VSMC senescence by reducing AT(1) receptor signaling, and that ATRAP-mediated inactivation of the calcineurin/NFAT pathway could be at least partly involved in prevention of VSMC senescence, irrespective of AT(1) receptor blockade in some conditions. (C) 2009 Elsevier Inc. All rights reserved.

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  • Timp-3 deficiency impairs cognitive function in mice Reviewed International journal

    Yoshichika Baba, Osamu Yasuda, Yukihiro Takemura, Yasuyuki Ishikawa, Mitsuru Ohishi, Jun Iwanami, Masaki Mogi, Nobutaka Doe, Masatsugu Horiuchi, Nobuyo Maeda, Keisuke Fukuo, Hiromi Rakugi

    LABORATORY INVESTIGATION   89 ( 12 )   1340 - 1347   2009.12

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    Extracellular matrix (ECM) degradation is performed primarily by matrix metalloproteinases (MMPs). MMPs have recently been shown to regulate synaptic activity in the hippocampus and to affect memory and learning. The tissue inhibitor of metalloproteinase (Timp) is an endogenous factor that controls MMP activity by binding to the catalytic site of MMPs. At present, four Timp isotypes have been reported (Timp-1 through Timp-4) with 35-50% amino-acid sequence homology. Timp-3 is a unique member of Timp proteins in that it is bound to the ECM. In this study, we used the passive avoidance test, active avoidance test, and water maze test to examine the cognitive function in Timp-3 knockout (KO) mice. Habituation was evaluated using the open-field test. The water maze test showed that Timp-3 KO mice exhibit deterioration in cognitive function compared with wild-type (WT) mice. The open-field test showed decreased habituation of Timp-3 KO mice. Immunostaining of brain slices revealed the expression of Timp-3 in the hippocampus. In situ zymography of the hippocampus showed increased gelatinolytic activity in Timp-3 KO mice compared with WT mice. These results present the first evidence of Timp-3 involvement in cognitive function and hippocampal MMP activity in mice. Moreover, our findings suggest a novel therapeutic target to be explored for improvement of cognitive function in humans. Laboratory Investigation (2009) 89, 1340-1347; doi:10.1038/labinvest.2009.101; published online 5 October 2009

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  • Sex-different effect of angiotensin II type 2 receptor on ischemic brain injury and cognitive function Reviewed International journal

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Teppei Fujita, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    BRAIN RESEARCH   1300   14 - 23   2009.11

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    We previously reported that angiotensin II type 2 (AT(2)) receptor signaling prevents neural damage and cognitive impairment after focal cerebral ischemia. We investigated the possible roles of the AT(2) receptor in the sex difference, focusing on cognitive function and ischemic brain damage using AT(2) receptor-deficient mice (Agtr2(-)). In Agtr2(-), spatial memory evaluated by the Morris water maze test was impaired in female compared with that in male Aytr2(-) and female wild-type (Agtr2(+)), while no significant sex-different change was observed in Agtr2(+). Interestingly, bromodeoxyuridine incorporation assay showed a significant decrease of hippocampal neurogenesis in female Agtr2(-) compared with that in female Agtr2(+). In contrast, ischemic area after middle cerebral artery (MCA) occlusion was significantly increased in male compared with female mice in Agtr2(-), while no significant sex-different change was observed in Agtr2(+). Male Agtr2(-) mice showed higher AT, receptor expression and significantly impaired cerebral blood flow (CBF) in the ipsilateral side 24 hours after MCA occlusion compared with female Agtr2(-) mice. In conclusion, deletion of the AT(2) receptor showed a sex-different effect such as a severe cognitive impairment with a decrease of hippocampal neurogenesis in females and a larger ischemic brain damage with a decrease of CBF in males. (C) 2009 Elsevier B.V. All rights reserved.

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  • Learning a lesson from the past Reviewed International journal

    Masaki Mogi

    HYPERTENSION RESEARCH   32 ( 11 )   936 - 937   2009.11

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  • 2型糖尿病モデルマウスの耐糖能異常と脂肪組織変化に対するカルシウムチャネルブロッカーの改善作用

    岩井 將, 稲葉 慎二, 菅野 晴美, 古野 めぐみ, 中岡 裕智, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   245 - 245   2009.10

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  • Cognitive Deficit in Amyloid-beta-Injected Mice Was Improved by Pretreatment With a Low Dose of Telmisartan Partly Because of Peroxisome Proliferator-Activated Receptor-gamma Activation Reviewed International journal

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Li-Juan Min, Akiko Sakata, Fei Jing, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   782 - 787   2009.10

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    The pathological hallmark of Alzheimer disease is deposition of amyloid-beta protein (A beta) in the brain. Telmisartan is a unique angiotensin II receptor blocker with peroxisome proliferator-activated receptor-gamma (PPAR-gamma) stimulating activity. Activation of PPAR-gamma is expected to prevent inflammation and A beta accumulation in the brain. We investigated the possible preventive effect of telmisartan on cognitive decline in an Alzheimer disease mouse model via PPAR-gamma activation. Here, male ddY mice underwent ICV injection of A beta 1-40. Cognitive function was evaluated by the Morris water maze test. A low dose of telmisartan (0.35 mg/kg per day) was administered in drinking water with or without GW9662, a PPAR-gamma antagonist. Cerebral blood flow was evaluated by laser speckle flowmetry. Inflammatory cytokine levels were measured by quantitative RT-PCR. A beta 1-40 ICV injection significantly impaired cognitive function. Pretreatment with telmisartan improved this cognitive decline to a similar level to that in control mice. Cotreatment with GW9662, a PPAR-gamma antagonist, attenuated this telmisartan-mediated improvement of cognition. Treatment with telmisartan enhanced cerebral blood flow and attenuated the A beta-induced increase in expression of cytokines, such as tumor necrosis factor-alpha and inducible NO synthase in the brain. Interestingly, coadministration of GW9662 cancelled these beneficial effects of telmisartan. A beta 1-40 concentration in the brain was significantly decreased by treatment with telmisartan, whereas administration of GW9662 attenuated the decrease in telmisartan-mediated A beta 1-40 concentration. Taken together, our findings suggest that even a low dose of telmisartan had a preventive effect on cognitive decline in an Alzheimer disease mouse model, partly because of PPAR-gamma activation. (Hypertension. 2009; 54: 782-787.)

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  • アルツハイマー病モデルマウスにおける認知機能低下に対するテルミサルタンの効果

    佃 架奈, 茂木 正樹, 岩波 純, 坂田 暁子, 閔 莉娟, 景 斐, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   323 - 323   2009.10

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  • アンジオテンシンII 1型受容体関連タンパク(ATRAP)はcalcineurin/NFAT系の活性を減弱して血管平滑筋細胞の老化を抑制する

    景 斐, 茂木 正樹, 閔 莉娟, 岩波 純, 佃 架奈, 坂田 暁子, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   236 - 236   2009.10

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  • 糖尿病による認知機能と虚血性脳障害における性差 2型糖尿病モデルマウスを用いた検討

    坂田 暁子, 茂木 正樹, 岩波 純, 佃 架奈, 閔 莉娟, 景 斐, 岩井 將, 伊藤 昌春, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   173 - 173   2009.10

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  • アストロサイトを介したレニン・アンジオテンシン系による後根神経節細胞障害の促進作用

    閔 莉娟, 茂木 正樹, 岩波 純, 坂田 暁子, 景 斐, 佃 架奈, 岩井 将, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   243 - 243   2009.10

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  • テルミサルタンはPPARγの活性化を介して糖尿病マウスにおける脳傷害を軽減する

    岩波 純, 茂木 正樹, 閔 莉娟, 佃 架奈, 坂田 暁子, 景 斐, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   243 - 243   2009.10

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  • 高血圧モデルマウスにおけるL-NAMEによる心肥大の増強効果 ヒトレニン・アンジオテンシノーゲントランスジェニックマウスを用いた検討

    稲葉 慎二, 岩井 將, 菅野 晴美, 古野 めぐみ, 中岡 裕智, 岡山 英樹, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   256 - 256   2009.10

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  • Effects of angiotensin II receptor blockers on dementia Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   32 ( 9 )   738 - 740   2009.9

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    The renin-angiotensin system (RAS) is involved in pathological mechanisms of target organ damage as well as the induction of hypertension; therefore, blockade of the RAS has been expected to prevent cardiovascular and cerebrovascular diseases beyond its antihypertensive effects. In spite of the well-characterized role of angiotensin (Ang) II receptor blockers (ARBs) in preventing the onset and recurrence of stroke, the clinical evidence for an effect of ARBs on dementia has not been definitive. However, preliminary experiments raise the possibility that treatment using ARBs may prevent ischemic brain damage and cognitive impairment. Moreover, recent reports have shown that some ARBs prevent amyloid beta deposition in the brain and attenuate cognitive impairment in Alzheimer disease models. Furthermore, recent cohort studies indicate that lower incidence of Alzheimer disease is observed in elderly individuals treated with ARBs. These results indicate a beneficial role for ARBs in cognitive impairment associated with vascular disease, Alzheimer disease, metabolic syndrome and other neurodegenerative diseases. Here, we review the effects of ARBs on the brain with a focus on dementia and future therapeutic approaches for elderly people suffering from disabilities. Hypertension Research (2009) 32, 738-740; doi: 10.1038/hr.2009.110

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  • Improvement of glucose intolerance by combination of pravastatin and olmesartan in type II diabetic KK-A(y) mice Reviewed International journal

    Harumi Kanno, Masaru Iwai, Shinji Inaba, Izumi Senba, Hirotomo Nakaoka, Hisako Sone, Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   32 ( 8 )   706 - 711   2009.8

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    The effects of the coadministration of pravastatin and an angiotensin type 1 (AT(1)) receptor blocker, olmesartan, on glucose intolerance were examined using type II diabetic mice. Male KK-A(y) mice (8 weeks of age) were treated with pravastatin and/or olmesartan for 2 weeks. An oral glucose tolerance test (OGTT) was performed with an administration of 2 g kg(-1) glucose. Tissue glucose uptake was determined using 2-[H-3] deoxyglucose. The treatment of mice with pravastatin attenuated the increase in the plasma glucose level during OGTT in a dose-dependent manner, without affecting the plasma insulin level. Pravastatin increased glucose uptake in insulin-sensitive tissue such as the skeletal muscle and adipose tissue after treatment at 5-20 mg kg(-1) day(-1) for 2 weeks, but not at 1 mg kg(-1) day(-1). The combination of a noneffective dose of pravastatin (1 mg kg(-1) day(-1)) and a noneffective dose of olmesartan (0.5 mg kg(-1) day(-1)) synergistically improved OGTT without affecting the plasma insulin level. This combination also increased 2-[3H] deoxyglucose uptake in the skeletal muscle and adipose tissue. The effects of pravastatin or olmesartan on OGTT and tissue 2-[3H] deoxyglucose uptake were significantly enhanced by an antioxidant, tempol, whereas the effects of a pravastatin-olmesartan combination were not further enhanced by tempol. These results indicate that the combination of pravastatin and olmesartan synergistically improves glucose intolerance through an increase in tissue glucose uptake. The effects seem to be mediated by an increase in insulin sensitivity through the inhibition of oxidative stress. Hypertension Research (2009) 32, 706-711; doi:10.1038/hr.2009.81; published online 29 May 2009

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  • AT(2) Receptor Deficiency Attenuates Adipocyte Differentiation and Decreases Adipocyte Number in Atherosclerotic Mice Reviewed International journal

    Masaru Iwai, Yumiko Tomono, Shinji Inaba, Harumi Kanno, Izumi Senba, Masaki Mogi, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   22 ( 7 )   784 - 791   2009.7

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    BACKGROUND
    Previous reports indicated that blockade of AT, receptor stimulation attenuated adipocyte dysfunction. However, the effects of AT(2) receptor stimulation on adipose tissue were not yet clear. In the present study, we examined the adipose tissue dysfunction in atherosclerotic apolipoprotein E knockout (ApoEKO) mice with AT(2) receptor deficiency.
    METHODS
    Male ApoEKO and AT(2) receptor/ApoE knockout (AT(2)/ApoEKO) mice at 6 weeks of age were treated with a normal diet or a high-cholesterol diet (HCD: 1.25% cholesterol). Markers for adipocyte differentiation and inflammation in adipose tissue were assayed with real-time reverse-transcription-PCR and western blot.
    RESULTS
    Compared with ApoEKO mice, AT(2)/ApoEKO mice with a normal diet showed only a decrease in expression of adiponectin and CCAAT/enhancer binding protein delta (C/EBP delta) in epididymal adipose tissue without changes in body weight, adipose tissue weight, and adipocyte number even at 6 months of age. After HCD for 4 weeks, the weight of both epididymal and retroperitoneal adipose tissue in AT(2)/ApoEKO mice was greater than that in ApoEKO mice without a change in body weight. Plasma concentrations of cholesterol and fatty acids were higher in AT2/ApoEKO mice than in ApoEKO mice. In adipose tissue of AT(2)/ApoEKO mice, the adipocyte number was decreased and the expression of peroxisome proliferator-activated receptor gamma(PPAR gamma), C/EBP alpha, and aP2 was lower than that in ApoEKO mice, in association with an increase in nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity.
    CONCLUSIONS
    These results suggest that AT 2 receptor stimulation in adipose tissue is involved in the improvement of adipocyte differentiation and adipose tissue dysfunction in atherosclerotic model.

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  • Inhibition of the renin-angiotensin system and target organ protection Reviewed International journal

    Jun Iwanami, Masaki Mogi, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   32 ( 4 )   229 - 237   2009.4

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    The renin-angiotensin system (RAS) is involved in the pathological mechanisms of target organ damage, as well as in the induction of hypertension. RAS inhibition by angiotensin converting enzyme (ACE) inhibitors and angiotensin (Ang) II receptor blockers can prevent tissue damage by inhibition of Ang II type 1 receptor signaling. A beneficial effect of RAS inhibition on the heart, vasculature and kidney in cardiovascular disease has been reported. However, RAS inhibition can also prevent fibroproliferative diseases and damage of other tissues, such as brain, adipose tissue and muscle, because local RAS has an important role in tissue damage compared with circulating RAS. Moreover, other players, such as Ang II type 2 receptor signaling, aldosterone and ACE2 have been highlighted. Furthermore, there has also been a focus on the emerging concept of regulation of RAS, such as receptor-interacting proteins and receptor modifications, in the new discovery of therapeutic agents for tissue protection. The RAS has a pivotal role in various target organ damage, with complicated mechanisms; therefore, blockade of RAS may be therapeutically effective in preventing organ damage, as well as in having an antihypertensive effect. Hypertension Research (2009) 32, 229-237; doi: 10.1038/hr.2009.5; published online 27 February 2009

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  • Attenuation of Cuff-Induced Neointimal Formation by Overexpression of Angiotensin II Type 2 Receptor-Interacting Protein 1 Reviewed International journal

    Teppei Fujita, Masaki Mogi, Li-Juan Min, Jun Iwanami, Kana Tsukuda, Akiko Sakata, Hideki Okayama, Masaru Iwai, Clara Nahmias, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   53 ( 4 )   688 - U181   2009.4

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    Recently we have cloned angiotensin II type 2 receptor-interacting protein 1 (ATIP1) as a novel protein that interacts specifically with the C-terminal tail of the angiotensin II type 2 receptor; however, the pathophysiological roles of ATIP1 in vascular remodeling are still unknown. Here, we generated ATIP1-transgenic (ATIP1-Tg) mice expressing mouse ATIP1 and investigated the role of ATIP1 in vascular remodeling using these transgenic mice. ATIP1-Tg mice exhibited no significant difference in blood pressure compared with wild-type (WT) mice. Angiotensin II type 2 receptor mRNA expression in the femoral artery was increased in injured femoral arteries, reaching a peak at 7 days after operation in WT mice, and a similar result of angiotensin II type 2 receptor expression was observed in ATIP1-Tg mice. In ATIP1-Tg mice, neointimal formation of the femoral artery 14 days after cuff placement was significantly smaller than that in WT mice. 5-Bromo-2&apos;-deoxyuridine incorporation was significantly reduced in the injured arteries of ATIP1-Tg mice compared with WT mice. In ATIP1-Tg mice, superoxide anion production and the expression of a proinflammatory cytokine, tumor necrosis factor-alpha, were markedly attenuated. Moreover, cell proliferative signaling, such as extracellular signal-regulated kinase phosphorylation, was significantly attenuated in ATIP1-Tg mice compared with WT mice. Taken together, these results suggest that ATIP1 plays an important role in cuff-induced vascular remodeling in mice. (Hypertension. 2009;53:688-693.)

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  • Signaling mechanisms of angiotensin II in regulating vascular senescence Reviewed International journal

    Li-Juan Min, Masaki Mogi, Masaru Iwai, Masatsugu Horiuchi

    AGEING RESEARCH REVIEWS   8 ( 2 )   113 - 121   2009.4

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    Angiotensin (Ang) II, the major effector of the rennin-angiotensin-aldosterone system (RAAS), has multiple functions in regulating cardiovascular hemodynamics and structure. Recent evidence strongly supports that Ang II promotes the onset and progression of vascular senescence, which is associated with vascular functional and structural changes, contributing to age-related vascular diseases. The vast majority of the cardiovascular actions of Ang II, including vascular senescence, are mediated by the Ang II type-1 (AT(1)) receptor. Similar to its growth-promoting process, the signaling mechanisms of AT(1) receptor-mediated vascular senescence-promoting effects involve activation of small G-protein Ras such as Ki-ras2A, mitogen-activated protein kinases (MAPK) such as extracellular signal-regulated kinase 1/2, and transcription factors including nuclear factor (NF)-kappa B and activator protein (AP)-1, and increased generation of reactive oxygen species. Moreover, AT(1) receptor stimulation has been suggested to inactivate cyclin-dependent kinase complexes by up-regulation of cell cycle regulators such as p53 and p21, resulting in cellular senescence. Furthermore, the interaction between Ang II and aldosterone (Aldo) in their contribution to cardiovascular pathophysiology has been highlighted. Aldo can interact with Ang II signaling via a genomic mechanism mediated by the mineralocorticoid receptor (MR). Aldo via MR couples with the AT(1) receptor to elicit the Ras/NF-kappa B, AP-1/p53/p21 pathway involving oxidative stress, leading to synergistic promotion of vascular senescence. Although the precise mechanisms controlling cellular senescence are currently poorly understood, this article reviews recent findings on the signaling mechanisms elicited by RAAS from the perspective of AT, receptor blockers and/or MR blockers in the treatment of age-related vascular diseases. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

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  • [New insights of ARB in central nervous system]. Reviewed

    Mogi M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   67 ( 4 )   735 - 741   2009.4

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    Renin angiotensin aldosterone system (RAAS) in the central nervous system (CNS) and therapeutical effects of angiotensin II receptor blockers (ARBs) have been highlighted. In stroke, clinical trials exhibit to prevent primary onset or recurrence of stroke beyond anti-hypertensive effect, inhibition of atrial fibrillation and diabetes mellitus. ARB could be also expected to prevent cognitive impairment induced by such as Alzheimer disease, stroke and metabolic syndrome; however, clinical evidence has not been revealed to date. Angiotensin II levels in cerebrospinal fluid in patients with neurodegenerative diseases such as multiple sclerosis and amyotrophic lateral sclerosis is reduced, suggesting the role of RAAS in neural intractable diseases. These findings will provide us new therapeutic approaches of ARB in CNS disorder in t hefuture.

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  • New insights into the regulation of angiotensin receptors Reviewed International journal

    Masaki Mogi, Masaru Iwai, Masatsuglu Horiuchi

    CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION   18 ( 2 )   138 - 143   2009.3

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    Purpose of review
    Angiotensin (Ang) II exerts its important physiological functions through two distinct receptor subtypes, type 1 (AT,) and type 2 (AT(2)) receptors. Recently, evidence has accumulated showing new mechanisms of regulation of Ang II receptor subtype functions beyond the classical actions of receptors for Ang II. These emerging concepts of regulation of Ang II receptors and a new insight into future drug discovery are discussed in this review.
    Recent findings
    New paradigms concerning functional regulation of the Ang receptors such as dimerization of Ang II receptors or other receptors and several novel receptor interacting proteins that interact with the intracellular C-terminal domain of the Ang II receptor have been reviewed, especially in terms of the pathophysiological roles of Ang II receptor functions. Moreover, ligand-independent receptor activation systems such as mechanical stretch for the AT, receptor and agonistic antibodies against the AT, receptor have also been highlighted.
    Summary
    Recently, new evidence has accumulated showing the existence of several novel receptor interacting proteins and various Ang II receptor activation mechanisms such as dimerization and mechanical stretch-induced activation, which differ from classical Ang II receptor signaling. These findings may provide new potent therapeutic targets for the treatment of cardiovascular disease.

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  • Prevention of Vascular Injury by Combination of an AT(1) Receptor Blocker, Olmesartan, With Various Calcium Antagonists Reviewed International journal

    Shinji Inaba, Masaru Iwai, Yumiko Tomono, Izumi Senba, Megumi Furuno, Harumi Kanno, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   22 ( 2 )   145 - 150   2009.2

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    BACKGROUND
    A combination of different types of antihypertensive drugs is widely used for the treatment of hypertension. We examined the inhibitory effects of a combination of an AT(1) receptor blocker (ARB), olmesartan, with various calcium channel blockers (CCBs) on inflammatory vascular remodeling.
    METHODS
    Inflammatory vascular remodeling was induced by polyethylene-cuff placement around the femoral artery of C57BL/6J mice at 10 weeks of age. Olmesartan (0.5 mg/kg/day) was administered intraperitoneally using an osmotic minipump. CCBs (nifedipine 1.0 mg/kg/day, amlodipine 0.1 mg/kg/day, azelnidipine 0.1 mg/kg/day), and hydrochlorothiazide (HCTZ 0.5 mg/kg/day) were administered orally.
    RESULTS
    In the injured artery, superoxide anion production and expression of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunits P47(phox) and Rac-1 were markedly increased, together with expression of monocyte chemotactic protein-1 (MCP-1) 1and tumor necrosis factor (TNF)-alpha. Administration of a single drug alone at each concentration did not significantly inhibit these changes in the injured artery. However, a combination of olmesartan with various CCBs inhibited neointimal formation as well as oxidative stress and inflammatory markers in the injured artery. Moreover, among these CCBs, inhibition of these markers by olmesartan with azelnidipine was stronger than that caused by a combination with other CCBs. On the other hand, a combination of subeffective doses of olmesartan and HCTZ did not significantly affect vascular changes after cuff placement.
    CONCLUSIONS
    These results suggest that the combination of ARB with CCB synergistically inhibits vascular remodeling and that the inhibitory actions of ARB on vascular remodeling may vary depending on the combined CCB.

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  • Continuous Activation of Renin-Angiotensin System Impairs Cognitive Function in Renin/Angiotensinogen Transgenic Mice Reviewed International journal

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Yumiko Tomono, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   53 ( 2 )   356 - 362   2009.2

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    We examined the possibility that continuous activation of the human brain renin-angiotensin system causes cognitive impairment, using human renin (hRN) and human angiotensinogen (hANG) gene chimeric transgenic (Tg) mice. Cognitive function was evaluated by the shuttle avoidance test once a week from 10 to 20 weeks of age. The avoidance rate in wild-type mice gradually increased. In contrast, the avoidance rate in chimeric hRN/hANG-Tg mice also increased; however, no further increase in avoidance rate was observed from 14 weeks of age, and it decreased thereafter. Cerebral surface blood flow was markedly reduced in 20-week-old hRN/hANG-Tg mice. Superoxide anion production in the brain was already higher in 10-week-old hRN/hANG-Tg mice and further increased thereafter with an increase in NADPH oxidase activity. Moreover, expression of p47(phox) and Nox4 in the brain of hRN/hANG-Tg mice also increased. Administration of an angiotensin II type 1 receptor blocker, olmesartan (5.0 mg/kg per day), attenuated the increase in blood pressure and ameliorated cognitive decline with enhancement of cerebral surface blood flow and a reduction of oxidative stress in hRN/hANG-Tg mice. On the other hand, hydralazine (0.5 mg/kg per day) did not improve the decrease in avoidance rate, and did not influence cerebral surface blood flow or oxidative stress in hRN/hANG-Tg mice, in spite of a similar reduction of blood pressure to that by olmesartan. Moreover, we observed that treatment with Tempol improved impaired cognitive function in hRN/hANG-Tg mice. These results suggest that continuous activation of the brain renin-angiotensin system impairs cognitive function via stimulation of the angiotensin II type 1 receptor with a decrease in cerebral surface blood flow and an increase in oxidative stress. (Hypertension. 2009; 53[part 2]: 356-362.)

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  • Exaggeration of Focal Cerebral Ischemia in Transgenic Mice Carrying Human Renin and Human Angiotensinogen Genes Reviewed International journal

    Shinji Inaba, Masaru Iwai, Yumiko Tomono, Izumi Senba, Megumi Furuno, Harumi Kanno, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    STROKE   40 ( 2 )   597 - 603   2009.2

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    Background and Purpose-We examined the possibility that activation of the human brain renin-angiotensin system is involved in enhancement of ischemic brain damage using chimeric transgenic mice with human renin (hRN) and human angiotensinogen (hANG) genes.
    Methods-Chimeric (hRN/hANG-Tg) mice were generated by mating of hRN and hANG transgenic mice. Permanent occlusion of the middle cerebral artery (MCA) by an intraluminal filament technique induced focal ischemic brain lesions.
    Results-hRN/hANG-Tg mice showed higher angiotensin II levels in the plasma and brain. The ischemic brain area at 24 hours after MCA occlusion was significantly enlarged in hRN/hANG-Tg mice with an enhanced neurological deficit compared to that in wild-type, hRN-Tg and hANG-Tg mice. The reduction of cerebral blood flow in the periphery region of the MCA territory after MCA occlusion was markedly exaggerated in hRN/hANG-Tg mice. Superoxide anion production in the brain and arteries was also increased significantly in hRN/hANG-Tg mice even before MCA occlusion and was further enhanced after MCA occlusion. Treatment with an AT(1) receptor blocker, valsartan (3.0 mg/kg per day), for 2 weeks significantly reduced the ischemic brain area and improved the neurological deficit after MCA occlusion in hRN/hANG-Tg mice, similar to those in wild-type, hRN-Tg, and hANG-Tg mice, with restoration of cerebral blood flow in the peripheral region and decreases in superoxide anion production and blood pressure.
    Conclusions-These results indicate that activation of the human renin-angiotensin system exaggerates ischemic brain damage mainly through stimulation of the AT1 receptor and marked reduction of cerebral blood flow and enhanced oxidative stress. (Stroke. 2009;40:597-603.)

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  • The choice of antihypertensive agents for patients with stroke or cognitive impairment : Implication in brain renin angiotensin system

    MOGI Masaki, HORIUCHI Masatsugu

    Jpn. J. Stroke   30 ( 6 )   881 - 885   2008.11

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    Blockade of renin angiotensin system (RAS) is effective to prevent onset of stroke. However, the detailed mechanism is still an enigma. Here we discuss about the role of RAS in brain damage after stroke and cognitive decline associated with metabolic syndrome. Increase in angiotensin II in the brain enhanced ischemic damage after middle cerebral artery occlusion. On the other hand, temporal blockade of RAS even after cessation of angiotensin II type-1 receptor blocker (ARB) treatment prevented brain damage with increase capillary density in the brain. Angiotensin II type-2 (AT<sub>2</sub>) receptor signaling contributes to protect brain via enhancement of neural differentiation. Moreover, AT<sub>2</sub> receptor signaling in the other tissue also contributes to brain protection. For example, bone marrow stromal cells (MSCs) have been expected to improve the brain damage by transplantation after stroke; however, MSCs prepared from AT<sub>2</sub> receptor deficient mice could not improve survival rate in mice after ischemia-reperfusion injury. Finally, cognitive impairment observed in type 2 diabetic model mice and mice fed with metabolic syndrome prone diet was prevented by treatment with nonhypotensive dose of ARBs. These results suggest that regulation of RAS by ARB could be a therapeutical benefit to prevent brain damage in patients with hypertension.<br>

    DOI: 10.3995/jstroke.30.881

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  • Telmisartan prevented cognitive decline partly due to PPAR-gamma activation Reviewed International journal

    Masaki Mogi, Jian-Mei Li, Kana Tsukuda, Jun Iwanami, Li-Juan Min, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS   375 ( 3 )   446 - 449   2008.10

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    Telmisartan is a unique angiotensin receptor blocker (ARB) and partial agonist of peroxisome proliferator-activated receptor (PPAR)-gamma, Here, we investigated the preventive effect of telmisartan on cognitive decline in Alzheimer disease. In ddY mice, intracerebroventricular injection of A beta 1-40 significantly attenuated their cognitive function evaluated by shuttle avoidance test. Pretreatment with a non-hypotensive dose of telmisartan significantly inhibited such cognitive decline. Interestingly, co-treatment with GW9662. a PPAR-gamma antagonist, partially inhibited this improvement of cognitive decline. Another ARB, losartan, which has less PPAR-gamma agonistic effect, also inhibited A beta-injection-induced cognitive decline; however the effect was smaller than that of telmisartan and was not affected by GW9662. Immunohistochemical staining for A beta showed the reduced A beta deposition in telmisartan-treated mice. However, this reduction was not observed in mice co-administered GW9662. These findings Suggest that ARB has a preventive effect on cognitive impairment in Alzheimer disease, and telmisartan, with PPAR-gamma activation, Could exert a stronger effect. (C) 2008 Elsevier Inc. All rights reserved.

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  • テルミサルタンは糖尿病モデルマウスにおいてPPARγの活性化を介して脳血管障害を軽減する

    岩波 純, 茂木 正樹, 李 健梅, 閔 莉娟, 佃 架奈, 坂田 暁子, 藤田 鉄平, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   266 - 266   2008.10

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  • 多発性硬化症患者の脳脊髄液におけるレニン・アンジオテンシン系

    佃 架奈, 茂木 正樹, 岩波 純, 閔 莉娟, 坂田 暁子, 藤田 鉄平, 岩井 將, 三木 哲郎, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   192 - 192   2008.10

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  • アンジオテンシンII2型受容体相互作用タンパク(ATIP)を過剰発現したマウスではカフによる炎症性血管傷害誘導性の新生内膜形成が抑制される

    藤田 鉄平, 茂木 正樹, 佃 架奈, 閔 莉娟, 李 健梅, 岩波 純, 坂田 暁子, 岡山 英樹, 岩井 將, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   338 - 338   2008.10

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  • AT2受容体のシグナルの欠如により、認知機能や脳血管障害に性差が誘導される

    坂田 暁子, 茂木 正樹, 岩波 純, 佃 架奈, 李 健梅, 閔 莉娟, 藤田 鉄平, 岩井 將, 伊藤 昌春, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   267 - 267   2008.10

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  • 2型糖尿病モデルのインスリン抵抗性及び脂肪組織に対する直接的レニン阻害薬アリスキレンの作用

    岩井 將, 菅野 晴美, 稲葉 慎二, 古野 めぐみ, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   160 - 160   2008.10

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  • 動脈硬化マウスの脂肪細胞分化に及ぼすAT2受容体の役割 遺伝子改変マウスを用いた研究

    岩井 將, 菅野 晴美, 稲葉 慎二, 古野 めぐみ, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   337 - 337   2008.10

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  • 脳内レニン・アンジオテンシン系活性化による認知機能障害と早期ARB投与による抑制作用 ヒトレニン・アンジオテンシノーゲントランスジェニックマウスを用いた検討

    稲葉 慎二, 岩井 將, 古野 めぐみ, 菅野 晴美, 岡山 英樹, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   31回   193 - 193   2008.10

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  • Effect of angiotensin II receptor blocker on tissue expression balance between angiotensin II receptor and its inhibitory binding molecule ATRAP Reviewed

    Atsuichiro Shigenaga, Kouichi Tamura, Hiromichi Wakui, Koichi Azuma, Shinichiro Masuda, Motoko Ozawa, Toru Dejima, Miyuki Matsuda, Yuko Tsurumi-Ikeya, Kazuaki Uchino, Kazuo Kimura, Satoshi Umemura

    HYPERTENSION   52 ( 4 )   E53 - E53   2008.10

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    DOI: 10.1161/HYPERTENSIONAHA.108.117341

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  • Effect of olmesartan on tissue expression balance between angiotensin II receptor and its inhibitory binding molecule Reviewed International journal

    Atsu-ichiro Shigenaga, Kouichi Tamura, Hiromichi Wakui, Shin-ichiro Masuda, Koichi Azuma, Yuko Tsurumi-Ikeya, Motoko Ozawa, Masaki Mogi, Miyuki Matsuda, Kazuaki Uchino, Kazuo Kimura, Masatsugu Horiuchi, Satoshi Umemura

    HYPERTENSION   52 ( 4 )   672 - 678   2008.10

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    We previously cloned a novel molecule interacting with angiotensin II (Ang II) type 1 receptor protein (ATRAP) and showed it to be an endogenous inhibitor of Ang II type 1 receptor signaling in cardiovascular cells. In this study, we tested a hypothesis that the balance of tissue expression of ATRAP and Ang II type 1 receptor is regulated in a tissue-specific manner during the development of hypertension and related cardiac hypertrophy. Concomitant with blood pressure increase and cardiac hypertrophy in spontaneously hypertensive rats, there was a constitutive decrease in the ratio of cardiac expression of ATRAP to Ang II type 1 receptor. However, treatment with olmesartan, an Ang II type 1 receptor-specific antagonist, either at a depressor or subdepressor dose, recovered the suppressed cardiac ATRAP to Ang II type 1 receptor ratio, which was accompanied by a decrease in Ang II type 1 receptor density, an inhibition of p38 mitogen-activated protein kinase activity, and a regression of cardiac hypertrophy. Furthermore, Ang II stimulation suppressed the ATRAP to Ang II type 1 receptor ratio with hypertrophic responses in both the cardiomyocytes and rat hearts. These findings show a tissue-specific regulatory balancing of the expression of ATRAP and Ang II type 1 receptor during the development of hypertension and cardiac remodeling and further suggest that the upregulation of the tissue ATRAP to Ang II type 1 receptor ratio may be one of the therapeutic benefits of olmesartan beyond its blood pressure-lowering effect.

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  • New Insight of Angiotensin II Receptor Blocker Treatment in Cardiac Dysfunction Using Angiotensin-Converting Enzyme 2-Deficient Mice Reviewed International journal

    Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   31 ( 10 )   1833 - 1834   2008.10

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    DOI: 10.1291/hypres.31.1833

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  • Deletion of angiotensin II type 2 receptor attenuates protective effects of bone marrow stromal cell treatment on ischemia-reperfusion brain injury in mice Reviewed International journal

    Jun Iwanami, Masaki Mogi, Jian-Mei Li, Kana Tsukuda, Li-Juan Min, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    STROKE   39 ( 9 )   2554 - 2559   2008.9

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    Background and Purpose-Protective effects of bone marrow stromal cells (MSCs) on ischemic brain damage have been highlighted. We examined the possibility that deletion of AT(2) receptor could attenuate the cerebroprotective effects of MSC using AT(2) receptor-deficient mice (Agtr2(-)) and the effect of selective AT(1) receptor blocker.
    Methods-Wild-type mice (Agtr2(+)) were subjected to 3 hours of focal brain ischemia followed by reperfusion (ischemia-reperfusion injury). Simultaneously, Agtr2(+) -MSC, Agtr2(-) -MSC, or saline was injected through the tail vein.
    Results-Survival rates at 6 days after ischemia-reperfusion injury were as follows: approximately 50% in saline-injected mice, 80% in Agtr2(+) -MSC-injected mice, and 20% in Agtr2(-) -MSC-injected mice. Neurological deficit after ischemia-reperfusion injury was improved in Agtr2(+) -MSC-injected mice, but not in Agtr2(+) -MSC-injected mice. After 48 hours of ischemia-reperfusion injury, brain infarct size was reduced in Agtr2(+) -MSC-injected mice, but not in Agtr2(-) -MSC-injected mice. Moreover, brain edema was significantly ameliorated in Agtr2(+)- MSC-treated mice but not in Agtr2(-) -MSC-treated mice. Furthermore, the increase in mRNA expression of tumor necrosis factor-alpha and monocyte chemoattractant protein-1 in the ischemic brain was less in Agtr2(+) -MSC-treated mice in the ipsilateral site, but was similar in the contralateral hemisphere. Tumor necrosis factor-alpha level was increased in both the contralateral hemisphere and ipsilateral hemisphere of Agtr2(-) -MSC-treated mice. In contrast, monocyte chemoattractant protein-1 levels tended to increase Agtr2(-) MSC-treated mice without a significant difference. Treatment of MSC with an AT(1) receptor blocker, valsartan, significantly improved survival rates in Agtr2(-) -MSC-injected mice.
    Conclusions-These results suggest that AT(2) receptor signaling in MSC attenuated brain damage and neurological deficit (deleted).

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  • Temporary pretreatment with the angiotensin II type 1 receptor blocker, valsartan, prevents ischemic brain damage through an increase in capillary density Reviewed International journal

    Jian-Mei Li, Masaki Mogi, Jun Iwanami, Li-Juan Min, Kana Tsukuda, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    STROKE   39 ( 7 )   2029 - 2036   2008.7

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    Background and Purpose - We investigated the effect of temporary treatment with a nonhypotensive dose of valsartan on ischemic brain damage in C57BL/6 mice.
    Methods - We separated the mice into 3 groups of valsartan treatment before middle cerebral artery (MCA) occlusion: (1) for 4 weeks: Val (2W, 2W); (2) for 2 weeks followed by its cessation for 2 weeks: Val (2W, -); and (3) no treatment for 4 weeks: Val (-, -).
    Results - Ischemic volume, DNA damage, superoxide production, and mRNA levels of monocyte chemoattractant protein-1 and tumor necrosis factor-alpha on the ipsilateral side after 24 hours of MCA occlusion were significantly reduced in both Val (2W, 2W) and Val (2W, -) mice compared with those in Val (-, -) mice, whereas these parameters were larger in Val (2W, -) mice than in Val (2W, 2W) mice. Moreover, mice in both the Val (2W, 2W) and Val (2W, -) groups exhibited an increase in cerebral blood flow in the peripheral territory of the MCA 1 hour after MCA occlusion, with increases in endothelial nitric oxide synthase activation and nitric oxide production. Before MCA occlusion, treatment with valsartan did not influence superoxide production or mRNA levels of monocyte chemoattractant protein-1 and tumor necrosis factor-alpha in the brain. However, the capillary density in the brain in both Val (2W, 2W) and Val (2W, -) mice was increased before MCA occlusion.
    Conclusions - Our results suggest that temporary valsartan treatment could protect against ischemic brain damage even after its cessation, at least in part due to an increase in capillary density.

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  • Angiotensin II type 2 receptor deletion enhances vascular senescence by methyl methanesulfonate sensitive 2 inhibition Reviewed International journal

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Jian-Mei Li, Akiko Sakata, Teppei Fujita, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   51 ( 5 )   1339 - 1344   2008.5

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    Vascular senescence is closely associated with age-related vascular disorders and is enhanced by angiotensin (Ang) II type 1 receptor stimulation. However, the role of Ang II type 2 receptor activation in vascular senescence is still an enigma. Ang II stimulation significantly increased senescence-associated beta-galactosidase activity and the level of 8-hydroxy-2'-deoxyguanosine, with enhancement of oxidative stress and expression of Ki-ras2A, p53, and p21 in vascular smooth muscle cells (VSMCs) from wild-type (Agtr2(+)) mice, whereas these effects of Ang II were enhanced in VSMCs from Ang II type 2 receptor null (Agtr2(-)) mice. Administration of an Ang II type 1 receptor blocker, valsartan, attenuated these parameters, with less effect in Agtr2(-) VSMCs. Ang II stimulation increased methyl methanesulfonate sensitive 2 (MMS2) expression in Agtr2(-) VSMCs but not in Agtr2(-) VSMCs. MMS2 small-interfering RNA treatment enhanced Ang II-induced senescence-associated beta-galactosidase activity and 8-hydroxy-2'-deoxyguanosine level with no significant changes in oxidative stress markers and the expression of Ki-ras2A, p53, and p21. Moreover, exposure of Agtr2(+) VSMCs to hydrogen peroxide and ultraviolet irradiation induced marked increases in senescence-associated beta-galactosidase activity and 8-hydroxy-2'-deoxyguanosine level, which were further enhanced in Agtr2(-) and MMS2 small-interfering RNA-treated Agtr2(+) VSMCs. Agtr2(+) mice exposed to x-ray irradiation showed increases in senescence-associated beta-galactosidase activity and 8-hydroxy-2'-deoxyguanosine level in the aorta, which were further exaggerated in the aorta of Agtr2(-) mice with a lower MMS2 level. These findings suggest that Ang II type 2 receptor signaling attenuates DNA damage and consequent vascular senescence at least in part through MMS2 transactivation and propose the beneficial effects of Ang II type 2 receptor stimulation with Ang II type 1 receptor blockers in age-related vascular disorders.

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  • Diabetes-associated cognitive impairment is improved by a calcium channel blocker, nifedipine Reviewed International journal

    Kana Tsukuda, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   51 ( 2 )   528 - 533   2008.2

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    Nifedipine, a calcium channel blocker, has been reported to exert pleiotropic effects on atherosclerosis, mainly through its antioxidative properties. However, the effect of the calcium channel blocker on cognitive impairment associated with type 2 diabetes mellitus is not well known. Here, we examined the possibility that a calcium channel blocker could improve cognitive function in a type 2 diabetic mouse model, KK-A(y). KK-A(y) mice subjected to 20 trials of a passive avoidance task every week from 7 weeks of age exhibited impairment of the increase in avoidance rate and, moreover, exaggeration of its age-dependent decline, especially after 12 weeks of age. Oral administration of nifedipine at a nonhypotensive dose (0.001% in laboratory chow) to KK-A(y) mice from 10 weeks of age improved cognitive function. Nifedipine treatment decreased serum insulin level to one fifth of that in KK-A(y) mice without nifedipine. Moreover, nifedipine treatment significantly reduced superoxide anion production in the brain. Furthermore, treatment with nifedipine markedly reduced the mRNA level of Id-1, inhibitor of neural differentiation, in the brain hippocampus. We also observed the increase in blood flow in the brain in KK-A(y) mice with nifedipine treatment compared with nontreated mice. Taken together, our findings suggest that nifedipine ameliorates impaired cognitive function in type 2 diabetic mice, at least because of attenuation of hyperinsulinemia and superoxide production in the brain and possible upregulation of the neural differentiation-controlling gene, Id-1.

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  • Blockade of AT(1) receptor improves adipocyte differentiation in atherosclerotic and diabetic models Reviewed International journal

    Yomiko Tomono, Masaru Iwai, Shinji Inaba, Masaki Mogi, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   21 ( 2 )   206 - 212   2008.2

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    BACKGROUND
    The roles of the angiotensin (Ang) II type 1 (AT(1)) receptor in the changes in white adipose tissue were explored in an animal model of atherosclerosis using apolipoprotein E-deficient (ApoEKO) mice.
    METHODS
    Apolipoprotein E-deficient (ApoEKO) mice and KK-A(y) mice were used. Expression of markers for adipocyte differentiation and inflammation was determined by real-time reverse-transcription polymerase chain reaction.
    RESULTS
    Adipose tissue weight and adipocyte size in epididymal white adipose tissue were increased in ApoEKO mice and KK-A(y) mice. In the adipose tissue of these models, expression of adiponectin and peroxisome proliferator-activated receptor-gamma (PPAR gamma), which induce adipocyte differentiation, and expression of transcription factors of adipocyte differentiation, such as CCAAT-enhancer-binding protein-a (C/EBP alpha) and aP2, were decreased. Expression of inflammatory markers and nicotinamide adenine dinucleotide phosphate oxidase subunits was also increased. Deletion of AT,a receptor in ApoEKO mice and administration of an AT, receptor blocker, valsartan, to KK-A(y) mice reduced epididymal adipose tissue weight and adipocyte size significantly. Blockade of the AT, receptor also reduced the expression of inflammatory chemokines and oxidative stress markers. Moreover, AT(1) a receptor deletion in ApoEKO mice and AT, receptor blockade in KK-A(y) mice prevented the decrease in expression of adiponectin, PPAR gamma, C/EBP alpha, and aP2. Valsartan also increased glucose uptake induced by insulin in adipose tissue of KK-A(y) mice.
    CONCLUSIONS
    These results suggest that enlargement and weakened differentiation of adipocytes are observed in atherosclerosis and diabetes, and that AT, receptor blockade prevented adipocyte enlargement and promoted adipocyte differentiation in these models.

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  • Akt-FOXO3a signaling affects human endothelial progenitor cell differentiation Reviewed International journal

    Masaki Mogi, Kenneth Walsh, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   31 ( 1 )   153 - 159   2008.1

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    Here we address the effect of Akt signaling on endothelial progenitor cells (EPCs). Human peripheral blood mononuclear cells (PBMCs) were cultured on fibronectin-coated dishes in EPC differentiation medium. PBMCs differentiated in a series of three steps: proliferation for foci formation, tight attachment to the dishes in the early stages of differentiation, and maturation in the late stages. In Western blot analysis, Akt expression was attenuated in the early stages of differentiation and was gradually upregulated during EPC maturation. Forkhead box-containing protein, class O 3a (FOXO3a), an Akt downstream target, was down-regulated through phosphorylation in the late stages of EPC differentiation. Adenovirus-mediated overexpression of activated FOXO3a in PBMCs markedly increased the number of cell foci but reduced the number of Dil-acetyl LDL EPCs that appear at later time points. These data suggest that Akt/FOXO3a signaling is an important regulator of EPC maturation.

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  • Attenuation of focal brain ischemia by telmisartan, an angiotensin II type 1 receptor blocker, in atherosclerotic apolipoprotein E-deficient mice Reviewed International journal

    Masaru Iwai, Shinji Inaba, Yumiko Tomono, Harumi Kanno, Jun Iwanami, Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   31 ( 1 )   161 - 168   2008.1

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    The effects of an angiotensin II (Ang II) type 1 (AT(1)) receptor blocker (ARB) on focal brain ischemia and atherosclerotic lesions were explored in atherosclerotic apolipoprotein E-deficient (ApoEKO) mice treated with a high-cholesterol diet (HCD). The ischemic brain area and neurological deficit 24 h after middle cerebral artery (MCA) occlusion were significantly greater in ApoEKO mice treated with HCD for 10 weeks than in those with a normal standard diet. The reduction of cerebral surface blood flow in the penumbral region and the increase in superoxide production in the ischemic area were exaggerated in HCD-treated ApoEKO mice. Histological analysis showed atherosclerotic changes in the proximal aorta and deposition of lipid droplets in the arterial wall in the brain. Administration of an ARB, telmisartan (0.3 mg/kg/day), for the last 2 weeks after 8 weeks of HCD feeding attenuated the ischemic brain area, the neurological deficit, the superoxide production in the ischemic area, and the reduction of cerebral blood flow in the penumbra, without significantly changing blood pressure or serum cholesterol level. Telmisartan also decreased atherosclerotic lesion formation in the proximal aorta of HCD-treated ApoEKO mice, although it did not remarkably change lipid deposition in the cerebral arteries. These results suggest that the blockade of the AT(1) receptor attenuates ischemic brain damage induced in an atherosclerosis model. This inhibitory action is mediated through the attenuation of the reduction in cerebral blood flow and of oxidative stress in the brain; it also mediated through telmisartan's anti-atherosclerotic effect.

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  • Emerging concepts of regulation of angiotensin II receptors - New players and targets for traditional receptors Reviewed International journal

    Masaki Mogi, Masaru Iwai, Masatsugu Horiuchi

    ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY   27 ( 12 )   2532 - 2539   2007.12

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    Angiotensin (Ang) II exerts its important physiological functions through 2 distinct receptor subtypes, type 1 (AT(1)) and type 2 (AT(2)) receptors. Recently, new evidence has accumulated showing the existence of several novel receptor interacting proteins and various angiotensin II receptor activation mechanisms beyond the classical actions of receptors for Ang II. These associated proteins could contribute not only to Ang II receptors' functions, but also to influencing pathophysiological states. Receptor dimerization of Ang II receptors such as homodimer, heterodimer, and complex formation with other G protein-coupled receptors has also been focused on as a new mechanism of their activation or inactivation. Moreover, ligand-independent receptor activation systems such as mechanical stretch for the AT(1) receptor have also been revealed. These emerging concepts of regulation of Ang II receptors and a new insight into future drug discovery are discussed in this review.

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  • Inhibition of cognitive decline in mice fed a high-salt and cholesterol diet by the angiotensin receptor blocker, olmesartan Reviewed International journal

    Masaki Mogi, Kana Tsukuda, Jian-Mei Li, Jun Wanarni, Li-Juan Min, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    NEUROPHARMACOLOGY   53 ( 8 )   899 - 905   2007.12

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    The metabolic syndrome is closely related to dietary habits and seems to be associated with impairment of cognitive function in humans. Angiotensin receptor blockers are widely used with the expectation of preventing cardiovascular events and stroke and potential amelioration of the metabolic syndrome. We examined the diet-induced changes of cognitive function in mice treated with a high-salt and high-cholesterol diet. C57BL/6J mice were fed a high-salt (2% NaCl in drinking water) and high-cholesterol (1.25% cholesterol, 10% coconut oil) diet (HSCD) or a normal diet (ND), and subjected to 20 trials of a passive avoidance task every week from 8 weeks of age. An age-dependent decline of the avoidance rate starting from 10 weeks of age was observed in HSCD mice, whereas the avoidance rate gradually increased in the ND group. Oral administration of an angiotensin receptor blocker, olmesartan, at a dose of 3 mg/kg per day in drinking water from 8 weeks of age prevents this decline of avoidance rate in HSCD mice (49% vs. 82% at 12 weeks of age). Treatment with olmesartan significantly decreased serum glucose and cholesterol levels in HSCD mice, with a slight decrease in blood pressure. Administration of olmesartan in HSCD-fed mice showed a 1.6-fold increase in mRNA expression of a neuroprotective factor, MMS2, compared to HSCD-fed mice without olmesartan. Olmesartan attenuated the increase in superoxide anion production detected by dihydroethidium staining in the brain of HSCD mice. Our results suggest that olmesartan could be therapeutically effective in preventing the impairment of quality of life in persons on a high-fat and high-salt diet. (c) 2007 Elsevier Ltd. All rights reserved.

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  • Amelioration of cognitive impairment in the type-2 diabetic mouse by the angiotensin II type-1 receptor blocker candesartan Reviewed International journal

    Kana Tsukuda, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   50 ( 6 )   1099 - 1105   2007.12

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    Angiotensin II type-1 receptor blockers are widely used with the expectation of prevention of stroke, potential effects to ameliorate of type-2 diabetes, which seems to be closely associated with the impairment of cognitive function in humans. Recently, we have reported that an angiotensin II type-1 receptor blocker prevented cognitive impairment in mice after focal cerebral ischemia, at least partly through an angiotensin II type-2 receptor-mediated increase in a neuroprotective factor, methyl methanesulfonate sensitive- 2. Here, we examined the possibility that an angiotensin II type-1 receptor blocker could improve cognitive function in a type- 2 diabetic mouse model, KK-A(y). KK-A(y) mice subjected to 20 trials of a passive avoidance task every week from 8 weeks exhibited a significantly impaired avoidance rate, and moreover, its age- dependent decline, especially after 14 weeks of age, compared with age-matched C57BL6 mice. Oral administration of candesartan at a nonhypotensive dose (0.005% in laboratory chow) in KK-A(y) mice improved cognitive function and inhibited the impairment of cognitive decline. Methyl methanesulfonate sensitive-2 expression in the brain was lower in KK-A(y) mice than in C57BL6 mice. Treatment with candesartan markedly increased mRNA expression of angiotensin II type-2 receptor and methyl methanesulfonate sensitive-2 in the brain in KK-A(y) mice, determined by quantitative RT-PCR. In KK-A(y) mice treated with candesartan, age-dependent increases in blood glucose and insulin were significantly suppressed. Our results suggest that candesartan ameliorates the impaired cognitive function in type-2 diabetes mice, at least because of an increased expression of methyl methanesulfonate sensitive-2, a neuroprotective factor, in addition to improvement of glucose intolerance. (Hypertension. 2007; 50: 1099- 1105.).

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  • Cross-talk between aldosterone and angiotensin II in vascular smooth muscle cell senescence Reviewed International journal

    Li-Juan Min, Masaki Mogi, Jun Wanami, Jian-Mei Li, Akiko Sakata, Teppei Fujita, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    CARDIOVASCULAR RESEARCH   76 ( 3 )   506 - 516   2007.12

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    Objective: Our aim was to examine the possible cross-talk of angiotensin II (Ang II) and aldosterone (Aldo) in the regulation of vascular cell senescence in cultured vascular smooth muscle cells (VSMC).
    Methods: VSMC were prepared from thoracic aorta of adult male Sprague-Dawley rats. Cellular senescence was evaluated by senescence-associated beta-galactosidase (SA-beta-gal) staining and expression of p21, p53, p16, and p27. Oxidative stress was determined by measuring NADPH oxidase activity and superoxide production. Signal transduction was examined by immunoblot analysis with or without RNA interference methods.
    Results: Persistent Ang II (100 nM) stimulation increased SA-beta-gal-stained VSMC and enhanced expression of p21, p53, p16, p27 and Ki-ras2A. These effects of Ang II were markedly inhibited by treatment with a selective AT I receptor blocker, valsartan, but partially attenuated by a mineralocorticoid receptor antagonist, spironolactone. The culture medium of VSMC treated with Ang II (100 nM) showed a time-dependent increase in Aldo concentration, which increased senescent VSMC. Antioxidant, N-acetyl-L-cysteine or superoxide dismutase attenuated Ang II- or Aldo-induced VSMC senescence and Ki-ras2A expression. A lower dose combination of Ang II (100 pM) and Aldo (1 pM) significantly enhanced SA-p-gal-stained VSMC with increases in expression of p21, p53, p 16, p27 and Ki-ras2A, oxidative stress, and activity of transcription factors such as NF-kappa B, AP-1, whereas Ang II or Aldo alone at these doses did not affect these parameters. Ki-ras2A-siRNA treatment attenuated senescent VSMC, expression of p21, p53, p16 and p27, oxidative stress induced by Ang II or a lower dose combination of Ang II and Aldo.
    Conclusion: These results suggest that Ang II and Aldo exert cross-talk in VSMC senescence with involvement of oxidative stress and Ki-ras2A, and could provide a therapeutic benefit for age-related vascular disorders by blockade of both Ang II and Aldo. (c) 2007 European Society of Cardiology. Published by Elsevier B.V.. All rights reserved.

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  • Attenuation of monocyte chemoattractant protein-1 expression via inhibition of nuclear factor-kappa B activity in inflammatory vascular injury Reviewed International journal

    Xinyu Gao, Masaru Iwai, Shinji Inaba, Yumiko Tomono, Harumi Kanno, Masaki Mogi, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   20 ( 11 )   1170 - 1175   2007.11

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    Background: The effect of a calcium channel blocker (CCB) on the expression of monocyte chemoattractant protein (MCP)-1 was explored in inflammatory vascular injury, focusing on the role of nuclear factor (NF)-kappa B.
    Methods: Vascular injury was induced by cuff placement. Expression of MCP-1 was determined by real-time RT-PCR. NF-kappa B expression and its activity were detected by Western blot and electrophoretic mobility shift assay.
    Results: Polyethylene cuff placement around the mouse femoral artery increased MCP-1 expression, together with proliferation of vascular smooth muscle cells and neointimal formation in the injured artery. The content of NF-kappa B was decreased in the cytosolic fraction but increased in the nuclear fraction prepared from the injured artery. In the nuclear fraction, the binding activity of NF-kappa B to the promoter region of MCP-1 was markedly increased. On the other hand, I kappa B content in the cytosolic fraction was decreased in the injured artery after cuff placement, accompanied by an increase in I kappa B kinase (IKK) phosphorylation. Treatment of mice with a CCB, nifedipine, at a dose of 5 mg/kg/day, significantly decreased vascular smooth muscle cell proliferation and neointimal formation without affecting blood pressure. This dose of nifedipine inhibited the increase in MCP-1 expression in the injured artery. Moreover, nifedipine reduced the nuclear content and DNA-binding activity of NF-kappa B in the injured artery. In contrast, the decrease in I kappa B content and the increase in IKK phosphorylation in the cytosolic fraction were attenuated by nifedipine.
    Conclusions: These results indicate that MCP-1 expression in inflammatory vascular injury is regulated by activation of NF-kappa B. The results also suggest that nifedipine attenuates MCP-1 expression in the injured artery via inhibition of the nuclear translocation and DNA-binding activity of NF-kappa B, and thereby improves vascular remodeling. (C) 2007 American Journal of Hypertension, Ltd.

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  • 高血圧モデルマウスにおける虚血性脳障害増強とARBによる抑制効果 ヒトレニン・アンジオテンシノーゲンキメラマウスを用いた検討

    稲葉 慎二, 岩井 將, 友納 由美子, 茂木 正樹, 岡山 英樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   231 - 231   2007.10

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  • 糖尿病に起因する認知機能障害に対するニフェジピンの効果

    佃 架奈, 茂木 正樹, 李 健梅, 岩波 純, 閔 莉娟, 藤田 鉄平, 坂田 暁子, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   219 - 219   2007.10

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  • 脳梗塞モデルマウスにおける一時的なバルサルタン投与の効果

    李 健梅, 茂木 正樹, 岩波 純, 閔 莉娟, 佃 架奈, 坂田 暁子, 藤田 鉄平, 岩井 将, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   224 - 224   2007.10

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  • 高血圧モデルにおける炎症性血管傷害と早期AT1受容体ブロッカー投与による抑制作用 ヒトレニン・アンジオテンシノーゲンキメラマウスを用いた検討

    稲葉 慎二, 岩井 將, 友納 由美子, 茂木 正樹, 岡山 英樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   172 - 172   2007.10

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  • 骨髄ストローマ細胞におけるAT2受容体シグナルが脳梗塞治療に及ぼす影響についての検討

    岩波 純, 茂木 正樹, 李 健梅, 閔 莉娟, 佃 架奈, 坂田 暁子, 藤田 鉄平, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   233 - 233   2007.10

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  • Pretreatment with eplerenone reduces stroke volume in mouse middle cerebral artery occlusion model Reviewed International journal

    Jun Iwanami, Masaki Mogi, Shoko Okamoto, Xin-Yu Gao, Jian-Mei Li, Li-Juan Min, Ayumi Ide, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    EUROPEAN JOURNAL OF PHARMACOLOGY   566 ( 1-3 )   153 - 159   2007.7

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    Eplerenone, a mineralocorticoid receptor antagonist, is reported to be effective to prevent end-stage cardiovascular damage induced by aldosterone. However, the effect of eplerenone on brain damage is not fully understood. Here, we investigated whether pretreatment with eplerenone attenuates stroke size in mice subjected to middle cerebral artery occlusion. Middle cerebral artery occlusion with a microfilament technique induced focal ischemia, to approximately 25% of the total area in a coronal section of the brain. Treatment with eplerenone at a dose of 1.67 mg/g chow significantly reduced the ischemic area, ischemic volume, and neurological deficit, without a blood pressure-lowering effect. Laser-Doppler flowmetry analysis showed a decrease in surface cerebral blood flow in the peripheral region after I h of middle cerebral artery occlusion. This decrease was smaller in mice treated with eplerenone. Superoxide production evaluated by staining with dihydroethidium was attenuated in the ischemic area of the brain in eplerenone-treated mice. Taken together, our findings suggest that eplerenone has a protective effect on ischemic brain damage, at least partly due to improvement of cerebral blood flow in the penumbra and reduction of oxidative stress. (c) 2007 Elsevier B.V All rights reserved.

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  • 血管平滑筋細胞の老化におけるアンジオテンシンII2型受容体の役割についての検討 MMS2によるDNA修復機構の関与

    茂木 正樹, 閔 莉娟, 岩井 將, 堀内 正嗣

    日本老年医学会雑誌   44 ( Suppl. )   74 - 74   2007.5

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  • 炎症性血管傷害に対するAT1受容体ブロッカーとカルシウム拮抗薬の併用効果

    稲葉 慎二, 岩井 將, 茂木 正樹, 岡山 英樹, 檜垣 實男, 堀内 正嗣

    日本老年医学会雑誌   44 ( Suppl. )   50 - 50   2007.5

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  • [AT1 receptor and AT2 receptor].

    Fujita T, Mogi M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   65 Suppl 4   149 - 153   2007.4

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  • Angiotensin II-induced neural differentiation via angiotensin II type 2 (AT(2)) receptor-MMS2 cascade involving interaction between AT2 receptor-interacting protein and Src homology 2 domain-containing protein-tyrosine phosphatase 1 Reviewed International journal

    Jian-Mei Li, Masaki Mogi, Kana Tsukuda, Hirokazu Tomochika, Jun Iwanami, Li-Juan Min, Clara Nahmias, Masaru Iwai, Masatsugu Horiuchi

    MOLECULAR ENDOCRINOLOGY   21 ( 2 )   499 - 511   2007.2

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    Angiotensin II (Ang II) type 2 (AT(2)) receptors are abundantly expressed not only in the fetal brain where they probably contribute to brain development, but also in pathological conditions to protect the brain against stroke; however, the detailed mechanisms are unclear. Here, we demonstrated that AT 2 receptor signaling induced neural differentiation via an increase in MMS2, one of the ubiquitin-conjugating enzyme variants. The AT(2) receptor, MMS2, Src homology 2 domain-containing protein-tyrosine phosphatase 1 (SHP-1), and newly cloned AT(2) receptor-interacting protein ( ATIP) were highly expressed in fetal rat neurons and declined after birth. Ang II induced MMS2 expression in a dose-dependent manner, reaching a peak after 4 h of stimulation, and this effect was enhanced with AT(1) receptor blocker, valsartan, but inhibited by AT(2) receptor blocker PD123319. Moreover, we observed that an AT 2 receptor agonist, CGP42112A, alone enhanced MMS2 expression. Neurons treated with small interfering RNA of MMS2 failed to exhibit neurite outgrowth and synapse formation. Moreover, the increase in AT(2) receptor-induced MMS2 mRNA expression was enhanced by overexpression of ATIP but inhibited by small interfering RNA of SHP-1 and overexpression of catalytically dominant-negative SHP-1 or a tyrosine phosphatase inhibitor, sodium orthovanadate. After AT(2) receptor stimulation, ATIP and SHP-1 were translocated into the nucleus after formation of their complex. Furthermore, increased MMS2 expression mediates the inhibitor of DNA binding 1 proteolysis and promotes DNA repair. These results provide a new insight into the contribution of AT 2 receptor stimulation to neural differentiation via transactivation of MMS2 expression involving the association of ATIP and SHP-1.

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  • Calcium channel blocker azelnidipine reduces glucose intolerance in diabetic mice via different mechanism than angiotensin receptor blocker olmesartan Reviewed International journal

    Masarsu Iwai, Huan-Sheng Li, Rui Chen, Tetsuya Shiuchi, Lan Wu, Li-Juan Min, Jian-Mei Li, Masahiro Tsuda, Jun Suzuki, Yumiko Tomono, Hirokazu Tomochika, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS   319 ( 3 )   1081 - 1087   2006.12

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    The potential combined effect and mechanism of calcium channel blockers (CCB) and angiotensin II type 1 receptor blockers (ARB) to improve insulin resistance were investigated in type 2 diabetic KK-Ay mice, focusing on their antioxidative action. Treatment of KK-Ay mice with a CCB, azelnidipine (3 mg/kg/day), or with an ARB, olmesartan (3 mg/kg/day), for 2 weeks lowered the plasma concentrations of glucose and insulin in the fed state, attenuated the increase in plasma glucose in the oral glucose tolerance test (OGTT), and increased 2-[H-3]deoxy-D-glucose (2-[H-3]DG) uptake into skeletal muscle with the increase in translocation of glucose transporter 4 (GLUT4) to the plasma membrane. Both blockers also decreased the in situ superoxide production in skeletal muscle. The decrease in plasma concentrations of glucose and insulin in the fed state and superoxide production in skeletal muscle, as well as GLUT4 translocation to the plasma membrane, after azelnidipine administration was not significantly affected by coadministration of an antioxidant, 2,2,6,6-tetramethyl-1-piperidinyloxy (tempol). However, those changes caused by olmesartan were further improved by tempol. Moreover, olmesartan enhanced the insulin-induced tyrosine phosphorylation of insulin receptor substrate-1 induced in skeletal muscle, whereas azelnidipine did not change it. Coadministration of azelnidipine and olmesartan further decreased the plasma concentrations of glucose and insulin, improved OGTT, and increased 2-[H-3] DG uptake in skeletal muscle. These results suggest that azelnidipine improved glucose intolerance mainly through inhibition of oxidative stress and enhanced the inhibitory effects of olmesartan on glucose intolerance, as well as the clinical possibility that the combination of CCB and ARB could be more effective than monotherapy in the treatment of insulin resistance.

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  • Emerging concept of adipogenesis regulation by the renin-angiotensin system Reviewed International journal

    Masaki Mogi, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   48 ( 6 )   1020 - 1022   2006.12

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    DOI: 10.1161/01.HYP.0000248196.14826.31

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  • Amlodipine treatment reduces stroke size in apolipoprotein E-deficient mice Reviewed International journal

    Masaki Mogi, Masaru Iwai, Rui Chen, Jun Iwanami, Ayumi Ide, Kana Tsukuda, Toyofumi Yoshii, Masatsugu Horiuchi

    AMERICAN JOURNAL OF HYPERTENSION   19 ( 11 )   1144 - 1149   2006.11

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    Background: This study investigated the effects of amlodipine, an L-type calcium channel blocker, on stroke size after focal brain ischemia in apolipoprotein E-deficient (ApoE KO) mice.
    Methods: Mice were subjected to middle cerebral artery (MCA) occlusion after being given a high-cholesterol (HCD) or normal diet for 10 weeks with or without amlodipine at a nonhypotensive dose of 3 mg/kg/day. Ischemic brain area was measured by 2,3,5-triphenyltetrazolium chloride staining. Cerebral blood flow was analyzed by laser-Doppler flowmetry. Superoxide anion production in the brain was detected by dihydroethidium staining.
    Results: The ApoE KO mice given HCD for 10 weeks showed a larger ischemic lesion size than mice with a normal diet. Amlodipine treatment in parallel with HCD feeding reduced the ischemic lesion size in ApoE KO mice. Interestingly, amlodipine treatment for only the last 2 weeks was also effective in reducing the ischemic lesion size in HCD-fed ApoE KO mice. The neurologic deficit after MCA occlusion was also improved by amlodipine treatment for either 10 weeks or 2 weeks. The decrease in surface cerebral blood flow after MCA occlusion was significantly attenuated in the peripheral region of the MCA territory in amlodipine-treated mice. Amlodipine treatment in HCD-fed ApoE KO mice also reduced superoxide production in the ischemic area of the brain.
    Conclusions: These results suggest that amlodipine treatment reduces stroke size and neurologic deficit after focal brain ischemia, possibly through an increase in cerebral blood flow and inhibition of superoxide production.

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  • Role of NAD(P)H oxidase and its regulation in chronic hypertension Reviewed International journal

    Masaru Iwai, Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   29 ( 10 )   743 - 744   2006.10

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    DOI: 10.1291/hypres.29.743

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  • The calcium-channel blocker, azelnidipine, enhances the inhibitory action of AT(1) receptor blockade on ischemic brain damage Reviewed International journal

    Masaru Iwai, Rui Chen, Ayumi Ide, Jun Iwanami, Hirokazu Tomochika, Yumiko Tomono, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24 ( 10 )   2023 - 2031   2006.10

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    Objective The combined effects of a calcium-channel blocker (CCB) with an angiotensin (Ang) II type 1 (AT(1)) receptor blocker were investigated in focal brain ischemia induced by middle cerebral artery (MCA) occlusion.
    Methods and results In male C57BL/6J mice, permanent occlusion of the MCA-induced focal cerebral ischemia and neurological deficit after 24 h, accompanied by a reduction of cerebral blood flow and an increase in superoxide production in the ischemic area. Administration of azelnidipine, a CCB, at 1.0 mg/kg per day for 10 days significantly suppressed these changes after MCA without affecting systolic blood pressure. Such inhibitory effects of azelnidipine on brain ischemia could be observed in AT(1)a receptor-deficient mice. In addition, olmesartan, an AT(1) receptor blocker, at 3.0 mg/kg per day also diminished the ischemic brain area and neurological score, as well as superoxide production and the reduction of cerebral surface blood flow in C57BL/6 mice. The combination of lower doses of azelnidipine (0.1 mg/kg per day) and olmesartan (0.5 mg/kg per day) significantly attenuated the ischemic brain area, neurological score, superoxide production and the reduction of cerebral surface blood flow after MCA occlusion in C57BL/6 mice, whereas either of these agents alone at these doses did not affect brain ischemia.
    Conclusion These results indicate that azelnidipine inhibited ischemic brain damage induced by MCA occlusion, at least in part, through suppression of blood flow change and oxidative stress via a signaling mechanism independent of AT(1) receptor stimulation. Moreover, azelnidipine synergistically enhanced the inhibitory action of olmesartan on brain ischemia, suggesting beneficial combined effects of a CCB with an AT(1) receptor blocker on ischemic brain damage.

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  • Attenuation of inflammatory vascular remodeling by angiotensin II type 1 receptor-associated protein Reviewed International journal

    Akira Oshita, Masaru Iwai, Rui Chen, Ayumi Ide, Midori Okumura, Shiori Fukunaga, Toyofumi Yoshii, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   48 ( 4 )   671 - 676   2006.10

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    To explore the role of angiotensin 11 Type I receptor-associated protein (ATRAP) in vascular remodeling, we developed transgenic mice for mouse ATRAP cDNA and examined remodeling after inflammatory vascular injury induced by polyethylene cuff placement. In ATRAP transgenic (ATRAP-Tg) mice, ATRAP mRNA was increased 3-to 4-fold in the heart, aorta, and femoral artery. ATRAP-Tg mice showed no significant change in body weight, systolic blood pressure, heart rate, and heart/body weight ratio. However, cell proliferation and neointimal formation in the injured artery were attenuated in ATRAP-Tg mice. The increase in NADPH oxidase activity and the expression of p22(phox), a reduced nicotinamide-adenine dinucleotide/reduced nicotinamide-adenine dinucleotide phosphate oxidase subunit, after cuff placement was also attenuated in ATRAP-Tg mice. Moreover, activation of extracellular signal-regulated kinase, signal transducer and activator of transcription 1, and signal transducer and activator of transcription 3 after cuff placement was significantly reduced in ATRAP-Tg mice. Pressor response and cardiac hypertrophy induced by angiotensin 11 infusion and pressure overload were also attenuated in ATRAP-Tg mice. These results suggest that ATRAP plays an important role in vascular remodeling as a negative regulator.

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  • [Angiotensin converting enzyme inhibitors and angiotensin II type 1 receptor blockers].

    Mogi M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   64 Suppl 7   724 - 729   2006.10

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  • Comparison of inhibitory action of candesartan and enalapril on brain ischemia through inhibition of oxidative stress Reviewed International journal

    Meiko Hamai, Masaru Iwai, Ayumi Ide, Hirokazu Tomochika, Yumiko Tomono, Masaki Mogi, Masatsugu Horiuchi

    NEUROPHARMACOLOGY   51 ( 4 )   822 - 828   2006.9

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    The effects of an angiotensin II type I (AT(1)) receptor blocker (ARB) on ischemic brain damage induced by middle cerebral artery (MCA) occlusion were compared with those of an angiotensin converting enzyme (ACE) inhibitor. Treatment of male C57BL/6J mice with an ARB, candesartan, reduced the brain ischemic area and neurological deficit after MCA occlusion at a non-hypotensive dose. In contrast, an ACE inhibitor, enalapril, did not reduce the brain ischemic area, and neurological deficit even at a hypotensive dose. Candesartan improved the reduction of brain surface blood flow after MCA occlusion, and inhibited the increase in superoxide production both in the cortex and brain arterial wall at non-hypotensive and hypotensive doses. However, enalapril did not affect the changes in blood flow and superoxide production in the brain after MCA occlusion. AT(2) receptor expression in the ischemic area was increased at 3 It after MCA occlusion by pretreatment with candesartan, but not that with enalapril. AT(1) receptor expression was neither affected by candesartan nor by enalapril. These results suggest that candesartan attenuated ischemic brain damage, at least partly, through inhibition of oxidative stress. (c) 2006 Elsevier Ltd. All rights reserved.

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  • [Future directions for antihypertensive drugs].

    Mogi M, Min LJ, Li JM, Iwai M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   64 Suppl 5   571 - 575   2006.7

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  • 【高血圧 最新の研究動向】基礎編 特論 降圧薬の分子薬理学

    茂木 正樹, 閔 莉娟, 李 健梅, 岩井 將, 堀内 正嗣

    日本臨床   64 ( 増刊5 高血圧(上) )   571 - 575   2006.7

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  • [Cerebroprotection with calcium channel blockers].

    Mogi M, Iwai M, Horiuchi M

    Nihon rinsho. Japanese journal of clinical medicine   64 Suppl 5   531 - 535   2006.7

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  • Angiotensin II type-2 receptor stimulation prevents neural damage by transcriptional activation of methyl methanesulfonate sensitive 2 Reviewed International journal

    Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   48 ( 1 )   141 - 148   2006.7

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    The molecular mechanisms of the contribution of angiotensin II type-1 receptor blockers to neuronal protection are still unclear. Here, we investigated the effect of angiotensin II type-2 (AT2) receptor stimulation on neurons and cognitive function involving a new neuroprotective factor, methyl methanesulfonate sensitive 2 (MMS2). Angiotensin II treatment of neurospheres enhanced their differentiation and increased MMS2 expression. Knockdown of the MMS2 gene by small interference RNA (siRNA) significantly reduced the number of neurospheres, with loss of sphere formation. An angiotensin II type-1 receptor blocker, valsartan, enhanced such neurosphere differentiation and MMS2 induction, whereas an AT2 receptor antagonist, PD123319, inhibited them. After mice underwent permanent middle cerebral artery occlusion, AT2 receptor mRNA expression was significantly increased in the ischemic side of the brain. Passive avoidance rate to evaluate cognitive function was significantly impaired in AT2 receptor null (Agtr2-) mice compared with wild-type mice. Treatment with valsartan prevented the cognitive decline in wild-type mice, but this effect was weaker in Agtr2- mice. In ischemic brain regions, MMS2 was increased in wild-type mice, but not in Agtr2- mice. Valsartan also enhanced MMS2 expression to a greater degree in wild-type mice. Finally, intracerebroventricular administration of MMS2 siRNA showed more impaired avoidance rate after middle cerebral artery occlusion compared with that in control siRNA-transfected mice. These findings experimentally support the clinical evidence and indicate a unique mechanism of the AT(2) receptor in brain protection.

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  • Regression of Atherosclerosis by Amlodipine via Anti-Inflammatory and Anti-Oxidative Stress Actions Reviewed International journal

    Toyofumi Yoshii, Masaru Iwai, Zhen Li, Rui Chen, Ayumi Ide, Shiori Fukunaga, Akira Oshita, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION RESEARCH   29 ( 6 )   457 - 466   2006.6

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    We examined whether amiodipine, an L-type calcium channel blocker (CCB), has an inhibitory effect on oxidative stress and inflammatory response, and thereby atherosclerosis, in apolipoprotein E-deficient (ApoEKO) mice. Adult male ApoEKO mice (6 weeks of age) were fed a high-cholesterol diet (HCD) for 8 or 10 weeks with or without oral administration of amlodipine (3 mg/kg/day) for 10 weeks or for only the last 2 weeks of the HCD. After HCD feeding, atherosclerotic lesion formation, in situ superoxide production and nicotinamide-adenine dinucleotide phosphate (NADPH) oxidase activity were evaluated in the proximal aorta. The expressions of NADPH oxidase subunits (p47(phox) and rac-1), monocyte chemoattractant protein-1 (MCP-1), intercellular adhesion molecule-1 (ICAM-1), and vascular cell adhesion molecule-1 (VCAM-1) were determined with immunohistochemistry and quantitative real-time reverse-transcription polymerase chain reaction. After 8 to 10 weeks of HCD administration to ApoEKO mice, marked atherosclerotic lesion formation was observed in the proximal aorta. In the atherosclerotic lesion, superoxide production, the expression of NADPH oxidase subunits, and NADPH oxidase activity were enhanced, and the expressions of MCP-1, ICAM-1, and VCAM-1 were increased. These changes were suppressed in mice that were treated with amlodipine for 10 weeks concomitant with HCD administration, with no significant change in blood pressure and plasma cholesterol level. We also observed that treatment with amlodipine for only the last 2 weeks regressed the atherosclerotic lesions with a decrease in oxidative stress and vascular inflammation. Inhibition of the atherosclerotic lesion area and lipid area in the proximal aorta by amlodipine was correlated with its inhibitory actions on oxidative stress, inflammation and the production of adhesive molecules. These results suggest that amlodipine not only inhibits atherosclerotic lesion formation, but also regresses atherosclerosis, and that these effects are at least partly due to inhibition of oxidative stress and inflammatory response. (Hypertens Res 2006; 29: 457-466)

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  • New paradigm for brain protection after stroke Reviewed International journal

    M Mogi, M Iwai, M Horiuchi

    HYPERTENSION   47 ( 4 )   642 - 643   2006.4

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  • Eplerenone with valsartan effectively reduces atherosclerotic lesion by attenuation of oxidative stress and inflammation Reviewed International journal

    J Suzuki, M Iwai, M Mogi, A Oshita, T Yoshii, J Higaki, M Horiuchi

    ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY   26 ( 4 )   917 - 921   2006.4

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    Objective-Angiotensin II contributes to atherogenesis, mainly through oxidative stress and inflammation. Recent data suggest that aldosterone is implicated in some effects of angiotensin II. We hypothesized that aldosterone could directly contribute to oxidative stress and atherosclerotic lesion formation.
    Methods and Results-Male apolipoprotein E-deficient mice 6 weeks of age were placed on a normal diet or 1.25% high-cholesterol diet. After 6 weeks of the high-cholesterol diet, a marked increase in atherosclerotic lesion formation was observed in the aorta, accompanied by significant elevation of plasma cholesterol level. Production of superoxide anion and expression of NAD(P)H oxidase subunit p47(phox), tumor necrosis factor-alpha, and monocyte chemoattractant protein-1 in the aorta were increased with the high-cholesterol diet. Eplerenone (1.67 g/kg in high-cholesterol diet) did not affect blood pressure or plasma cholesterol but decreased the atherosclerotic area by nearly 70% (P &lt; 0.05), associated with attenuation of oxidative stress and inflammatory response. Valsartan (0.5 mg/kg per day) also decreased the atherosclerotic lesion, whereas coadministration of valsartan and eplerenone further decreased it. Moreover, aldosterone (0.1 mu mol/L) enhanced NADPH oxidase activity in cultured vascular smooth muscle cells.
    Conclusions-These results suggest that aldosterone may play a critical role in atherogenesis subsequent to oxidative stress in part independent of angiotensin II-mediated signaling, and that eplerenone could prevent atherosclerosis by attenuating oxidative stress and inflammation.

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  • Signaling crosstalk angiotensin II receptor subtypes and insulin Reviewed

    M Horiuchi, M Mogi, M Iwai

    ENDOCRINE JOURNAL   53 ( 1 )   1 - 5   2006.2

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    Insulin-resistant states are often associated with hypertension, and the accumulated data indicate that ARB decrease new-onset of diabetes with vasoprotective effects. Recent evidence suggests that activation of Ang II receptor subtypes could regulate insulin sensitivity at multiple sites of insulin signaling in various diabetic animal models and regulate vascular remodeling in concert with insulin in potentially distinct fashions. Moreover, the roles of Ang II receptor subtypes have been highlighted in insulin resistance in obesity, which is one of the major risk factors for the development of hypertension. More detailed analysis of the crosstalk of Ang II and insulin-mediated signaling in various tissues would provide further information to understand the clinical relevance of the effect of ARB on insulin resistance, thereby preventing cardiovascular events associated with insulin resistance.

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  • Nifedipine inhibited angiotensin II-induced monocyte chemoattractant protein 1 expression: involvement of inhibitor of nuclear factor kappa B kinase and nuclear factor kappa B-inducing kinase Reviewed International journal

    L Wu, M Iwai, Z Li, JM Li, M Mogi, M Horiuchi

    JOURNAL OF HYPERTENSION   24 ( 1 )   123 - 130   2006.1

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    Objective The effect of nifedipine, a 1,4-dihydropyridine calcium antagonist, on the expression of monocyte chemoattractant protein 1 (MCP-1) induced by angiotensin II (Ang II) was examined using vascular smooth muscle cells (VSMC) isolated from rat thoracic aorta.
    Methods and results Ang II increased the expression of MCP-1 messenger RNA accompanied by an increase in nuclear factor kappa B (NF-kappa B) binding activity to the cis DNA element in the promoter region of MCP-1. Ang II also decreased the cytosolic level of the inhibitor of NF-kappa B (I kappa B) and increased the phosphorylation Of I kappa B subunits, I kappa B alpha and I kappa B beta, as well as the phosphorylation Of I kappa B kinase (IKK) subunits, IKK alpha and IKK beta, suggesting that Ang II enhanced the breakdown Of I kappa B. Nifedipine decreased MCP-1 mRNA expression, together with NF-kappa B binding activity to the promoter region of MCP-1 induced by Ang II. Nifedipine also attenuated the decrease in the cytosolic level of I kappa B, and the phosphorylation Of I kappa B and IKK subunits induced by Ang II. Moreover, Ang II increased the phosphorylation of NF-kappa B-inducing kinase (NIK), and this increase was significantly inhibited by nifedipine.
    Conclusion As NIK is reported to activate IKK, our results suggest that nifedipine attenuates the effect of Ang II on MCP-1 expression in VSMC by regulating the activity of NF-kappa B through NIK, IKK and I kappa B.

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  • The role of tumor necrosis factor-alpha in inducing insulin resistance in the renin-angiotensin system Reviewed International journal

    M Iwai, M Mogi, M Horiuchi

    HYPERTENSION RESEARCH   28 ( 9 )   701 - 702   2005.9

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  • AT2受容体を介したシグナルによる脳保護作用神経分化促進と認知機能への影響について

    茂木 正樹, 李 健梅, 岩波 純, 閔 莉娟, 佃 架奈, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   46 - 46   2005.9

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  • アルドステロンとアンジオテンシンIIとの相乗的血管平滑筋細胞の増殖作用

    閔 莉娟, 茂木 正樹, 李 健梅, 岩波 純, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   80 - 80   2005.9

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  • 選択的アルドステロン拮抗薬,エプレレノンのマウス脳梗塞モデルに及ぼす効果

    岩波 純, 茂木 正樹, 李 健梅, 閔 莉娟, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   74 - 74   2005.9

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  • Aldosterone and angiotensin II synergistically induce mitogenic response in vascular smooth muscle cells Reviewed International journal

    LJ Min, M Mogi, JM Li, J Iwanami, M Iwai, M Horiuchi

    CIRCULATION RESEARCH   97 ( 5 )   434 - 442   2005.9

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    Interaction between aldosterone ( Aldo) and angiotensin II ( Ang II) in the cardiovascular system has been highlighted; however, its detailed signaling mechanism is poorly understood. Here, we examined the cross-talk of growth-promoting signaling between Aldo and Ang II in vascular smooth muscle cells (VSMC). Treatment with a lower dose of Aldo (10(-12) mol/L) and with a lower dose of Ang II (10(-10) mol/ L) significantly enhanced DNA synthesis, whereas Aldo or Ang II alone at these doses did not affect VSMC proliferation. This effect of a combination of Aldo and Ang II was markedly inhibited by a selective AT(1) receptor blocker, olmesartan, a mineralocorticoid receptor antagonist, spironolactone, an MEK inhibitor, PD98059, or an EGF receptor tyrosine kinase inhibitor, AG1478. Treatment with Aldo together with Ang II, even at noneffective doses, respectively, synergistically increased extracellular signal-regulated kinase (ERK) activation, reaching 2 peaks at 10 to 15 minutes and 2 to 4 hours. The early ERK peak was effectively blocked by olmesartan or an EGF receptor kinase inhibitor, AG1478, but not by spironolactone, whereas the late ERK peak was completely inhibited by not only olmesartan, but also spironolactone. Combined treatment with Aldo and Ang II attenuated mitogen-activated protein kinase phosphatase-1 (MKP-1) expression and increased Ki-ras2A expression. The late ERK peak was not observed in VSMC treated with Ki-ras2A-siRNA. Interestingly, the decrease in MKP-1 expression and the increase in Ki-ras2A expression were restored by PD98059 or AG1478. These results suggest that Aldo exerts a synergistic mitogenic effect with Ang II and support the notion that blockade of both Aldo and Ang II could be more effective to prevent vascular remodeling.

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  • アンジオテンシンII2型受容体(AT2)による神経分化促進機構のメカニズムATIP(AT 2 Receptor-Interacting Protein),SHP-1のもつ重要な働き

    李 健梅, 茂木 正樹, 岩波 純, 閔 莉娟, 岩井 將, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   76 - 76   2005.9

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  • Deletion of angiotensin II type 2 receptor exaggerated atherosclerosis in apolipoprotein E-null mice Reviewed International journal

    M Iwai, R Chen, Z Li, T Shiuchi, J Suzuki, A Ide, M Tsuda, M Okumura, LJ Min, M Mogi, M Horiuchi

    CIRCULATION   112 ( 11 )   1636 - 1643   2005.9

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    Background - The role of angiotensin II (Ang II) type 2 (AT(2)) receptor in atherosclerosis was explored with the use of AT2 receptor/apolipoprotein E (ApoE)-double-knockout (AT2/ApoE-DKO) mice, with a focus on oxidative stress.
    Methods and Results - After treatment with a high-cholesterol diet (1.25% cholesterol) for 10 weeks, ApoE-knockout ( KO) mice developed atherosclerotic lesions in the aorta. In AT(2)/ApoE-DKO mice receiving a high-cholesterol diet, the atherosclerotic changes were further exaggerated, without significant changes in plasma cholesterol level and blood pressure. In the atherosclerotic lesion, an increase in superoxide production, NADPH oxidase activity, and expression of p47(phox) was observed. These changes were also greater in AT(2)/ApoE-DKO mice. An Ang II type 1 (AT(1)) receptor blocker, valsartan, inhibited atherosclerotic lesion formation, superoxide production, NADPH oxidase activity, and p47phox expression; these inhibitory effects were significantly weaker in AT(2)/ApoE-KO mice. We further examined the signaling mechanism of the AT(2) receptor-mediated antioxidative effect in cultured fetal vascular smooth muscle cells. NADPH oxidase activity and phosphorylation and translocation of p47(phox) induced by Ang II were inhibited by valsartan but enhanced by an AT(2) receptor blocker, PD123319.
    Conclusions - These results suggest that AT(2) receptor stimulation attenuates atherosclerosis through inhibition of oxidative stress and that the antiatherosclerotic effect of valsartan could be at least partly due to AT2 receptor stimulation by unbound Ang II.

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  • Sex difference in vascular injury and the vasoprotective effect of valsartan are related to differential AT(2) receptor expression Reviewed International journal

    M Okumura, M Iwai, A Ide, M Mogi, M Ito, M Horiuchi

    HYPERTENSION   46 ( 3 )   577 - 583   2005.9

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    The angiotensin II type 2 ( AT(2)) receptor is upregulated in pathological conditions such as vascular injury and exerts antagonistic effects against AT(1) receptor - mediated actions. We examined the possibility that the sex difference in vascular remodeling is associated with altered AT(2) receptor expression, which is located on the X chromosome. In this study, we examined this possibility by using AT(2) receptor - null ( Agtr2 -) mice. Vascular injury was induced by polyethylene cuff placement around the femoral artery of wild- type ( Agtr2 +) and Agtr2 - mice. In Agtr2 + mice, AT(2) receptor expression in the injured artery was enhanced, and this increase was greater in female than in male mice, with no significant difference in AT(1) receptor expression between male and female mice. Increases in neointimal formation, DNA synthesis, expression of monocyte chemoattractant protein- 1, production of superoxide anion, and NADPH oxidase activity in the injured artery were attenuated in female compared with male mice. These parameters were augmented in Agtr2 - mice, whereas the sex differences in these parameters were smaller in Agtr2 - than in Agtr2 + mice. Treatment with a nonhypotensive dose of the AT(1) receptor blocker valsartan decreased these parameters significantly in Agtr2 + mice, and these inhibitory effects of valsartan were greater in female mice. This sex difference in valsartan's inhibitory effect was less marked in Agtr2 - mice. Our results suggest that the sex difference in response to vascular injury could be at least partially attributed to the exaggerated AT(2) receptor expression in the injured vessel in female mice.

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  • Effect of combination of calcium antagonist, azelnidipine, and AT(1) receptor blocker, olmesartan, on atherosclerosis in apolipoprotein E-deficient mice Reviewed International journal

    J Suzuki, M Iwai, Z Li, JM Li, LJ Min, A Ide, T Yoshii, A Oshita, M Mogi, M Horiuchi

    JOURNAL OF HYPERTENSION   23 ( 7 )   1383 - 1389   2005.7

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    Objective Angiotensin II type 1 receptor blockers (ARB) are widely recognized to have a vasculoprotective effect. Accumulating data have revealed that calcium antagonists also retard atherosclerosis. We examined the possibility that combination therapy of ARB and calcium antagonists could more effectively prevent atherosclerosis than monotherapy.
    Methods and results We observed a marked increase in the atherosclerotic area, associated with the exaggerated expression of nicotinamide adenine dinucleotide (phosphate), reduced form [NAD(P)H] oxidase subunits (P22(phox) and p47(phox)) and superoxide anion production, in the aorta of apolipoprotein E-deficient mice maintained on a 1.25% high-cholesterol diet for 10 weeks. A calcium antagonist, azelnidipine, at a dose of 1 mg/kg a day or an ARB, olmesartan, at a dose of 3 mg/kg a day, significantly inhibited these parameters, with no change in systolic blood pressure and the blood cholesterol level. Moreover, the co-administration of lower doses of azelnidipine (0.1 mg/kg a day) and olmesartan (11 mg/kg a day) significantly inhibited the atherosclerotic area and oxidative stress, whereas azelnidipine or olmesartan alone at these doses did not affect these parameters. Furthermore, we observed similar inhibitory effects of azelnidipine or olmesartan on angiotensin II-induced NADPH oxidase activity and Akt activity in cultured vascular smooth muscle cells.
    Conclusion These results suggest that the co-administration of calcium antagonists and ARB synergistically blunts oxidative stress at least partly through the inhibition of Akt activity and enhances the beneficial effects of these drugs on atherosclerosis compared with monotherapy. (c) 2005 Lippincott Williams & Wilkins.

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  • Effect of azelnidipine on angiotensin II-mediated growth-promoting signaling in vascular smooth muscle cells Reviewed International journal

    JM Li, M Iwai, TX Cui, J Min, M Tsuda, J Iwanami, J Suzuki, M Mogi, M Horiuchi

    MOLECULAR PHARMACOLOGY   67 ( 5 )   1666 - 1673   2005.5

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    The detailed mechanism of the effects of extracellular Ca2+ entry blockade on angiotensin II ( Ang II) type 1 ( AT1) receptor-mediated growth-promoting signals in vascular smooth muscle cells (VSMCs) is not fully understood. Ang II stimulation caused biphasic activation of growth-promoting signals, reaching a peak at 5 to 10 min followed by a decrease and a second peak at around 2 to 4 h. Addition of PD98059 (2'-amino-3'- methoxyflavone), a mitogen-activated protein kinase/extracellular signal-regulated kinase kinase inhibitor, or AG490 [alpha-cyano-(3,4-dihydroxy)-N-benzylcinnamide], a Janus-activated kinase 2 (Jak2) inhibitor, even 4 h after Ang II treatment inhibited [H-3] thymidine incorporation. The calcium channel blocker azelnidipine attenuated the later peaks of extracellular signal-regulated kinasenase (ERK), tyrosine kinase 2, Jak2 activation, and phosphorylation of signal transducer and activator of transcription (STAT) 1 and STAT3. Interestingly, azelnidipine increased rather than decreased the later ERK peaks in cells treated with small interfering RNA against mitogen-activated protein kinase phosphatase-1. Ang II-mediated [H-3] thymidine incorporation was inhibited dose dependently by azelnidipine and also by azelnidipine, plus olmesartan, whereas olmesartan or azelnidipine alone at such lower doses did not affect [H-3] thymidine incorporation. These data provide new insight into the manner in which calcium channels exert an essential action in the AT1 receptor-mediated growth-promoting actions in VSMCs.

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  • Inhibitory effects of AT(1) receptor blocker, olmesartan, and estrogen on atherosclerosis via anti-oxidative stress Reviewed International journal

    M Tsuda, M Iwai, JM Li, HS Li, LJ Min, A Ide, M Okumura, J Suzuki, M Mogi, H Suzuki, M Horiuchi

    HYPERTENSION   45 ( 4 )   545 - 551   2005.4

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    The present study explored the possibility that estrogen enhances the inhibitory effect of an angiotensin II type-1 (AT(1)) receptor blocker (ARB), olmesartan, on atherosclerosis, focusing on oxidative stress using apolipoprotein E knockout mice (ApoEKO). After 6 weeks on a high-cholesterol diet, marked atherosclerotic lesion formation with an increase in oxidative stress, such as superoxide production, NAD(P)H oxidase activity and expression of p47(phox) mRNA and rac-1 mRNA, were observed in the proximal aorta in both male and female ApoEKO mice, whereas these changes were less marked in female mice. Ovariectomy enhanced these parameters, the changes of which were reversed by 17 beta-estradiol (80 mu g/kg per day) replacement. Treatment with olmesartan (3 mg/kg per day) significantly inhibited oxidative stress and atherosclerosis, whereas its inhibitory effects were more marked in female than in male or ovariectomized mice. Smaller doses of olmesartan (0.5 mg/kg per day) or 17 beta-estradiol (20 mu g/kg per day) did not influence atherosclerosis and oxidative stress in ovariectomized mice, whereas co-administration of olmesartan and 17 beta-estradiol at these doses attenuated these parameters. An angiotensin-converting enzyme (ACE) inhibitor, temocapril, also inhibited atherosclerotic changes similarly to olmesartan. Moreover, angiotensin II-mediated activation of NAD( P) H oxidase in cultured vascular smooth muscle cells was attenuated by 17 beta-estradiol. These results indicate that estrogen and an ARB synergistically attenuate atherosclerosis at least partly via inhibition of oxidative stress.

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  • Catalase遺伝子(CAT)のプロモーター領域C-844T遺伝子多型と日本人高血圧との関連性

    安部 道子, 名倉 潤, 金 京姫, 呉 志紅, 山本 美由紀, 田原 康玄, 茂木 正樹, 小原 克彦, 三木 哲郎

    日本高血圧学会総会プログラム・抄録集   27回   177 - 177   2004.10

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  • Akt signaling regulates side population cell phenotype via Bcrp1 translocation Reviewed International journal

    M Mogi, J Yang, JF Lambert, GA Colvin, Shiojima, I, C Skurk, R Summer, A Fine, PJ Quesenberry, K Walsh

    JOURNAL OF BIOLOGICAL CHEMISTRY   278 ( 40 )   39068 - 39075   2003.10

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    Akt is an important regulator of cell survival, growth, and glucose metabolism in many cell types, but the role of this signaling molecule in hematopoietic stem cells is poorly defined. Side population (SP) cells are enriched for hematopoietic stem cell activity and are defined by their ability to efficiently efflux Hoechst 33342. Bone marrow from Akt1-null mice exhibited a reduced SP fraction. However, bone marrow cellularity, growth factor-responsive progenitor cultures, and engraftable stem cells were normal in these mice. Treatment of bone marrow with LY294002, an inhibitor of the Akt effector protein phosphatidylinositol 3-kinase, led to a reversible loss of the SP fraction. Bcrp1, which encodes the Hoechst dye transporter, was translocated from the membrane to the intracellular compartment under conditions that promote the SP-depleted state. Lentivirus-mediated overexpression of Akt1 in bone marrow markedly increased the SP fraction, whereas there was no effect on bone marrow from Bcrp(-/-) mice. These data suggest that Akt signaling modulates the SP cell phenotype by regulating the expression of Bcrp1.

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  • AMP-activated protein kinase (AMPK) signaling in endothelial cells is essential for angiogenesis in response to hypoxic stress Reviewed International journal

    D Nagata, M Mogi, K Walsh

    JOURNAL OF BIOLOGICAL CHEMISTRY   278 ( 33 )   31000 - 31006   2003.8

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    AMP-activated protein kinase (AMPK) is a stress-activated protein kinase that is regulated by hypoxia and other cellular stresses that result in diminished cellular ATP levels. Here, we investigated whether AMPK signaling in endothelial cells has a role in regulating angiogenesis. Hypoxia induced the activating phosphorylation of AMPK in human umbilical vein endothelial cells (HUVECs), and AMPK activation was required for the maintenance of pro-angiogenic Akt signaling under these conditions. Suppression of AMPK signaling inhibited both HUVEC migration to VEGF and in vitro differentiation into tube-like structures in hypoxic, but not normoxic cultures. Dominant-negative AMPK also inhibited in vivo angiogenesis in Matrigel plugs that were implanted subcutaneously in mice. These data identify AMPK signaling as a new regulator of angiogenesis that is specifically required for endothelial cell migration and differentiation under conditions of hypoxia. As such, endothelial AMPK signaling may be a critical determinant of blood vessel recruitment to tissues that are subjected to ischemic stress.

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  • Nifedipine indirectly upregulates superoxide dismutase expression in endothelial cells via vascular smooth muscle cell-dependent pathways Reviewed International journal

    K Fukuo, J Yang, O Yasuda, M Mogi, T Suhara, N Sato, T Suzuki, S Morimoto, T Ogihara

    CIRCULATION   106 ( 3 )   356 - 361   2002.7

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    Background-Calcium antagonists normalize endothelial dysfunction in many cardiovascular diseases. There is no known receptor, however, for calcium antagonists in endothelial cells (ECs). We hypothesized that vascular smooth muscle cells (VSMCs) are involved in the mechanism underlying the normalization of endothelial dysfunction by calcium antagonists.
    Methods and Results-Coculture studies with ECs and VSMCs were performed to determine whether VSMCs mediate modulation of endothelial superoxide dismutase (SOD) activity and expression induced by the calcium antagonist nifedipine. Nifedipine induced upregulation of SOD activity in rat aortic segments but had no effect on SOD expression or activity in ECs or VSMCs cultured individually. When ECs were cocultured with VSMCs, however, nifedipine upregulated SOD expression and activity in ECs. Nifedipine stimulated vascular endothelial growth factor (VEGF) production from VSMCs, and this stimulation of VEGF production was abolished by HOE-140, an antagonist of the bradykinin B-2 receptor. A neutralizing antibody against VEGF inhibited the upregulation of endothelial SOD by nifedipine. In addition, recombinant VEGF induced an increase in the levels of SOD expression in ECs, and supernatant derived from nifedipine-treated VSMCs enhanced NO production from ECs. This increase in NO production by the supernatant was inhibited by preincubation of ECs with SOD antisense oligodeoxyribonucleotides.
    Conclusions-The calcium antagonist nifedipine indirectly upregulates endothelial SOD expression by stimulating VEGF production from adjacent VSMCs. This finding may provide further insight into the mechanism underlying the beneficial effects of calcium antagonists in cardiovascular diseases.

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  • Increased plasma levels of the soluble form of Fas ligand in patients with acute myocardial infarction and unstable angina pectoris Reviewed International journal

    M Shimizu, K Fukuo, S Nagata, T Suhara, M Okuro, K Fujii, Y Higashino, M Mogi, Y Hatanaka, T Ogihara

    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY   39 ( 4 )   585 - 590   2002.2

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    OBJECTIVES To examine whether the Fas/Fas ligand system is involved in the pathogenesis of acute myocardial infarction (AMI), we measured the levels of the soluble form of the Fas ligand (sFasL) in the plasma of patients with AMI and stable or unstable angina pectoris (AP).
    BACKGROUND The Fas ligand (FasL) is rapidly cleaved off by a metalloproteinase from the cell membrane to become a soluble form as a cytokine. Fas is expressed in most cells, including cardiomyocytes, whereas FasL is mainly expressed in inflammatory cells such as macrophages, which are greatly accumulated in unstable plaque.
    METHODS Thirty patients with AMI, 10 patients with unstable AP, 10 patients with stable AP and 30 control subjects were enrolled in the present study.
    RESULTS Plasma sFasL levels were significantly, elevated on hospital admission in patients with AMI and unstable AP, compared with control subjects. Time-course studies revealed that plasma sFasL levels rapidly decreased within 3 h and then increased again after percutaneous transluminal coronary, angioplasty in patients with AMI, but not in patients with stable AP. Importantly,, the sFasL levels were higher in the coronary sinus than in the circulation. In addition, in vitro studies showed that the expression of FasL messenger ribonucleic acid was upregulated in mononuclear cells isolated from patients with AMI and that hypoxia stimulated the release of sFasL from isolated mononuclear cells.
    CONCLUSIONS This demonstration of elevated levels of sFasL in patients with AMI and unstable AP suggests that activation of the Fas/FasL system may play a pathogenic role in AMI and acute coronary syndromes. (C) 2002 by the American College of Cardiology.

    DOI: 10.1016/S0735-1097(01)01800-9

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  • 加齢性疾患に対する多面的アプローチ(老化細胞除去薬の可能性も含めて)

    茂木 正樹

    練馬区医師会だより   ( 671 )   1 - 5   2024.2

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  • 日本皮膚科学会ガイドライン 創傷・褥瘡・熱傷ガイドライン(2023)-2 褥瘡診療ガイドライン(第3版)

    藤原 浩, 入澤 亮吉, 大塚 正樹, 加古 智子, 加持 達弥, 門野 岳史, 古賀 文二, 廣崎 邦紀, 野北 陽子, 浅野 善英, 中西 健史, 前川 武雄, 茂木 精一郎, 吉野 雄一郎, 長谷川 稔, 藤本 学, 立花 隆夫, 創傷・褥瘡・熱傷ガイドライン策定委員会(褥瘡グループ), 日本皮膚科学会

    日本皮膚科学会雑誌   133 ( 12 )   2735 - 2797   2023.11

  • 子宮内胎児発育遅延が未熟児網膜症に与える影響

    茂木 正樹, 渡部 竜助, 池川 泰民, 江口 真理子, 劉 爽

    日本高血圧学会総会プログラム・抄録集   45回   270 - 270   2023.9

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  • 神経障害(2) 糖尿病性神経障害の診断に係る各種評価法の妥当性の検討

    茂木 幹雄, 姫野 龍仁, 平井 信弘, 柴田 由加, 都築 研人, 猪谷 淳夫, 伊藤 彩子, 清水 徹, 篠崎 隆裕, 若山 尚寛, 内原 夕貴, 舟橋 夕貴子, 三浦 絵美梨, 森下 啓明, 近藤 正樹, 恒川 新, 中村 二郎, 神谷 英紀

    糖尿病合併症   37 ( Suppl.1 )   149 - 149   2023.9

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  • 神経障害(1) 末梢神経系におけるグルコース応答性ATP感受性Kチャネルの生理的役割の解明

    水野 翼, 茂木 幹雄, 姫野 龍仁, 山口 真広, 河野 あゆみ, 清瀬 俊樹, 笹島 沙知子, 速水 智英, 浅野 紗恵子, 加藤 誠, 下田 博美, 三浦 絵美梨, 森下 啓明, 近藤 正樹, 恒川 新, 中村 二郎, 大西 正文, 神谷 英紀

    糖尿病合併症   37 ( Suppl.1 )   146 - 146   2023.9

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  • Hypertension Research 2023 Update and Perspectives

    茂木 正樹, 星出 聡, 苅尾 七臣

    日本高血圧学会総会プログラム・抄録集   45回   219 - 219   2023.9

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  • Hypertension Research 2023 Update and Perspectives

    茂木正樹, 星出聡, 苅尾七臣

    日本高血圧学会総会プログラム・抄録集(CD-ROM)   45回   219 - 219   2023.9

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  • Effects of fetal growth restriction on retinopathy of prematurity

    茂木正樹, 渡部竜助, 渡部竜助, 池川泰民, 池川泰民, 江口真理子, 劉爽

    日本高血圧学会総会プログラム・抄録集(CD-ROM)   45回   270 - 270   2023.9

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  • 高脂肪食摂餌マウスにおける妊娠期の薬物介入が次世代に与える影響

    今井 統, 矢野 晶子, 井上 翔太, 恩地 裕史, 井上 唯, 劉 爽, 茂木 正樹, 杉山 隆

    日本女性栄養・代謝学会誌   29 ( 1 )   37 - 37   2023.8

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  • 橋本病を合併した若年発症緩徐進行1型糖尿病(SPIDDM)の1例

    伊藤 彩子, 森下 啓明, 茂木 幹雄, 山田 祐一郎, 三浦 絵美梨, 姫野 龍仁, 近藤 正樹, 恒川 新, 加藤 義郎, 中村 二郎, 神谷 英紀

    糖尿病   66 ( 6 )   498 - 498   2023.6

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  • 老化細胞除去薬の加齢性疾患への可能性

    茂木 正樹

    日本老年医学会雑誌   60 ( Suppl. )   75 - 75   2023.5

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  • 当院通院中の糖尿病および非糖尿病患者の死因調査

    石川 舞, 三浦 絵美梨, 加藤 誠, 茂木 幹雄, 林 優佑, 清瀬 俊樹, 速水 智英, 山田 祐一郎, 森下 啓明, 姫野 龍仁, 近藤 正樹, 恒川 新, 加藤 義郎, 中村 二郎, 神谷 英紀

    糖尿病   66 ( Suppl.1 )   S - 175   2023.4

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  • 末梢神経系特異的Kcnj11欠損マウスは末梢神経機能低下を呈する

    水野 翼, 茂木 幹雄, 姫野 龍仁, 速水 智英, 浅野 紗恵子, 下田 博美, 山田 祐一郎, 三浦 絵美梨, 森下 啓明, 近藤 正樹, 恒川 新, 加藤 義郎, 中村 二郎, 大西 正文, 神谷 英紀

    糖尿病   66 ( Suppl.1 )   S - 267   2023.4

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  • Efficacy of Antihypertensive Treatment on Dementia in Older People Invited Reviewed

    Mogi Masaki

    Journal of Geriatric Pharmacy   6 ( 1 )   1 - 7   2023.3

  • 未熟児網膜の血管新生に対する子宮内胎児発育不全の影響の検討

    渡部 竜助, 茂木 正樹, 劉 爽

    血管   46 ( 1 )   45 - 45   2023.1

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  • 認知症(SPRINT研究を基にした考察)高血圧の最新診断・治療update ―診断・治療の最新動向― Ⅳ. 合併症・ライフステージと高血圧診療 Invited

    茂木正樹

    日本臨床   81 ( 1 )   114 - 120   2023.1

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  • Evaluation of oxygen-induced retinopathy in neonatal mice with fetal growth restriction

    Liu Shuang, Watanabe Ryusuke, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   97   1-B-P-022   2023

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    The present study is undertaken to investigate the effect of fetal growth restriction (FGR) on retinal neovasculature in a murine premature neonatal oxygen-induced retinopathy (OIR) model. According to the results of histological analysis, a significant decrease of neovasculature, as indicated by the decreases in the number of branch junctions, the vesicular distribution, maximal vesicular radius and microaneurysm-like tufts, were observed in OIR mice with FGR while comparing to OIR neonates with normal birth weight. The results of retinal RNA-sequencing revealed a down-regulation of angiogenic factors that trigger pathologic retina neovascularization, such as MAPK pathway and relative upstream signaling pathways in OIR mice with FGR. These results suggest that FGR neonates may be equipped with a higher capacity for retinal oxygen stress, and the risk of OIR development is lower compared to mature neonates.

    DOI: 10.1254/jpssuppl.97.0_1-b-p-022

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  • The efficiency of oral leucine administration on the progressing of melanoma in a murine sarcopenic model

    Marii Mochizuki, Hosoda Yuki, Inaba Sousuke, Liu Shang, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   97   2-B-P-085   2023

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    It has been known that sarcopenia causes the immune dysfunction. In this study, we evaluated the influence of the sarcopenia on the progression of melanoma using a denervation-induced sarcopenic model and the efficacy of leucine-intervention was evaluated. 

    Initially, the influences of leucine-intake on maintaining immune homeostasis were observed. The expression of PD1 on CD4-positive T cells and CD8-positive T cells increased in the sarcopenia mice comparing those in control mice. Then, a diet-intake leucine was orally administrated to both sarcopenic mice and melanoma-implanted sarcopenic mice. The administration of leucine caused an elevation of total CD4-positive cells and significantly decreased the number of PD1+CD4+ fraction and PD1+CD8+ fraction in sarcopenic mice. The subpopulation of PD1+CD8+ fraction in leucine-treated sarcopenic mice was even much lower than that in non-sarcopenic group. The Kaplan-Meier curve also suggests that leucine-intake potentially increased the survival rates in sarcopenic mice. 

    Taken together, the results obtained from the present study suggests that oral administration of leucine can restore the skeletal muscle mass and may affect the onset of cancer progression via improving the function of immunological defense. It would benefit the management of melanoma in sarcopenic patients.

    DOI: 10.1254/jpssuppl.97.0_2-b-p-085

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  • 2大学合同オンライン型薬理学ロールプレイの有効性と課題

    東 洋一郎, 清水 孝洋, 劉 爽, 清水 翔吾, 茂木 正樹, 柳田 俊彦, 齊藤 源顕

    日本臨床薬理学会学術総会抄録集   43回   2 - 1   2022.12

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    薬理学ロールプレイ(以下、ロールプレイ)は、学生が医療者役、患者と患者の家族役に扮して模擬診療を行う学生主体型ロールプレイであり、実践的薬物治療教育を目的としている。従来、薬理学ロールプレイは1大学内で対面形式により実施されてきた。しかし、新型コロナウイルス感染症の拡大の影響を受けてオンライン形式での薬理学ロールプレイが開講され、最近では、新しい試みとしてオンライン講義の強みである遠隔地間の相互学習を活用した2大学間での薬理学合同ロールプレイの試みも進められている。現在までに、オンライン型ロールプレイの学習効果や合同ロールプレイの実施についての報告はあるものの、2大学間でオンライン型合同ロールプレイを実施し、その学習効果を1大学で実施したオンライン型ロールプレイと比較検討した報告はない。高知大学と愛媛大学は2020年度にそれぞれ1大学でオンライン型ロールプレイを実施し、2021年度に2大学合同のオンライン型ロールプレイを実施した。対象学生は薬理学を履修している高知大学医学部医学科3年生と愛媛大学医学部医学科2年生とし、配信プラットフォームはzoomミーティングを用いた。2症例の課題に対して医師または患者・患者の家族に扮して学生が病気や薬物治療の説明を行い、課題ごとにロールプレイが終わると見学していた学生はロールプレイ内容について討論した。全ての課題が終了した後、参加学生全員を対象に事後アンケートを行った。アンケートは「病気や治療(薬物治療)の学習に役立ちましたか?」、「患者の気持ちを理解するのに役立ちましたか?」、「医師になるための心構え、モチベーションの向上に役立ちましたか?」、「これからの学習姿勢に変化があると感じましたか?」の4つの質問に対する5段階評価と自由記述を設けてロールプレイの感想を尋ねた。本講演では、各大学のロールプレイ実施形式における学習効果を分析するため、各大学の年度ごとの各質問に対する5段階評価を集計し、更に5段階評価と自由記述をテキストマイニングのソフトウェアを用いて共起ネットワーク分析と階層的クラスター分析を行った結果を紹介する。

    DOI: 10.50993/jsptsuppl.43.0_2-c-s23-1

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  • 高血圧の基礎研究を臨床に生かす具体策

    茂木 正樹

    日本臨床薬理学会学術総会抄録集   43回   2 - 2   2022.12

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    高血圧症は、効果的な治療薬が多く満足な治療が実施できると考えられ、アンメット・メディカルニーズの低い生活習慣病とされる。しかし、成因は単純ではなく、交感神経・腎尿細管のナトリウム吸収・血管収縮・血圧調節ホルモンなど、様々な生理学的要因が関与していることから、多くの種類の高血圧治療薬が創出され、長期の定期的な服用を確実にするために、剤型改良が進められてきた。しかし、高血圧治療を受けている患者の至適血圧への管理率は50%に満たず、決して満足の行く治療実態にはなっていない。その理由として、クリニカルイナーシャなども唱えられているが、まだまだ高血圧の成因や治療ターゲットに未解明な部分が多くあり、より根本的かつ効果的な治療薬の開発が必要で、今もなお高血圧の基礎研究が進められている。日本では高血圧自然発症ラット(spontaneously hypertensive rat, SHR)が確立され、またレニン・アンジオテンシン系の研究などにおいて世界をリードする高血圧研究が進められてきた。マウスやラットなどの動物を用いたin vivo研究、臓器の細胞を用いたin vitro研究を実際の高血圧の臨床に役立つために特に秘策があるわけではなく、地道な検討が必要なのは言うまでもないが、実際にヒトでの効果に結び付けるために問題点や克服すべきことも多い。薬剤の濃度や動物種による感受性や代謝の問題など、基礎研究を通した薬物開発の問題点や、加齢による臓器変化を基礎研究で疑似的に映し出すための工夫など、高血圧の基礎研究を臨床に生かすための具体策について、本セッションで様々な角度から検討したいと考える。

    DOI: 10.50993/jsptsuppl.43.0_2-c-s20-2

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  • がん悪液質に対するアナモレリン塩酸塩使用症例の検討

    菊地 功, 松田 頼樹, 栗原 由騎, 茂木 はるか, 山田 修平, 新保 知規, 若林 俊樹, 山田 公子, 伽羅谷 千加子, 佐々木 美弥子, 松岡 幸子, 菊地 香織, 近野 平, 今野 正樹, 佐藤 勤

    学会誌JSPEN   4 ( Suppl.2 )   30 - 30   2022.12

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  • 目で見る抗がん薬の作用機序 動画の活用

    林 啓太朗, 茂木 正樹, 藤田 朋恵

    日本臨床薬理学会学術総会抄録集   43回   2 - 2   2022.12

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    薬の作用機序を理解することは薬理学を学ぶ上で必要不可欠であり、また、薬物治療を行う際の必須事項でもある。しかし、医学生が教科書に文章として記載されている薬の作用機序を視覚イメージとして捉えることは比較的困難に思われる。

    我々は、抗がん薬の作用機序の違いを視覚的に捉えることで各薬物の作用機序をより深く理解することを目的として、抗がん薬が細胞周期に与える影響について分析する実験を学生実習のテーマとして昨年より取り入れた。具体的には、作用機序の異なる殺細胞性薬をがん細胞に作用させて細胞周期をフローサイトメーターにより解析する実験を計画した。しかしながら、初回はコロナウイルスの影響により実習が実施できず、講義形式への変更を余儀なくされた。そこで我々は、実習内容についての動画を作成し、学生への視聴を試みた。動画ではDNA複製のメカニズム、DNAインターカレータを用いた細胞周期測定の方法、フローサイトメーターの原理などについて紹介したほか、フローサイトメーターが白血病の分類決定に応用されていることなど、実臨床との関連性についての説明も加えた。さらには、実験手技、手順も撮影し、実験を映像として確認できるようにした。

    当初はコロナウイルスの影響により実施できなかった実習の代替え案として、専門的な知識やソフトウェアがほとんど無い状況で動画作成に着手したが、完成した動画は今後の実習の際にも内容をより深く理解するために補助的に活用できると思われた。実験開始前に動画を視聴することでより効果的な実習が実施できることや、得られた実験データの考察や説明にも有効に利用できることが期待される。コロナウイルス収束後においてもこのような教材の作成・活用を継続することで、学習効果のさらなる向上につながると推測される。

    DOI: 10.50993/jsptsuppl.43.0_2-c-s23-2

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  • Erratum to: Estrogen normalizes maternal HFD-induced vascular dysfunction in offspring by regulating ATR (Hypertension Research, (2022), 45, 11, (1743-1753), 10.1038/s41440-022-01002-2)

    Masaki Mogi

    Hypertension Research   45 ( 11 )   1835 - 1837   2022.11

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    DOI: 10.1038/s41440-022-01021-z

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  • 高齢者の薬物治療の注意点

    茂木 正樹

    日本看護研究学会雑誌   45 ( 3 )   3_452 - 3_452   2022.10

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    Language:Japanese   Publisher:一般社団法人 日本看護研究学会  

    DOI: 10.15065/jjsnr.20221019016

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  • 高齢者の薬物治療の注意点

    茂木 正樹

    日本看護研究学会雑誌   45 ( 3 )   452 - 452   2022.10

  • 妊娠・授乳期の低脂肪食介入の次世代の糖・脂質代謝に及ぼす影響

    今井 統, 上野 愛実, 矢野 晶子, 井上 翔太, 井上 唯, 吉田 文香, 横山 真紀, 劉 爽, 茂木 正樹, 杉山 隆

    日本女性栄養・代謝学会誌   28 ( 1 )   23 - 23   2022.8

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  • 高血圧発症に関連する遺伝子のT細胞機能に与える影響に着目した検討

    茂木 正樹, Javkhlant Amarsanaa, 外山 研介

    血管   45 ( 1 )   58 - 58   2022.6

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  • サルコペニア免疫細胞におけるミトコンドリア機能低下に対する分岐鎖アミノ酸投与効果の検討

    茂木 正樹, 劉 爽, 藤井 大輔, 細田 祐樹, 望月 万莉井

    日本老年医学会雑誌   59 ( Suppl. )   147 - 147   2022.5

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  • The efficiency of leucine administration on the maintenance of systemic immune function in a sarcopenia model

    Marii Mochizuki, Hosoda Yuki, Inaba Sousuke, Liu Shang, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   96   2-B-SS11-2   2022

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    It is well known that chronic inflammation causes the sarcopenia. Whether the efforts to prevent skeletal muscle loss benefit the immune homeostasis remains unclear. In the present study, the efficacy of leucine supplementation on the maintenance of systemic immune function was evaluated. A sciatic nerve denervation-induced sarcopenic model was established and the volume and thickness of skeletal muscle on the hindlimb were evaluated by magnetic resonance imaging. Oral administration of leucine was carried on for 56 weeks. The skeletal muscle mass and the subsets or function of immune cells were analyzed. 

    In leucine-treated sarcopenic mice, skeletal muscle mass on the hindlimb was significantly increased compared to that in non-treated sarcopenic mice. Leucine treatment repaired the mitochondria dysfunction in splenocytes from sarcopenic mice both <i>in vitro</i> and <i>in vivo</i>. In sarcopenic mice, an increase of the PD-1 expression was observed in CD4+ and CD8+ T cells. However, oral leucine administration restored the expression of PD-1 in the lymphocytes to the level of non-sarcopenic mice. 

    In conclusion, the administration of leucine exhibits beneficial effects on sarcopenia and may influence the anti-cancer immune responses via adaptive immune resistance mechanism.

    DOI: 10.1254/jpssuppl.96.0_2-b-ss11-2

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  • Rat basophilic leukemia cell-derived chymase interacts with SRAS-CoV-2 spike protein

    Liu Shuang, Takemasa Erika, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   95   1-P-059   2022

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    Mast cells are important sentinel cells in the first line of host defense against viral and bacterial entry. SARS-CoV-2 can activate mast cells present in the respiratory tract in the initial stage of the disease. In the present study, we attempted to dissect the mechanisms underlying the interaction of the function of mast cells, especially focusing on the mast cell-derived chymase, with the cell entry of SRAS-CoV-2 by using a well-established mast cell line, rat basophil leukemia (RBL-2H3) cells. RBL-2H3 cells were infected by pseudovirons and the viral entry was evaluated. The interactions between SRAS-CoV-2 spike and mast cell-derived chymase were observed and predicated binding-site were determined by using spike-truncating variants. During the viral infection, the interaction of chymase with SRAS-CoV-2 may have both detrimental and positive impacts. Whether SRAS-CoV-2 spike is a potential substrate of chymase, and if its cleavage modulates biological properties of spike-bearing virus would be focused on in future planned study.

    DOI: 10.1254/jpssuppl.95.0_1-p-059

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  • ループス腎炎に与えるサルコペニアの影響

    茂木 正樹, 劉 爽, 竹政 絵理香, 河南 智也

    日本サルコペニア・フレイル学会雑誌   5 ( Suppl. )   187 - 187   2021.10

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  • アンジオテンシンIIタイプ2受容体とMas受容体は相互補完的に骨格筋老化を抑制する

    竹下 ひかり, 山本 浩一, 茂木 正樹, 楽木 宏実

    日本高血圧学会総会プログラム・抄録集   43回   219 - 219   2021.10

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  • 高血圧の成因に関する新たな知見UPDATE 2021 レニン・アンジオテンシン系の最近の知見

    茂木 正樹

    日本高血圧学会総会プログラム・抄録集   43回   157 - 157   2021.10

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  • Nationwide Emergency Survey Results on the Response to COVID-19 Pandemic and Its Effect on Pharmacological Education Conducted in the Department of Pharmacology in Universities and Colleges Jointly by the Physiology Society of Japan and the Japanese Pharmacological Society. Invited Reviewed

    Mogi Masaki, Furuyashiki Tomoyuki, Takuma Kazuhiro, Otsuguro Ken-ichi, Tanaka Tomoyuki, Minami Masabumi

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   156 ( 6 )   324 - 329   2021.6

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    COVID-19 pandemic from spring, 2020 changed pharmacological education. To reveal its actual status, the Physiology Society of Japan and the Japanese Pharmacological Society jointly conducted nationwide emergency survey on the response to COVID-19 pandemic and the change of educational environment in universities and colleges from August 26 to September 15, 2020. Here, we demonstrated the results from the Department of Pharmacology in Medical, Dental and Veterinary School. Response rate was high around 90%. How to do the lecture and the practice were changed in 80% and 70%, respectively. Instead of face-to-face teaching, online methods were widely utilized. Live and on-demand streaming used around 30% each and mixed streaming around 40% in the lecture, while live and mixed streaming used around 25% each and on-demand streaming around 45% in the practice. Online methods were also adopted in attendance confirmation and conduct of examination. There are several problems to do online methods such as "unstable network environment", "lack of the reality for students" and "difficulty in the check of their understanding". On the other hand, there are unexpected benefits in online methods such as "anytime and repeatable learning", "an increase in questions from students" and "concentration of learning". 60% of responders insist they will utilize the changed methods in the future. In this part, we would discuss on "new normal" pharmacological education from this survey results.

    DOI: 10.1254/jpssuppl.94.0_2-s13-1

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    Other Link: https://search.jamas.or.jp/default/link?pub_year=2021&ichushi_jid=J01200&link_issn=&doc_id=20211108470001&doc_link_id=10.1254%2Ffpj.21025&url=https%3A%2F%2Fdoi.org%2F10.1254%2Ffpj.21025&type=Crossref&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00002_2.gif

  • angiotensin II typeおよびMas receptors2二重欠失はマウスにおいて加齢による筋力低下を加速させる(Double deletion of angiotensin II type 2 and Mas receptors accelerates aging-related muscle weakness in mice)

    竹下 ひかり, 山本 浩一, 茂木 正樹, 楽木 宏実

    日本内分泌学会雑誌   96 ( 4 )   1107 - 1107   2021.4

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  • KK-Ay糖尿病マウスとC57BL/6マウスにおけるメチル水銀の体内動態

    山元 恵, 柳澤 利枝, 酒井 敦史, 茂木 正樹, 周東 智, 首藤 正親, 柏木 葉月, 工藤 めぐみ, 中村 政明, 坂本 峰至

    日本衛生学雑誌   76 ( Suppl. )   S147 - S147   2021.3

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  • Loss of skeletal muscle mass influences immune homeostasis and accelerates the disease progression of lupus nephritis

    Liu Shuang, Kiyoi Takeshi, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   94   1-P2-22   2021

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    Patients with systemic autoimmune disease are predisposed to developing sarcopenia associated with their underlying proinflammatory condition and a decrease in motility. How sarcopenic status affects disease progression remains unknown. The present study explored the influence of sarcopenia on immune homeostasis and investigated related biological pathways that might be important for future disease management. A denervation-induced skeletal muscle loss model was established and the function of the immune system was evaluated. The results of immune status profiling and functional assessment demonstrated that the loss of skeletal muscle impaired the function of mitochondrial respiration and activation in T cells, and therefore influenced the balance of T helper cell subsets. Consequently, sarcopenia might promote the progression of autoimmune diseases, such as lupus nephritis, as well as the enhancement of Th1/Th17 functions. These results suggest that physicians should be aware of the impact of the loss of skeletal muscle on the management of autoimmune disease, and that a multidisciplinary approach is required to minimize the overall adverse impact of sarcopenia.

    DOI: 10.1254/jpssuppl.94.0_1-p2-22

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  • サルコペニアと自己免疫疾患

    劉 爽, 茂木 正樹

    愛媛医学   39 ( 4 )   157 - 161   2020.12

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  • 愛媛県下20市町間での高血圧管理の違いと高血圧性心疾患発症との関連性の検討

    外山 研介, 葛山 雅哉, 田中 伸司, 山泉 雅光, 茂木 正樹

    愛媛医学   39 ( 4 )   180 - 188   2020.12

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    背景:愛媛県は心疾患の年齢調整死亡率が全国第2位と心疾患死の多い県である。その死因は心不全や急性心筋梗塞であることが多いが、当県の急性心筋梗塞の死亡率は全国平均以下であることから、心不全を原因とするケースが多いのではないかと推測される。愛媛県では健康診断で血圧高値と判定される受診者割合が非常に多いことも知られているが(全国5位以内)、高血圧での通院率が全国平均並みであることから考えて、降圧管理が不良なケースが心不全数増加の一因であることが考えられた。しかし、その実態については不明な点が多い。今回、心不全の原因となる高血圧性心肥大の存在を心電図変化から類推し、県内地区別における降圧管理と高血圧性心疾患の関連性について検証した。方法:愛媛県厚生連健診センターを2018年度に受診した55,686例を対象に、高血圧歴があり、心電図検査を受けた症例9,873例を抽出した。地域間での高血圧歴や心電図所見(左室肥大所見)の偏在性を比較し、心電図変化と降圧管理との関連性を解析した。結果:鬼北町、松野町、西予市、久万高原町における高血圧既往者の占める割合が特に高かった。この高血圧既往者において血圧が140/90mmHg以上(糖尿病合併時130/80mmHg以上)である「降圧管理不良者」の割合は、愛南町、西予市、八幡浜市、松野町、伊予市、上島町、四国中央市、西条市、今治市で県平均を上回っていた。二項ロジスティク重回帰分析を行うと、既報通り降圧管理不良であることは左室肥大所見を呈することに強く関連する(odds ratio、1.63;P<0.001)。心電図で左室肥大を示す割合が県平均よりも高い市町は、上島町、八幡浜市、西予市、松野町と愛南町である。結論:上島町、八幡浜市、西予市、松野町と愛南町の5市町では高血圧に対する管理不良のため左室肥大所見が多く認められている可能性がある。この5市町に対しては、高血圧管理に対する意識改善を徹底させることが将来の高血圧性心肥大の発生を抑制する上で重要である。(著者抄録)

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  • 70歳以上高齢者進行非小細胞肺癌における化学療法に対する脆弱性予測に関する検討

    中村 慧一, 金津 正樹, 斎藤 龍生, 森 雅秀, 田村 厚久, 岡野 義夫, 藤田 結花, 遠藤 健夫, 茂木 充, 高田 昇平, 北 俊之, 須甲 憲明, 竹之山 光広, 安宅 信二

    国立病院総合医学会講演抄録集   74回   O65 - 1   2020.10

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  • レニン-アンジオテンシン系の拮抗系が老化制御に及ぼす影響の検討

    竹下 ひかり, 山本 浩一, 樂木 宏実, 茂木 正樹

    日本老年医学会雑誌   57 ( 4 )   514 - 514   2020.10

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  • エイジングサイエンスフォーラム~最新老化研究から新しい健康概念へ レニン-アンジオテンシン系と老化

    竹下 ひかり, 山本 浩一, 茂木 正樹, 樂木 宏実

    日本老年医学会雑誌   57 ( Suppl. )   45 - 45   2020.7

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  • 組織RA系(脳内RA系を含む)「高血圧 上 -高血圧制圧の現状と展望-」 V. レニン-アンジオテンシン-アルドステロン系(RAA系)研究の現状と展望 Invited

    茂木正樹

    日本臨床   78 ( 増刊1 高血圧学(上) )   263 - 268   2020.6

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  • 【高血圧診療update-診断・治療の最新動向-】基礎研究のトピックス これからの新規降圧薬開発

    茂木 正樹

    日本臨床   78 ( 2 )   215 - 221   2020.2

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  • 医学部薬理学関連講座における講義・実習に関する全国実態調査の結果から 連載:これからの薬理学教育を考える Invited Reviewed

    茂木 正樹, 松下 涼子

    日本薬理学会雑誌   155 ( 1 )   47 - 50   2020.1

  • FFN206を用いたマスト細胞のハイスループットイメージング解析法の開発

    清井武志, 清井武志, 劉爽, 茂木正樹, 茂木正樹

    日本薬理学雑誌   155 ( Supplement )   2020

  • Nationwide survey of lecture and practice conducted in medical schools

    Masaki Mogi, Ryoko Matsushita

    Folia Pharmacologica Japonica   155 ( 1 )   47 - 50   2020

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    DOI: 10.1254/fpj.19077

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  • Establishment of a drug screening system for chondrogenic differentiation of mesenchymal stem cells.

    Ishida Marina, Liu Shuang, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   93   1-SS-39   2020

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    Defects in articular cartilage ultimately results in loss of joint function in rheumatoid arthritis. To investigate the influences of anti-rheumatoid drugs on chondrogenic differentiation of mesenchymal stem cell (MSC), <i>in vitro</i> and <i>in vivo</i> screening system were established. MSCs were collected and palleted in 4-microtube strips for chondrogenic induction. Quantification of formed micromasses was performed by three dimensional T2-weighted magnetic resonance imaging. For <i>in vivo</i> screening, scaffold or scaffoldless cartilaginous tissue were transplanted to NOD/ShiJic-scid mice for 2 months. The cartilaginous tissues were then explanted and the expressions of chondrogenic markers, including aggrecan and CD44, were assessed. We examined influence on inducted differentiation cartilages by methotrexate (MTX) and prednisolone (PSL). The volume of the chondrogenic spheroid in the presence of MTX was decreased in a dose-dependent manner, whereas no significant effect of PSL on chondrogenic differential potency were observed. The MSC-derived cartilaginous spheroid provides an effective screening tool to get the impact of anti-rheumatoid drugs on cartilaginous regeneration.

    DOI: 10.1254/jpssuppl.93.0_1-ss-39

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  • レニン-アンジオテンシン系の拮抗系が骨格筋老化に及ぼす影響の解明

    竹下 ひかり, 山本 浩一, 野里 聡子, 楽木 宏実, 茂木 正樹

    日本高血圧学会総会プログラム・抄録集   42回   217 - 217   2019.10

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  • ACE2の欠損と慢性的なレニン-アンジオテンシン系の活性化は骨格筋へ異なる影響を及ぼす

    竹下 ひかり, 山本 浩一, 野里 聡子, 茂木 正樹, 樂木 宏実

    日本老年医学会雑誌   56 ( 4 )   559 - 559   2019.10

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  • microRNAに着目した血液脳関門破綻の新規治療法の開発

    茂木 正樹, 外山 研介

    日本高血圧学会総会プログラム・抄録集   42回   336 - 336   2019.10

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  • 高血圧と脳・心・腎連関 レニン・アンジオテンシン・アルドステロン系の役割

    茂木 正樹

    日本高血圧学会総会プログラム・抄録集   42回   157 - 157   2019.10

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  • ダイバーシティ推進委員会は日本高血圧学会にどうコミットしていくのか? 若手活性化委員会の立場から

    茂木 正樹, 西山 成

    日本高血圧学会総会プログラム・抄録集   42回   211 - 211   2019.10

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  • アンジオテンシン変換酵素2欠損マウスにおける骨格筋老化形質はレニン-アンジオテンシン系活性化に起因するか?

    竹下 ひかり, 山本 浩一, 茂木 正樹, 樂木 宏実

    日本筋学会学術集会プログラム・抄録集   5回   160 - 160   2019.8

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  • 2016年度 第1回 日本老年医学会 老化および老年医学研究助成 研究成果報告書 サルコペニア肥満に対する異所性脂肪沈着制御に着目した新規治療法の探索

    Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics   56 ( 3 )   350 - 352   2019.7

  • 【神経システムと循環器疾患】脳心連関から制御する神経疾患と循環器疾患

    樂木 宏実, 苅尾 七臣, 櫻井 孝, 茂木 正樹

    Cardiac Practice   30 ( 1 )   55 - 62   2019.6

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  • レニン-アンジオテンシン系の拮抗系が骨格筋老化に及ぼす影響の検討

    竹下 ひかり, 山本 浩一, 野里 聡子, 樂木 宏実, 茂木 正樹

    日本老年医学会雑誌   56 ( Suppl. )   139 - 139   2019.5

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  • 【高血圧診療・高血圧学の将来を考える】分子生物的観点から高血圧研究はどう変わるか

    外山 研介, 茂木 正樹

    血圧   26 ( 3 )   153 - 157   2019.3

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    レニン・アンジオテンシン系阻害薬といった薬剤から腎デナベーション(除神経)といったメカニカルな治療まで、高血圧に対する治療戦略はこの数十年で目覚ましい発展があった医療分野の一つと言っても過言ではない。しかしながら、それでも治療法に応答せず、期待する降圧効果が認められないケースに日常診療で遭遇することは決して珍しくなく、まだまだ研究をおこなうべき未解明な領域が多くあるのではないかと思われる。近年、日本人の高血圧患者データの解析から高血圧感受性遺伝子ATP2B1が同定され、そのATP2B1の制御機構と高血圧との関連性についての解明も進んでいる。一方、ヒトの免疫システムを再現したヒト化マウスを用いた実験によって、あらためてT細胞が高血圧の発症に深く関わっていることが明らかとされ、降圧療法の新しい治療ターゲットとして免疫系が注目されている。今回、高血圧感受性遺伝子や免疫系と高血圧との関連性について最新の研究事情の概要を示し、分子生物的観点から今後の高血圧研究の方向性について考察した。(著者抄録)

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  • 【高血圧診療・高血圧学の将来を考える】 分子生物的観点から高血圧研究はどう変わるか

    外山 研介, 茂木 正樹

    血圧   26 ( 3 )   153 - 157   2019.3

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    レニン・アンジオテンシン系阻害薬といった薬剤から腎デナベーション(除神経)といったメカニカルな治療まで、高血圧に対する治療戦略はこの数十年で目覚ましい発展があった医療分野の一つと言っても過言ではない。しかしながら、それでも治療法に応答せず、期待する降圧効果が認められないケースに日常診療で遭遇することは決して珍しくなく、まだまだ研究をおこなうべき未解明な領域が多くあるのではないかと思われる。近年、日本人の高血圧患者データの解析から高血圧感受性遺伝子ATP2B1が同定され、そのATP2B1の制御機構と高血圧との関連性についての解明も進んでいる。一方、ヒトの免疫システムを再現したヒト化マウスを用いた実験によって、あらためてT細胞が高血圧の発症に深く関わっていることが明らかとされ、降圧療法の新しい治療ターゲットとして免疫系が注目されている。今回、高血圧感受性遺伝子や免疫系と高血圧との関連性について最新の研究事情の概要を示し、分子生物的観点から今後の高血圧研究の方向性について考察した。(著者抄録)

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  • 循環薬理学からみる認知症 microRNAに着目した認知症に対する治療戦略開発の模索

    外山 研介, 茂木 正樹

    血管   42 ( 1 )   36 - 36   2019.1

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  • Nationwide Survey Results of the Lectures and Practice Conducted in the Department of Pharmacology or Clinical Pharmacology in Medical Schools

    Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   92   3-ES3-1   2019

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    There are few nationwide reports on pharmacology education to show actual total school hours, how to evaluate students' knowledge, what textbook is recommended to students, or what are performed as pharmacological practice etc. The present study investigated such facts on pharmacology education, based on the results of a nationwide survey asked to the chiefs in the Department of Pharmacology or Clinical Pharmacology in Medical Schools. Around 70 percent of total invited chiefs replied to the survey with answering many kinds of questions. Currently, data have being aggregated. For example, average total school hours are around 90 hours per year. Examination is mainly performed by a combination of description-type and multiple-choice questions. Main textbook is recommended but not specified in a half of the facility. Staffs spend 28 hours for the pharmacological practice per year, etc. Overall, survey results exhibited that the chiefs in the Department of Pharmacology or Clinical Pharmacology in Medical Schools are suffering from performing long-time lecture and pharmacological practice with fewer staffs, but continuously make efforts to perform better pharmacology education with worrying about properly evaluating such educational efforts from the executive in the school. I will discuss about the future plan for pharmacology education with taking into consideration of nationwide cooperation in this session.

    DOI: 10.1254/jpssuppl.92.0_3-es3-1

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  • Generation of specific aptamers targeting MRGPRX2using synthetic proteoliposomes

    Liu Shuang, Suzuki Yasuyuki, Inui Makoto, Mogi Masaki

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   92   3-P-104   2019

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    Mas-related G protein coupled receptor-X2 (MRGPRX2) is a novel G protein-coupledreceptor with unique features including selective expression and response topeptidergic drug-induced activation in mast cells. With the aim of inhibitingMRGPRX2-dependent mast cell activation, a specific functional aptamer wasgenerated using the proteoliposome-based systematic evolution of ligands byexponential enrichment. After multiple cycles of selection and evolution,potential functional aptamers with high affinity and specificity were selectedby binding assay and functional screening and enriched for sequencing. Severalaptamers showed dose-dependent inhibitory potency on MRGPRX-dependent mast cellactivation. The feasibility and efficacy of these aptamers on drug-inducedanaphylactoid reactions will be investigated in our future planned study.

    DOI: 10.1254/jpssuppl.92.0_3-p-104

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  • Immune system observation in a murine sarcopenic model

    Kawanami Tomoya, Mogi Masaki, Liu Shuang

    Proceedings for Annual Meeting of The Japanese Pharmacological Society   92   1-SS-54   2019

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    Muscle atrophy is a result of aging and disease, and can compromise physical function and impair vital metabolic processes. Low levels of muscular fitness, known as ‘flail', contribute greatly to weakness, disability, and immobility, and lead to increased hospitalization and loss of independence.

    To investigate the correlation between muscle atrophy and aging-related immune deterioration, a dissected sciatic nerve sarcopenic mouse model was established and the fraction of immunological cells, including T cells, B cells, macrophages, natural killer cells, and neutrophils, was determined. Eight weeks after sciatic nerve dissection, the volume of both hind legs was evaluated based on acquired magnetic resonance imaging. Primary splenocytes and biceps femoris muscle-derived cells were isolated and labeled by cellular markers. The subpopulation of the cells was then detected using flow cytometry. T and B cell lineages were significantly suppressed in the sarcopenic model compared with control mice, and the fraction of macrophages and natural killer cells also tended to increase.

    In conclusion, muscular loss appears to affect the immunological system by modulating humoral immunity and the cell-based immunology response. Further functional analysis of individual cell subsets could further determine the influence of sarcopenia on immune system improvement.

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  • 血液脳関門破綻に対するmicroRNAに着目した新規治療戦略の開発

    茂木 正樹, 外山 研介

    Anti-aging Science   10 ( 1 )   71 - 71   2018.12

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  • 人工知能 人工知能と医療(シンポジウムを始めるにあたり)

    茂木 正樹

    Anti-aging Science   10 ( 1 )   51 - 51   2018.12

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  • 【RA系阻害薬の『臓器保護作用』を再検証する】 認知症の発症・進展予防にRA系阻害薬のBeyond BP lowering effectは存在するのか?

    茂木 正樹

    血圧   25 ( 11 )   762 - 766   2018.11

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    疫学的に中年期の高血圧が認知症の危険因子になることが知られ、降圧薬の「適切な」使用による認知症の発症予防効果が期待されている。認知症は血管性認知症に限らずアルツハイマー病(AD)においても血管障害が影響しており、降圧による血管保護効果は最も重要な降圧薬の効用の一つであると考えられる。一方、RA系阻害薬による独自の認知症への効果が臨床研究・基礎実験から多数報告されている。しかし、臨床研究では、認知症の発症抑制の比較を目的とした比較的対象者の多いランダム化比較試験がおこなわれていないこと、基礎研究では、使用される動物モデルがヒトの認知症を正確に再現できないことなど、独自効果を実証するためにはクリアされるべき問題点が多い。さらに、ACE阻害薬がアミロイドβの代謝にヒトにおいては実際悪影響を与えるのかなど、解決されていない疑問も存在する。(著者抄録)

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  • ビフィズス菌投与による脳血管性認知症モデルの認知機能低下に対する抑制作用

    前畑葉月, 小林洋大, 岩波純, 茂木正樹, 堀内正嗣, 久原徹哉, 清水金忠

    Dementia Japan   32 ( 3 )   440 - 440   2018.9

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  • Hypertension Paradoxへの挑戦 認知症予防を見据えた早期の血圧管理

    茂木 正樹

    日本高血圧学会総会プログラム・抄録集   41回   SS3 - 2   2018.9

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  • 認知症への高血圧・血管性因子の影響とレニン・アンジオテンシン系

    茂木 正樹

    血管   41 ( 2 )   1 - 12   2018.8

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    DOI: 10.60370/jjcircres.41.2_1

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  • Dementia

    茂木正樹

    日本臨床   76 ( 8 )   1361‐1366   2018.8

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  • 【高血圧の最新診断・治療-ガイドラインから個別予見医療へ-】 加齢疾患の1次・2次予防 認知症

    茂木 正樹

    日本臨床   76 ( 8 )   1361 - 1366   2018.8

  • 【高血圧の最新診断・治療-ガイドラインから個別予見医療へ-】 加齢疾患の1次・2次予防 認知症

    茂木 正樹

    日本臨床   76 ( 8 )   1361 - 1366   2018.8

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  • 用語解説 サルコペニア肥満

    茂木 正樹

    腎・高血圧の最新治療   7 ( 3 )   149 - 149   2018.7

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  • 用語解説 サルコペニア肥満

    茂木 正樹

    腎・高血圧の最新治療   7 ( 3 )   149 - 149   2018.7

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  • サルコペニア肥満に対する異所性脂肪沈着制御に着目した新規治療法の探索

    茂木正樹

    日本老年医学会雑誌   55 ( Suppl. )   80 - 80   2018.5

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  • サルコペニア肥満に対する異所性脂肪沈着制御に着目した新規治療法の探索

    茂木 正樹

    日本老年医学会雑誌   55 ( Suppl. )   80 - 80   2018.5

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  • アンジオテンシンII2型(AT2)受容体刺激はLPSにより誘導される急性腎障害に対して保護的に働く

    莖田 昌敬, 大藏 隆文, 長尾 知明, 三好 賢一, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣, 檜垣 實男

    日本腎臓学会誌   60 ( 3 )   460 - 460   2018.4

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  • 血管障害誘導性認知機能低下モデルにおける伊予柑ジュース飲用による認知機能低下の予防効果

    茂木正樹, 川上萌, 岩波純, 堀内正嗣

    日本臨床栄養学会雑誌   40 ( 1 )   20‐25 - 25   2018.4

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    認知症は発症の数十年も前から脳に変化が起きており、高血圧や糖尿病などの生活習慣病が深く関与すると昨今考えられている。そのため、食生活などの生活習慣の改善が認知症の予防につながると考えられ、食事による認知症の予防に期待が集まっている。以前より、柑橘類の摂取が抗認知症効果をもつ可能性がヒトにおいて報告されていたが、動物を用いた基礎研究での検討は少なかった。我々は柑橘ジュースをマウスに飲用させることで、血管リモデリングを抑制することを報告してきたことから、柑橘ジュースの血管保護作用に注目し、血管障害誘導性の認知機能低下モデルにおいて、柑橘ジュース飲用が認知機能の低下を抑制するのではと仮説を立てて検討を行った。柑橘ジュース飲用により、認知症の抑制効果が認められ、その効果の一部として、ヘスペリジンが関与する可能性が示唆された。ヘスペリジンには抗認知機能低下作用が報告されており、本稿では、これまでに行ってきた、柑橘ジュース飲用と認知機能低下の予防作用についての我々の研究の紹介と、ヘスペリジンを中心としたそのメカニズム等に関しての文献的考察をまとめた。(著者抄録)

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  • Efficacy of constant long-term delivery of YM-58483 for the treatment of rheumatoid arthritis International journal

    Maya Miyoshi, Shuang Liu, Asuka Morizane, Erika Takemasa, Yashuyuki Suzuki, Takeshi Kiyoi, Kazutaka Maeyama, Masaki Mogi

    European Journal of Pharmacology   824   89 - 98   2018.4

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    The aim of this study was to investigate the efficacy and safety of YM-58483, a small molecular antagonist of Ca2+ release-activated Ca2+ (CRAC) channels, for the treatment of rheumatoid arthritis (RA), in vivo and ex vivo. YM-58483 was continuously injected subcutaneously in a collagen-induced arthritis (CIA) mouS.E.M.odel using an implanted osmotic pump. The severity of CIA was evaluated using the following parameters: body weight, hind paw volume, clinical score, histological analysis, cytokine levels, Ca2+ influx, and specific IgG production. The efficacy of long-term application of YM-58483 was also verified ex vivo in RA patient-derived peripheral blood monocytes. Assessment of the clinical severity of CIA, cytokine profile in serum and joint protein extracts, and specific IgG production showed that continuous application of YM-58483 suppressed synovial inflammation by inhibiting immune cell activity. Chemical screening and hepatography indicated that long-term subcutaneous delivery of YM-58483 was safer than oral administration for systemic application. Moreover, constant preincubation with YM-58483 at an IC50 of 0.1–1 nM altered proinflammatory cytokine production ex vivo in peripheral T cells derived from RA patients. Our findings suggest that continuous long-term application of appropriate CRAC inhibitors such as YM-58483 is a potential therapeutic strategy for global immunosuppression in RA.

    DOI: 10.1016/j.ejphar.2018.02.006

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  • 牛乳・乳製品と骨 牛乳・乳製品と認知機能

    茂木正樹

    Clinical Calcium   28 ( 4 )   499‐506 - 506   2018.3

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    <文献概要>久山町研究より,日本人において牛乳・乳製品の摂取量が多い集団では認知症,特にアルツハイマー病の発症が抑制される可能性が報告された。元々牛乳・乳製品の摂取量の多い欧米人では,脂肪分過多による血管系への影響が危惧されるが,日本人では牛乳・乳製品の摂取量が少ないために,多めに摂取することは牛乳・乳製品のメリットを導くと考えられる。我々の基礎研究から,乳由来のペプチドであるCH-3がアルツハイマー病モデルマウスにおいて認知機能低下を抑制したが,臨床的にも乳由来ペプチド投与による認知症患者への効果が報告されている。こうした認知機能低下を抑制する乳成分がわかれば,より効果的な認知機能に効果のある牛乳・乳製品が産生されることが期待される。

    DOI: 10.20837/4201804499

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  • Roles of angiotensin II type 2 receptor in mice with fetal growth restriction article International journal

    Toshifumi Yamauchi, Masaki Mogi, Harumi Kan-No, Bao-Shuai Shan, Akinori Higaki, Li-Juan Min, Takashi Higaki, Jun Iwanami, Ei-Ichi Ishii, Masatsugu Horiuchi

    Hypertension Research   41 ( 3 )   157 - 164   2018.3

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    Our previous report indicated that vascular injury enhances vascular remodeling in fetal growth restriction (FGR) mice. The angiotensin II type 2 receptor (AT2R) is relatively highly expressed in fetal mice. Therefore, we investigated the roles of AT2R in FGR-induced cardiovascular disease using AT2R knockout (AT2KO) mice. Dams (wild-type and AT2KO mice) were fed an isocaloric diet containing 20% protein (NP) or 8% protein (LP) until delivery. Arterial blood pressure, body weight, and histological changes in organs were investigated in offspring. The birth weight of offspring from dams fed an LP diet (LPO) was significantly lower than that of offspring from dams fed an NP diet. The heart/body and kidney/body weight ratios in AT2KO-LPO at 12 weeks of age were significantly higher than those in the other groups. Greater thickness of the left ventricular wall, larger cardiomyocyte size and enhancement of perivascular fibrosis were observed in AT2KO-LPO. Interestingly, mRNA expression of collagen I and inflammatory cytokines was markedly higher in the AT2KO-LPO heart at 6 weeks of age but not at 12 weeks of age. AT2R signaling may be involved in cardiovascular disorders of adult offspring with FGR. Regulation of AT2R could contribute to preventing future cardiovascular disease in FGR offspring.

    DOI: 10.1038/s41440-017-0004-2

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  • Predicting outcome of Morris water maze test in vascular dementia mouse model with deep learning International journal

    Akinori Higaki, Masaki Mogi, Jun Iwanami, Li-Juan Min, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Harumi Kan-No, Shuntaro Ikeda, Jitsuo Higaki, Masatsugu Horiuchi

    PLoS ONE   13 ( 2 )   e0191708   2018.2

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    The Morris water maze test (MWM) is one of the most popular and established behavioral tests to evaluate rodents’ spatial learning ability. The conventional training period is around 5 days, but there is no clear evidence or guidelines about the appropriate duration. In many cases, the final outcome of the MWM seems predicable from previous data and their trend. So, we assumed that if we can predict the final result with high accuracy, the experimental period could be shortened and the burden on testers reduced. An artificial neural network (ANN) is a useful modeling method for datasets that enables us to obtain an accurate mathematical model. Therefore, we constructed an ANN system to estimate the final outcome in MWM from the previously obtained 4 days of data in both normal mice and vascular dementia model mice. Ten-week-old male C57B1/6 mice (wild type, WT) were subjected to bilateral common carotid artery stenosis (WT-BCAS) or sham-operation (WT-sham). At 6 weeks after surgery, we evaluated their cognitive function with MWM. Mean escape latency was significantly longer in WT-BCAS than in WT-sham. All data were collected and used as training data and test data for the ANN system. We defined a multiple layer perceptron (MLP) as a prediction model using an open source framework for deep learning, Chainer. After a certain number of updates, we compared the predicted values and actual measured values with test data. A significant correlation coefficient was derived form the updated ANN model in both WT-sham and WT-BCAS. Next, we analyzed the predictive capability of human testers with the same datasets. There was no significant difference in the prediction accuracy between human testers and ANN models in both WT-sham and WT-BCAS. In conclusion, deep learning method with ANN could predict the final outcome in MWM from 4 days of data with high predictive accuracy in a vascular dementia model.

    DOI: 10.1371/journal.pone.0191708

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  • Management of morning hypertension: a consensus statement of an Asian expert panel International journal

    Ji-Guang Wang, Kazuomi Kario, Chen-Huan Chen, Jeong-Bae Park, Satoshi Hoshide, Yong Huo, Hae-Young Lee, Yan Li, Masaki Mogi, Masanori Munakata, Sungha Park, Dingliang Zhu

    Journal of Clinical Hypertension   20 ( 1 )   39 - 44   2018.1

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    Morning blood pressure (BP) surge is an important aspect of hypertension research. Morning BP monitoring could be a clinically relevant concept in the therapeutic management of hypertension and in the prevention of cardiovascular complications by defining and treating morning hypertension. Because antihypertensive medication is often taken in the morning, uncontrolled morning BP during the trough effect hours could be a hallmark of inadequate choice of antihypertensive regimen, such as the use of short- or intermediate-acting drugs, underdosing of drugs, or no use or underuse of combination therapy. To improve the management of hypertension in general and morning hypertension in particular, long-acting antihypertensive drugs should be used in appropriate, often full dosages and in proper combinations. The clinical usefulness of antihypertensive drugs with specific mechanisms for morning BP or split or timed dosing of long-acting drugs in controlling morning BP remains under investigation.

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  • Diabetes and sarcopenia

    Masaki Mogi, Masatsugu Horiuchi

    Diabetes and Aging-related Complications   141 - 151   2017.12

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    Diabetes induces muscle atrophy partly caused by an imbalance in contractile protein synthesis and degradation, hyperglycemia, bone marrow microenvironmental defects, and other changes. Muscle atrophy induces functional disability and promotes reduced physical activity. Muscle atrophy also enhances insulin resistance and impairs glucose metabolism. Moreover, sarcopenic obesity has been introduced as a syndrome in older subjects with reduced muscle mass and a change in fat distribution. Fat infiltration into muscle is associated with lower muscle strength and leg performance capacity. Furthermore, impairment of mitochondrial function may underlie the development and progression of both sarcopenia and diabetes. Such a vicious cycle of muscle atrophy and diabetes would worsen the quality of life of diabetic patients. Therefore, an interventional approach such as appropriate medication and exercise to break the bad relationship is needed.

    DOI: 10.1007/978-981-10-4376-5_11

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  • 血管性認知症モデルマウスにおける深層学習を用いた認知機能予測モデルの構築

    檜垣 彰典, 茂木 正樹, 岩波 純, 白 薈ぎょく, 単 宝帥, 佃 架奈, 莖田 昌敬, 閔 莉娟, 檜垣 實男, 堀内 正嗣

    日本内分泌学会雑誌   93 ( 4 )   1384 - 1384   2017.12

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  • Mas受容体単独欠損は血管性認知症モデルにおいても空間認知機能を悪化させない

    檜垣 彰典, 茂木 正樹, 岩波 純, 堀内 正嗣

    Anti-aging Science   9 ( 2 )   110 - 110   2017.12

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  • 血管性認知症の再定義 血管性認知症とレニン・アンジオテンシン系 認知症の危険因子としての生活習慣病

    茂木 正樹

    生命科学系学会合同年次大会   2017年度   [1PW21 - 6]   2017.12

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  • 血管性認知症モデルにおいてMas受容体欠損が認知機能に与える影響 AT2受容体との相互作用から

    檜垣 彰典, 茂木 正樹, 岩波 純, 白 薈ぎょく, 単 宝帥, 佃 架奈, 莖田 昌敬, 閔 莉娟, 檜垣 實男, 堀内 正嗣

    日本内分泌学会雑誌   93 ( 4 )   1384 - 1384   2017.12

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  • 認知機能における虚血性脳障害とアミロイドβの相互作用 AT2受容体による相互作用抑制効果の可能性

    閔 莉娟, 茂木 正樹, 檜垣 彰典, 岩波 純, 堀内 正嗣

    Anti-aging Science   9 ( 2 )   111 - 111   2017.12

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  • AT2受容体によるPPARγ活性化を介した虚血性脳障害抑制作用

    閔 莉娟, 茂木 正樹, 単 宝帥, 岩波 純, 堀内 正嗣

    Anti-aging Science   9 ( 2 )   111 - 111   2017.12

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  • 血圧の上昇はアデニン誘発性腎不全マウスにおける血管石灰化を促進する

    莖田昌敬, 大蔵隆文, 長尾知明, 三好賢一, 檜垣彰典, 檜垣彰典, 岩波純, 茂木正樹, 堀内正嗣, 檜垣實男

    日本高血圧学会総会プログラム・抄録集   40th   423 - 423   2017.10

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  • AT2受容体相互作用タンパク質過剰発現はAT2受容体刺激による脳保護作用を増強する

    岩波純, 茂木正樹, 佃架奈, 檜垣彰典, 檜垣彰典, 莖田昌敬, 莖田昌敬, 山内俊史, 山内俊史, 白薈ぎょく, 単宝帥, 閔莉娟, 堀内正嗣

    日本高血圧学会総会プログラム・抄録集   40th   368 - 368   2017.10

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  • 認知症の発症・進展予防にRA系阻害薬のBeyond BP lowering effectsは存在するのか?

    茂木正樹

    日本高血圧学会総会プログラム・抄録集   40th   281   2017.10

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  • 虚血性脳障害とアミロイドβの認知機能における相互作用 AT2受容体による相互作用抑制効果の可能性

    閔 莉娟, 茂木 正樹, 佃 架奈, 白 薈ぎょく, 単 宝帥, 檜垣 彰典, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   366 - 366   2017.10

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  • RA系阻害薬の「臓器保護作用」を再検証する Beyond BP lowering effectsは是が非か 認知症の発症・進展予防にRA系阻害薬のBeyond BP lowering effectsは存在するのか?

    茂木 正樹

    日本高血圧学会総会プログラム・抄録集   40回   281 - 281   2017.10

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  • 高リン刺激により誘導される血管石灰化に対するレニン・アンジオテンシン系Protective armの影響

    莖田 昌敬, 大蔵 隆文, 長尾 知明, 三好 賢一, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣, 檜垣 實男

    日本高血圧学会総会プログラム・抄録集   40回   361 - 361   2017.10

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  • 伊予柑ジュースに含まれるヘスペリジンは一過性脳虚血による認知機能低下を予防する

    茂木 正樹, 川上 萌, 岩波 純, 奥住 奈南美, 渡邊 佳苗, 佃 架奈, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   425 - 425   2017.10

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  • 血管性認知症モデルにおいてMas受容体欠損はAT2受容体存在下で認知機能維持に働く

    檜垣 彰典, 茂木 正樹, 岩波 純, 閔 莉娟, 白 薈ぎょく, 単 宝帥, 佃 架奈, 莖田 昌敬, 池田 俊太郎, 大蔵 隆文, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   367 - 367   2017.10

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  • アミロイドベータとアンジオテンシンIIのクロストークによる脳血管平滑筋細胞老化作用(Cross-talk between Amyloid-beta and Angiotensin II in Brain Vascular Smooth Muscle Cell Senescence)

    白 薈ぎょく, 閔 莉娟, 単 宝帥, 佃 架奈, 菅野 晴美, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   427 - 427   2017.10

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  • 子宮内胎児発育遅延マウスにおけるアンジオテンシンII2型受容体シグナルが与える影響の検討

    茂木 正樹, 山内 俊史, 岩波 純, 菅野 晴美, 佃 架奈, 白 薈ぎょく, 単 宝帥, 莖田 昌敬, 檜垣 彰典, 檜垣 高史, 閔 莉娟, 石井 榮一, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   429 - 429   2017.10

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  • PPARγ活性化を介したアンジオテンシンタイプ2受容体による虚血性脳障害保護作用(Attenuation of Stroke Damage by Angiotensin II Type 2 Receptor Stimulation via Peroxisome Proliferator-Activated Receptor-gamma Activation)

    単 宝帥, 茂木 正樹, 岩波 純, 菅野 晴美, 佃 架奈, 白 薈ぎょく, 檜垣 彰典, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   40回   369 - 369   2017.10

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  • 血管障害誘導性認知機能低下モデルにおける伊予柑ジュース飲用による認知機能低下の予防効果

    茂木 正樹

    New Diet Therapy   33 ( 2 )   212 - 212   2017.9

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  • 日本皮膚科学会ガイドライン 創傷・褥瘡・熱傷ガイドライン 4:膠原病・血管炎にともなう皮膚潰瘍診療ガイドライン

    尹 浩信, 立花 隆夫, 井上 雄二, 金子 栄, 加納 宏行, 新谷 洋一, 辻田 淳, 長谷川 稔, 藤田 英樹, 茂木 精一郎, レパヴー・アンドレ, 磯貝 善蔵, 入澤 亮吉, 大塚 正樹, 門野 岳史, 古賀 文二, 廣崎 邦紀, 藤原 浩, 安部 正敏, 池上 隆太, 爲政 大幾, 加藤 裕史, 櫻井 英一, 谷崎 英昭, 中西 健史, 松尾 光馬, 山崎 修, 浅井 純, 浅野 善英, 石井 貴之, 岩田 洋平, 川上 民裕, 小寺 雅也, 藤本 学, 伊藤 孝明, 久木野 竜一, 皿山 泰子, 谷岡 未樹, 前川 武雄, 八代 浩, 天野 正宏, 尾本 陽一, 川口 雅一, 境 恵祐, 土井 直孝, 橋本 彰, 林 昌浩, 間所 直樹, 吉野 雄一郎, 幸野 健, 創傷・熱傷ガイドライン委員会

    日本皮膚科学会雑誌   127 ( 9 )   2033 - 2075   2017.8

  • 乳成分による認知機能改善効果の可能性 乳由来ペプチド、CH-3の効果を中心に

    茂木 正樹, 小林 洋大, 閔 莉娟, 佃 架奈, 山田 明男, 山内 恒治, 阿部 文明, 清水 金忠, 堀内 正嗣

    日本臨床栄養学会雑誌   39 ( 2 )   140 - 143   2017.7

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    乳由来ペプチドであるCH-3(bovine Casein Hydrolysate which is produced by 3 enzymes)の経口摂取による認知機能低下抑制について、脳室内アミロイドβ(Aβ)投与マウスを用いて検討した。CH-3にはメチオニン-リジン-プロリンのトリペプチド(MKP)が含まれ、アンジオテンシン変換酵素(ACE)の阻害作用を有することがこれまでに報告されている。今回の検討によって、MKPは神経および脳血管への保護的な効果により、Aβ投与によって生じる認知機能低下を抑制する作用を持つと考えられた。ただし、脳内ACEへの影響については詳しく検討しておらず、CH-3のACE阻害が認知機能に影響を及ぼしたかどうかは明確にされなかった。今後、ACE阻害作用を持つペプチドが同じように認知機能改善効果を持つかを検討する必要がある。

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  • 【血管性認知症の新しい展開】 認知症におけるレニン-アンジオテンシン系(RAS)の影響 RASはVaDとADをつなぐ因子になるのか

    茂木 正樹, 堀内 正嗣

    医学のあゆみ   262 ( 3 )   211 - 215   2017.7

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    血管性認知症(VaD)の最大の危険因子は高血圧であるが、高血圧はVaDだけでなくアルツハイマー病(AD)にも影響を与えていると考えられる。レニン-アンジオテンシン系(RAS)は高血圧の誘導因子としてだけでなく、組織でも発現し血管障害や神経障害に深く関連することから、認知症の発症・進展にも影響を与えている可能性が報告されている。降圧薬であるRAS遮断薬により血圧を下げることで、脳卒中や脳血管障害が予防され、VaD発症の抑制につながることが想定される。疫学研究や基礎研究からは、RASの制御により、軽度認知障害の進展予防効果やADを含む認知症全般の発症抑制効果が報告されている。高齢者においては、ADとVaDが混在した混合型認知症の割合が増加することから、RASが血管障害だけでなくアミロイドβの代謝に関連するなどの報告もあり、ADの発症にも影響を与えることからも、VaDとAD両者に共通した関連因子である可能性が示唆される。(著者抄録)

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  • 母体低栄養による子宮内胎児発育遅延は成人期の血管リモデリングを促進させる

    茂木 正樹, 千阪 俊行, 山内 俊史, 岩波 純, 石井 榮一, 堀内 正嗣

    日本臨床栄養学会雑誌   39 ( 2 )   144 - 150   2017.7

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    昨今、女性の喫煙や過度のダイエットに伴い子宮内胎児発育遅延(Intrauterine growth restriction(IUGR))児が増加している。IUGR児は将来的に高血圧や代謝性疾患・心血管病の罹患率が増加することが疫学研究や動物実験から報告されているが、動物実験の多くは経時的な血圧上昇や組織学的な比較検討が多く、我々もレニン・アンジオテンシン系が血圧上昇に影響を与えることを報告してきた。一方で、IUGRが臓器ストレス下の組織反応性そのものに与える影響について検討した報告はあまりない。そこで我々は、低蛋白食で食事制限を行ったIUGRマウスの成人期に、大腿動脈カフ留置術を行い、IUGRの血管リモデリングへの影響を検討した。IUGRマウスでは血管障害時に細胞増殖が増強し、新生内膜形成の亢進が認められることを見出した。詳細は不明ではあるが、その推定されるメカニズムについて考察を加える。IUGR児においては将来の心血管病を視野にいれた働きかけが重要であるとともに、妊婦の低栄養が及ぼす胎児の将来的な危険性についてさらに啓発していく必要があると考えられる。(著者抄録)

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  • 新規の降圧治療法開発への期待 現在開発中の新規高血圧治療薬

    茂木 正樹

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   6回   105 - 105   2017.5

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  • アデニン誘発性腎不全マウスにおける血管石灰化に対するレニン・アンジオテンシン系Protective armの影響

    莖田 昌敬, 大藏 隆文, 長尾 知明, 三好 賢一, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣, 檜垣 實男

    日本透析医学会雑誌   50 ( Suppl.1 )   687 - 687   2017.5

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  • アンジオテンシンII2型(AT2)受容体刺激は高リン刺激により誘導される血管石灰化を抑制する

    莖田 昌敬, 大藏 隆文, 長尾 知明, 三好 賢一, 檜垣 彰典, 岩波 純, 茂木 正樹, 堀内 正嗣, 檜垣 實男

    日本腎臓学会誌   59 ( 3 )   276 - 276   2017.4

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  • Administration of bovine casein-derived peptide prevents cognitive decline in Alzheimer disease model mice International journal

    Li-Juan Min, Yodai Kobayashi, Masaki Mogi, Kana Tsukuda, Akio Yamada, Koji Yamauchi, Fumiaki Abe, Jun Iwanami, Jin-Zhong Xiao, Masatsugu Horiuchi

    PLOS ONE   12 ( 2 )   e0171515   2017.2

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    There is a growing interest in identifying natural food ingredients that may serve to prevent dementia such as that due to Alzheimer disease (AD). Peptides derived from food proteins have been demonstrated to have various physiological activities such as a hypotensive action. Recent findings have indicated possible associations of hypertension with AD progression, and suggest that angiotensin converting enzyme (ACE) inhibitors with potential to pass through the blood brain barrier (BBB) may reduce the risk of AD. In this study, we investigated the effect of milk peptide (CH-3) on cognitive function in AD model mice. CH-3 contains a tripeptide (methionine-lysine-proline, MKP) that has been found to have a strong ACE inhibitory effect and the potential to pass through the BBB. Adult male ddY mice were used in this study, and an animal model of AD was induced by intracerebroventricular (ICV) injection of A beta 1-42. CH-3 (250 mg/kg/day) or MKP (0.5 mg/kg/day) was orally administered every day starting 2 days before ICV injection. At 3 weeks after ICV injection, cognitive function was evaluated by the Morris water maze test. Brain samples were obtained after behavioral testing, and expression of inflammatory cytokines and NADPH oxidase subunits was measured by real-time quantitative RT-PCR. ICV injection of A beta 1-42 significantly impaired cognitive function compared with that in PBS-injected mice. Daily administration of CH-3 markedly attenuated this A beta 1-42-induced cognitive decline. A beta 1-42 injection significantly enhanced the expression of tumor necrosis factor-alpha (TNF-alpha), inducible nitric oxide synthase (iNOS) and p22(phox) in the mouse hippocampus compared with PBS injection, and showed a tendency to increase the expression of monocyte chemoattractant protein-1 (MCP-1), p47(phox) and gp91(phox), whereas CH-3 treatment markedly reduced A beta 1-42-induced TNF-alpha, MCP-1, iNOS, p47(phox) and gp91(phox) expression. Finally, administration of MKP also attenuated A beta 1-42-induced cognitive impairment with an increase in cerebral blood flow. The present study demonstrated that repeated oral administration of CH-3 to AD model mice not only improved cognitive function but also suppressed the expression of inflammatory cytokines and production of oxidative stress, and suggests its therapeutic potential for preventing cognitive impairment in AD.

    DOI: 10.1371/journal.pone.0171515

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  • 新しい多臓器連関システムの破綻と疾患 脳心血管の病態と相互連関について考える

    茂木 正樹, 中岡 裕智, 佃 架奈, 岩波 純, 堀内 正嗣

    日本内分泌学会雑誌   92 ( 3 )   881 - 881   2017.1

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  • レニン・アンジオテンシン系protective armの血管石灰化抑制効果

    茂木正樹, 莖田昌敬, 長尾知明, 三好賢一, 檜垣彰典, 岩波純, 大藏隆文, 檜垣實男, 堀内正嗣

    高血圧関連疾患モデル学会学術総会抄録集   53rd (Web)   2017

  • Effect of olmesartan on glucose metabolism involving angiotensin converting enzyme 2

    Hirotomo Nakaoka, Masaki Mogi, Harumi Kan-No, Kana Tsukuda, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Toshifumi Yamauchi, Akinori Higaki, Masatsugu Horiuchi

    Immunology, Endocrine and Metabolic Agents in Medicinal Chemistry   17 ( 2 )   105 - 114   2017

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    Objectives: The angiotensin converting enzyme 2 (ACE2)/angiotensin-(1- 7)/Mas pathway has been expected to act as a protective arm of the renin-angiotensin system. Recently, the role of ACE2 in glucose metabolism has been highlighted. We previously reported that olmesartan increases ACE2 expression in injured arteries. Therefore, we hypothesized that treatment with olmesartan would improve glucose metabolism via ACE2 activation. Here, we investigated the effect of olmesartan on glucose metabolism using ACE2-deficient mice (ACE2KO). Methods: Ten-week-old WT and ACE2-deficient mice (ACE2KO) were employed in this study. Olmesartan or valsartan was administered intraperitoneally at a dose of 1.5 mg/kg/day in 8 weeks old mice. Insulin resistance was evaluated by oral glucose tolerance test and insulin tolerance test. Morphological changes in adipose tissue as well as adipocyte differentiation and inflammatory response and histological changes in the pancreas were examined. Results: ACE2KO showed significantly higher fasting blood glucose level and blood glucose level at 30 min after glucose load in the oral glucose tolerance test. Treatment with olmesartan reduced blood glucose level at 30 min after glucose load in both WT and ACE2KO, but valsartan did not. Treatment with olmesartan increased adipocyte number and reduced mean adipocyte size only in WT, but not in ACEKO. Treatment with olmesartan also prevented the reduced size of pancreatic islets in ACE2KO. Conclusion: The present study demonstrated that ACE2KO exhibited abnormal glucose metabolism. Treatment with olmesartan improved glucose metabolism in WT more than in ACEKO mice, indicating the possible existence of an ACE2-dependent pathway induced by olmesartan.

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  • Meet our editorial board member

    Masaki Mogi

    Current Hypertension Reviews   12 ( 3 )   169   2016.12

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  • 乳由来ペプチドの認知機能に与える影響

    茂木 正樹, 小林 洋大, 閔 莉娟, 岩波 純, 清水 金忠, 堀内 正嗣

    Anti-aging Science   8 ( 1 )   70 - 70   2016.12

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  • ACE2/Ang-(1-7)/Mas/AT2系の認知機能に与える影響

    茂木 正樹, 王 小俐, 檜垣 彰典, 岩波 純, 閔 莉娟, 堀内 正嗣

    Anti-aging Science   8 ( 1 )   69 - 69   2016.12

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  • Enhancement of Adipocyte Browning by Angiotensin II Type 1 Receptor Blockade International journal

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Harumi Kanno, Hirotomo Nakaoka, Xiao-Li Wang, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Akinori Higaki, Toshifumi Yamauchi, Li-Juan Min, Masatsugu Horiuchi

    PLoS One   11 ( 12 )   e0167704   2016.12

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    Browning of white adipose tissue (WAT) has been highlighted as a new possible therapeutic target for obesity, diabetes and lipid metabolic disorders, because WAT browning could increase energy expenditure and reduce adiposity. The new clusters of adipocytes that emerge with WAT browning have been named 'beige' or 'brite' adipocytes. Recent reports have indicated that the renin-angiotensin system (RAS) plays a role in various aspects of adipose tissue physiology and dysfunction. The biological effects of angiotensin II, a major component of RAS, are mediated by two receptor subtypes, angiotensin II type 1 receptor (AT(1)R) and type 2 receptor (AT(2)R). However, the functional roles of angiotensin II receptor subtypes in WAT browning have not been defined. Therefore, we examined whether deletion of angiotensin II receptor subtypes (AT(1a)R and AT(2)R) may affect white-to-beige fat conversion in vivo. AT(1a) receptor knockout (AT(1a)KO) mice exhibited increased appearance of multilocular lipid droplets and upregulation of thermogenic gene expression in inguinal white adipose tissue (iWAT) compared to wild-type (WT) mice. AT(2) receptor-deleted mice did not show miniaturization of lipid droplets or alteration of thermogenic gene expression levels in iWAT. An in vitro experiment using adipose tissue-derived stem cells showed that deletion of the AT(1a) receptor resulted in suppression of adipocyte differentiation, with reduction in expression of thermogenic genes. These results indicate that deletion of the AT(1a) receptor might have some effects on the process of browning of WAT and that blockade of the AT(1) receptor could be a therapeutic target for the treatment of metabolic disorders.

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  • Calcium-Channel Blockers as Antidementia Drugs

    Masaki Mogi, Masatsugu Horiuchi

    CIRCULATION JOURNAL   80 ( 11 )   2291 - 2292   2016.11

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    DOI: 10.1253/circj.CJ-16-0980

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  • 【主治医として診る高血圧診療】 血液,尿検査はどれくらいの頻度で何を診るべきか レニン-アンジオテンシン系の最近のトピックス

    茂木 正樹

    Medicina   53 ( 11 )   1748 - 1748   2016.10

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    DOI: 10.11477/mf.1402224407

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  • Interferon regulatory factor 1 attenuates vascular remodeling; roles of angiotensin II type 2 receptor International journal

    Hirotomo Nakaoka, Masaki Mogi, Jun Suzuki, Harumi Kan-no, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION   10 ( 10 )   811 - 818   2016.10

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    We previously reported interferon regulatory factor (IRF) 1 plays physiological roles in "growth"-regulated angiotensin II type 2 (AT(2)) receptor expression in fibroblasts. Here, we investigated whether IRF-1 is involved in attenuation of vascular remodeling in association with AT(2) receptor upregulation. Neointimal area in injured artery after 14 days of cuff placement was significantly increased in IRF-1 knockout mice (IRF-1KO) and AT(2) receptor knockout mice (AT(2)KO) compared with wild-type mice (WT: C57BL/6J). Treatment with compound 21 attenuated neointima formation in both WT and IRF-1KO. AT(2) receptor mRNA expression after 7 days of cuff placement was significantly decreased in IRF-1KO compared with WT; however, IRF-1 expression did not differ between AT(2)KO and WT. Apoptotic changes in injured artery after 14 days of cuff placement were significantly attenuated in IRF-1KO, with a decrease in interleukin-1 beta-converting enzyme and inducible nitric oxide synthase mRNA levels. These results indicate IRF-1 is one of the key transcriptional factors for the prevention of neointimal formation involving AT(2) receptors. J Am Soc Hypertens 2016;10(10):811-818. (C) 2016 American Society of Hypertension. All rights reserved.

    DOI: 10.1016/j.jash.2016.07.005

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  • ACE2欠損マウスは野生型マウスと比較して空間認知機能の低下を認める

    茂木 正樹, 王 小俐, 岩波 純, 佃 架奈, 菅野 晴美, Bai Hui-Yu, 単 宝帥, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   39回   404 - 404   2016.9

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  • 神経障害 マウス末梢神経系におけるグルカゴンの生理的役割の解明

    茂木 幹雄, 神谷 英紀, 姫野 龍仁, 下田 博美, 浅野 紗恵子, 速水 智英, 三浦 絵美梨, 山田 祐一郎, 浅野 栄水, 近藤 正樹, 恒川 新, 加藤 義郎, 中村 二郎

    糖尿病合併症   30 ( Suppl.1 )   222 - 222   2016.9

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  • The results of a survey of physicians about the Japanese Society of Hypertension Guidelines for the Management of Hypertension 2014 and its clinical use International journal

    Masaki Mogi, Naoyuki Hasebe, Masatsugu Horiuchi, Kazuaki Shimamoto, Satoshi Umemura

    HYPERTENSION RESEARCH   39 ( 9 )   660 - 663   2016.9

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    The current study investigated physicians' awareness and use of the Japanese Society of Hypertension Guidelines for the Management of Hypertension 2014 (JSH2014) and is based on the results of a survey performed by the Publicity and Advertisement Committee of JSH. A questionnaire was used to survey physicians' awareness of the JSH2014, their recommended target blood pressure for hypertensive patients with complications and their use of antihypertensive drugs. Physicians who downloaded a PDF version of JSH2014 during the 6 months after its publication (April-September 2014) were asked to complete an online questionnaire. Of the 7872 respondents, 91% were aware of the JSH and complied partially, mostly or completely with it in their practice. With reference to hypertensive patients, similar to 70% of physicians who completed the questionnaire recommended a target blood pressure (BP) of 140/90 mm Hg for an office BP value, and 40% recommended 135/85 mm Hg for a home BP value. Physicians recommended target BP levels of 130/80 mm Hg for patients with diabetes or chronic kidney disease (50-63% of physician surveyed) and for elderly patients with diabetes or kidney disease (45-55% of respondents), whereas they recommended 140/90 mm Hg for elderly patients with low cardiovascular disease risk (56-60% of physician surveyed) and for patients with chronic-phase stroke (40-47% of respondents). The most commonly prescribed combination of antihypertensive drugs was angiotensin receptor blocker (ARB) with calcium channel blocker. In addition, physicians' first choice of drug for patients with diabetes or chronic kidney disease was most often ARB. Overall, the survey results showed that the new recommendations from the JSH2014 accurately reflect daily clinical practices for hypertension management used by Japanese physicians.

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  • 高血圧成因としてのRAAS研究 高血圧・脳神経疾患における脳RAAS

    茂木 正樹, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   39回   233 - 233   2016.9

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  • 認知症を防ぐ高血圧治療の最前線 高血圧が認知症に与える影響を考える

    茂木 正樹

    日本高血圧学会総会プログラム・抄録集   39回   273 - 273   2016.9

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  • アルツハイマー病モデルを用いた乳由来ペプチドによる認知機能改善効果の検討

    茂木 正樹, 小林 洋大, 閔 莉娟, 佃 架奈, 山田 明男, 山内 恒治, 阿部 文明, 清水 金忠, 堀内 正嗣

    New Diet Therapy   32 ( 2 )   251 - 251   2016.9

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  • 【生活習慣病と認知症】 認知症と高血圧

    茂木 正樹

    Dementia Japan   30 ( 3 )   319 - 328   2016.9

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    Other Link: http://search.jamas.or.jp/link/ui/2017008379

  • 高血圧研究の新展開 新たな環境要因とエピゲノム 子宮内胎児発育遅延モデルからみた、胎児環境と成人期の心血管病との関連

    茂木 正樹, 千阪 俊行, 山内 俊史, 岩波 純, 石井 榮一, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   39回   303 - 303   2016.9

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  • 神経障害 DPP-4阻害薬の末梢神経系に対する直接作用

    姫野 龍仁, 浅野 紗恵子, 神谷 英紀, 茂木 幹雄, 速水 智英, 下田 博美, 三浦 絵美梨, 山田 祐一郎, 浅野 栄水, 近藤 正樹, 恒川 新, 加藤 義郎, 中村 二郎

    糖尿病合併症   30 ( Suppl.1 )   221 - 221   2016.9

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  • 母体低栄養による子宮内胎児発育遅延は成人期の血管リモデリングを促進させる

    茂木 正樹, 千阪 俊行, 山内 俊史, 岩波 純, 堀内 正嗣

    New Diet Therapy   32 ( 2 )   245 - 245   2016.9

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  • 循環器疾患と栄養

    茂木 正樹

    New Diet Therapy   32 ( 2 )   89 - 89   2016.9

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  • 脂肪細胞のベージュ化に着目したアンジオテンシンII受容体の働きの検討

    茂木 正樹, 佃 架奈, 岩波 純, 堀内 正嗣

    New Diet Therapy   32 ( 2 )   245 - 245   2016.9

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  • Synergistic inhibitory effect of rosuvastatin and angiotensin II type 2 receptor agonist on vascular remodeling International journal

    Hui-Yu Bai, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-No, Kana Tsukuda, Xiao-Li Wang, Bao-Shuai Shan, Masayoshi Kukida, Toshifumi Yamauchi, Akinori Higaki, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    Journal of Pharmacology and Experimental Therapeutics   358 ( 2 )   352 - 358   2016.8

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    We investigated the possibility that coadministration of rosuvastatin and compound 21 (C21), a selective angiotensin II type 2 (AT2) receptor agonist, could exert synergistic preventive effects on vascular injury. Vascular injury was induced by polyethylene cuff placement on the femoral artery in 9-week-old male C57BL/6J mice. Mice were treated with rosuvastatin and/or with C21 after cuff placement. Neointima formation was determined 14 days after the operation and cell proliferation, and superoxide anion production and expression of inflammatory cytokines were examined 7 days after cuff placement. Neointima formation was significantly attenuated by the treatment of rosuvastatin (5 mg kg-1 day-1) or C21 (10 μg kg-1 day-1), associated with the decreases in proliferating cell nuclear antigen (PCNA) labeling index, oxidative stress, and the expression of inflammatory markers. Treatment with a noneffective dose of rosuvastatin (0.5 μg kg-1 day-1) plus a low dose of C21 (1 μg kg-1 day-1) inhibited the PCNA labeling index, superoxide anion production, mRNA expressions of NAD(P)H subunits, and mRNA and protein expressions of inflammatory markers associated with marked inhibition of neointima formation. Angiotensin II type 1 (AT1) receptor mRNA expression did not differ the groups. By contrast, AT2 receptor mRNA expression was increased by administration of C21 at the dose of 10 μg kg-1 day-1 but not by C21 at the dose of 1 μg kg-1 day-1 or rosuvastatin. The combination of rosuvastatin and AT2 receptor agonist exerted synergistic preventive effects on vascular remodeling associated with the decreases in cell proliferation, oxidative stress, and inflammatory reaction. That could be a powerful approach to vascular disease prevention.

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  • Identification of the Mtus1 Splice Variant as a Novel Inhibitory Factor Against Cardiac Hypertrophy International journal

    Shin Ito, Masanori Asakura, Yulin Liao, Kyung-Duk Min, Ayako Takahashi, Kazuhiro Shindo, Satoru Yamazaki, Osamu Tsukamoto, Hiroshi Asanuma, Masaki Mogi, Masatsugu Horiuchi, Yoshihiro Asano, Shoji Sanada, Tetsuo Minamino, Seiji Takashima, Naoki Mochizuki, Masafumi Kitakaze

    JOURNAL OF THE AMERICAN HEART ASSOCIATION   5 ( 7 )   2016.7

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    Background-In cardiac hypertrophy and failure, there is a widespread alteration in mRNA splicing, but the role of splice variants in cardiac hypertrophy has not yet been fully elucidated. In this study, we used an exon array to identify novel splice variants associated with cardiac hypertrophy.
    Methods and Results-We performed genome-wide exon array analysis and developed a splicing profile in murine hearts with hypertrophy induced by transverse aortic constriction for 8 weeks. Following global analysis of splice variants using the Mouse Exon 1.0 ST Array, we identified 46 spliced genes and narrowed our focus to 1 gene, mitochondrial tumor suppressor 1 (Mtus1), whose splice variants were registered in the NCBI RefSeq database. Notably, one of the splice variants Mtus1A was specifically upregulated, although the total expression of the Mtus1 gene remained unchanged. We showed that Mtus1A was localized in the mitochondria, and its expression level increased with the degree of cardiac hypertrophy. In cultured cardiomyocytes, Mtus1A overexpression reduced phenylephrine-induced reactive oxygen species production and consequent ERK phosphorylation, resulting in a decrease in both cell size and protein synthesis. In vivo, cardiac-specific Mtus1A transgenic mice showed left ventricle wall thinning and a reduced hypertrophic response to pressure overload and phenylephrine treatment.
    Conclusions-We found that Mtus1 is specifically spliced in hypertrophic hearts and that the Mtus1A variant has an inhibitory effect on cardiac hypertrophy. Mtus1A is, therefore, a possible diagnostic and therapeutic target for cardiac hypertrophy and failure.

    DOI: 10.1161/JAHA.116.003521

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  • 脳の老化とレニン・アンジオテンシン系

    茂木 正樹

    日本抗加齢医学会総会プログラム・抄録集   16回   165 - 165   2016.6

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  • 1型糖尿病患者におけるグラルギンからデグルデクへの切り替え時の経時的変化(第3報)

    加藤 義郎, 神谷 英紀, 近藤 正樹, 姫野 龍仁, 茂木 幹雄, 速水 智英, 浅野 栄水, 林 優祐, 島内 理沙, 加藤 宏一, 中村 二郎

    糖尿病   59 ( 6 )   447 - 447   2016.6

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  • 糖尿病による老化促進に基礎研究から迫る 糖尿病とフレイル

    茂木 正樹

    日本老年医学会雑誌   53 ( Suppl. )   32 - 32   2016.5

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  • Diabetic mice exhibited a peculiar alteration in body composition with exaggerated ectopic fat deposition after muscle injury due to anomalous cell differentiation International journal

    Masaki Mogi, Katsuhiko Kohara, Hirotomo Nakaoka, Harumi Kan-no, Kana Tsukuda, Xiao-Li Wang, Toshiyuki Chisaka, Hui-Yu Bai, Bao-Shuai Shan, Masayoshi Kukida, Jun Iwanami, Tetsuro Miki, Masatsugu Horiuchi

    JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE   7 ( 2 )   213 - 223   2016.5

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    Background Sarcopenic obesity, age-related muscle loss, which is compensated by an increase in fat mass, impairs quality of life in elderly people. Although the increase in intramuscular fat is associated with decreased insulin sensitivity and increased metabolic risk factors, the origin of diabetes-associated intramuscular fat has not been elucidated. Here, we investigated intramuscular fat deposition using a muscle injury model in type 2 diabetic mice.
    Methods Male 8-week-old C57BL/6 and 8-week-old and 26-week-old KKAy underwent intramuscular injection of cardiotoxin (Ctx) (100 mu L/10 mu M) into the tibialis anterior (TA) muscles. After 2 weeks, the muscles were removed and evaluated.
    Results KKAy exhibited impaired muscle regeneration and ectopic fat deposition. Such impairment was more marked in older KKAy. These changes were also observed in another diabetic mouse model, db/db and diet-induced obese mice but not in streptozocin-induced diabetic mice. Deposited fat was platelet-derived growth factor (PDGF) receptor alpha positive and its cytoskeleton was stained with Masson's trichrome, indicating it to be of fibro-adipocyte progenitor cell origin. Expression of a myogenic marker, myoD, was lower and that of PDGF receptor alpha and CCAAT/enhancer binding protein (CEBP) alpha was higher in Ctx-injured TA of KKAy compared with that of C57BL/6. Peroxisome proliferator-activated receptor. (PPAR.) was highly expressed in fat-forming lesions in older KKAy. Treatment with all-trans retinoic acid prevented the formation of intramuscular fat; however, treatment with GW9662, a PPAR. antagonist, increased the fibrotic change in muscle.
    Conclusions Diabetic mice showed impaired muscle regeneration with fat deposition, suggesting that diabetes may enhance sarcopenic obesity through a mechanism involving anomalous fibro-adipocyte progenitor cell differentiation.

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  • サルコペニア肥満の一因となる筋肉内異所性脂肪沈着の誘導機構についての検討

    茂木 正樹, 小原 克彦, 中岡 裕智, 菅野 晴美, 佃 架奈, 堀内 正嗣

    日本老年医学会雑誌   53 ( Suppl. )   84 - 85   2016.5

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  • 新規降圧治療の可能性 新規降圧薬の開発状況と新たなターゲット

    茂木 正樹

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   5回   132 - 132   2016.5

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  • 【高血圧 予後、臓器・血管保護を見据えた治療戦略】 高血圧に関する最近のトピックス NEP(中性エンドペプチダーゼ)・アンジオテンシン受容体阻害薬 新規降圧薬としてのポテンシャル

    莖田 昌敬, 茂木 正樹, 堀内 正嗣

    診断と治療   104 ( 3 )   354 - 358   2016.3

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    1 ANP、BNPなどのNa利尿ペプチド系は、以前より高血圧や心不全などの治療標的となりうることが知られていたが、Na利尿ペプチドの分解酵素であるNEP阻害薬は降圧効果がほとんど認められなかった。2 ACE/NEP阻害薬であるOmapatrilatはACE阻害薬と比較し、高血圧や心不全により有効であることが示されたが、一方で血管性浮腫の副作用発現頻度が上昇した。3 現在、ARB/NEP阻害薬であるLCZ696の臨床試験が進められており、現在報告されている結果からは十分な降圧効果や心不全改善効果を伴う忍容性の高い薬剤として位置づけられている。(著者抄録)

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  • 【高血圧と認知症】 降圧薬治療による認知症予防効果

    茂木 正樹, 堀内 正嗣

    血圧   23 ( 2 )   128 - 133   2016.2

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    今後発展途上国を中心に、爆発的に患者数が増大する認知症に対する先制医療が求められている。認知症は慢性疾患であり、十数年を経て認知機能の低下が認識されると考えられることから、発症前のプレクリニカル期に病態を予想し介入することが根本治療につながると考えられる。昨今、中年期の高血圧が認知症発症に関連することが疫学的に報告されており、高血圧による血管の変性がneurovascular unit不全を介して神経障害を誘導し認知機能が低下する可能性や、アミロイドのクリアランスを低下させるなど、高血圧による慢性の血管変性を抑える降圧治療を進める必要がある。メタ解析からも降圧治療は認知症の発症を減少させる効果があることが期待されており、降圧治療による認知症予防効果の重要性が認識されている。本稿では降圧薬治療による認知症の予防効果について最近の文献を紹介しながら考察する。(著者抄録)

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  • Possible Epigenetic Modulation of Cerebral Angiotensin Type 2 Receptor in the Cognitive Function in Vascular Dementia.

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Wang Xiao-Li, Akinori Higaki, Masanori Kukida, Hirotomo Nakaoka, Toshifumi Yamauchi, Bai Hui-Yu, Shan Bao-Shuai, Min Li-Juan, Masatsugu Horiuchi

    STROKE   47   2016.2

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  • Deficiency of angiotensin-converting enzyme 2 causes deterioration of cognitive function International journal

    Xiao Li Wang, Jun Iwanami, Li Juan Min, Kana Tsukuda, Hirotomo Nakaoka, Hui Yu Bai, Bao Shuai Shan, Harumi Kan-No, Masayoshi Kukida, Masayoshi Kukida, Toshiyuki Chisaka, Toshiyuki Chisaka, Toshifumi Yamauchi, Toshifumi Yamauchi, Akinori Higaki, Akinori Higaki, Masaki Mogi, Masatsugu Horiuchi

    npj Aging and Mechanisms of Disease   2 ( 1 )   16024 - 16024   2016.1

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    © The Author(s) 2016. The classical renin–angiotensin system (RAS), known as the angiotensin (Ang)-converting enzyme (ACE)/Ang II/Ang II type 1 (AT1) receptor axis, induces various organ damages including cognitive decline. On the other hand, the ACE2/Ang-(1–7)/Mas receptor axis has been highlighted as exerting antagonistic actions against the classical RAS axis in the cardiovascular system. However, the roles of the ACE2/Ang-(1–7)/Mas axis in cognitive function largely remain to be elucidated, and we therefore examined possible roles of ACE2 in cognitive function. Male, 10-week-old C57BL6 (wild type, WT) mice and ACE2 knockout (KO) mice were subjected to the Morris water maze task and Y maze test to evaluate cognitive function. ACE2KO mice exhibited significant impairment of cognitive function, compared with that in WT mice. Superoxide anion production increased in ACE2KO mice, with increased mRNA levels of NADPH oxidase subunit, p22phox, p40phox, p67phox, and gp91phoxin the hippocampus of ACE2KO mice compared with WT mice. The protein level of SOD3 decreased in ACE2KO mice compared with WT mice. The AT1 receptor mRNA level in the hippocampus was higher in ACE2KO mice compared with WT mice. In contrast, the AT2 receptor mRNA level in the hippocampus did not differ between the two strains. Mas receptor mRNA was highly expressed in the hippocampus compared with the cortex. Brain-derived neurotrophic factor (BDNF) mRNA and protein levels were lower in the hippocampus in ACE2KO mice compared with WT mice. Taken together, ACE2 deficiency resulted in impaired cognitive function, probably at least in part because of enhanced oxidative stress and a decrease in BDNF.

    DOI: 10.1038/npjamd.2016.24

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  • 【血管病としての認知症〜予防はどこまで可能か?〜】 高血圧管理と認知症予防

    岩波 純, 茂木 正樹, 堀内 正嗣

    分子脳血管病   15 ( 1 )   23 - 26   2016.1

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    脳において高血圧は脳卒中のおもな原因となるだけでなく、認知症の発症・進展にもかかわっていることが明らかにされてきている。慢性的な高血圧は脳血管障害を進展させ、その結果、血管性認知症だけでなくアルツハイマー病にもかかわってくることが示唆されている。そのため高血圧には早期に対応することが認知症予防には有効であり、今後増加することが予想される高血圧患者への対策が重要になってくると考えられる。(著者抄録)

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  • アンジオテンシン受容体-ネプリライシン阻害剤LCZ696の経口投与は脳梗塞を抑制する

    閔莉娟, 白薈ぎょく, 茂木正樹, 佃架奈, 茎田昌敬, 単宝帥, 山内俊史, 檜垣彰典, 岩波純, 堀内正嗣

    日本薬理学会西南部会プログラム/抄録集   69th   2016

  • AT2受容体刺激による脳保護におけるAT2受容体相互作用タンパク質の効果

    岩波純, 茂木正樹, 佃架奈, 檜垣彰典, 檜垣彰典, 莖田昌敬, 莖田昌敬, 山内俊史, 山内俊史, 白薈ぎょく, 単宝帥, 閔莉娟, 堀内正嗣

    日本薬理学会西南部会プログラム/抄録集   69th   2016

  • 【JSH2014-診療の現場から検証する】 JSH2014 学会アンケート調査よりみえるもの

    茂木 正樹

    血圧   22 ( 12 )   888 - 892   2015.12

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    高血圧治療ガイドライン2014(JSH2014)に対する評価ならびに高血圧診療をおこなっている医師の実臨床における降圧目標や第一選択薬について、日本高血圧学会が主催してアンケート調査をおこなった。今回JSH2014で示された、家庭血圧重視の方針、β遮断薬の第一選択薬からの削除、75歳以上を高齢者高血圧として区別したことなどの主要な変更点に関して、妥当であるとの意見がほとんどであった。また、各合併症を有する高血圧患者の降圧目標値に関して、ガイドラインで示す目標値を目指すとする回答が大半を占めていた。こうしたことから、これまでのガイドラインで示されてきた治療方針は広く浸透しており、新たに改訂されたJSH2014の示す治療指針はおおむね評価され、実際に診療に活かされているものと思われた。(著者抄録)

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  • イレウスを契機に発見された肺癌術後小腸転移の1例

    渡部 英, 佐藤 雅彦, 根上 直樹, 齋藤 徹也, 石戸 保典, 岡田 治彦, 山田 正樹, 高橋 由佳, 藤原 大介, 茂木 俊介

    日本臨床外科学会雑誌   76 ( 11 )   2849 - 2849   2015.11

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  • 脳内ACE2の認知機能への影響

    岩波 純, 茂木 正樹, 堀内 正嗣

    Anti-aging Science   7 ( 3 )   201 - 201   2015.11

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  • アンジオテンシンII2型受容体刺激はATIPを介してPPARγの活性化を誘導し血管リモデリングを抑制する

    茂木 正樹, 莖田 昌敬, 大島 弘世, 岩波 純, 堀内 正嗣

    Anti-aging Science   7 ( 3 )   202 - 202   2015.11

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  • 認知機能改善に関わる脳内AT2受容体とHDAC2の影響

    岩波 純, 茂木 正樹, 堀内 正嗣

    Anti-aging Science   7 ( 3 )   195 - 195   2015.11

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  • 子宮内胎児発育遅延は将来の血管リモデリングの危険因子である

    茂木 正樹, 千阪 俊行, 山内 俊史, 岩波 純, 堀内 正嗣

    Anti-aging Science   7 ( 3 )   197 - 197   2015.11

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  • RASのトピックス(第46回) アンジオテンシンIIタイプ2受容体シグナルは脳内ドパミンレベルに影響を与え、過食を予防する

    中岡 裕智, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   12 ( 4 )   238 - 242   2015.10

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    食欲調節には脳内ドパミンによる報酬系の関与が考えられているが、糖尿病患者ではドパミン作用障害による食欲調節の異常から、「やけ食い」(Binge Eating Disorder:BED)が誘導され、食事量が増えてしまう可能性が報告されている。一方、アンジオテンシンII2型(AT2)受容体直接刺激薬を用いた検討から、AT2受容体刺激がドパミン合成を低下させることが報告されている。われわれはこれまでに、AT2受容体刺激が一部PPAR-γの活性を介して2型糖尿病マウスの耐糖能を改善する効果を報告しているが、本研究では、AT2受容体刺激による糖尿病マウスにおける食欲調節について検討した。(著者抄録)

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  • マウスにおいてアンジオテンシン変換酵素2(ACE2)の欠損は食後高血糖をもたらす

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 王 小俐, Bai Hui-Yu, 単 宝帥, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   363 - 363   2015.10

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  • 【脳と機能性素材〜学習機能向上から認知症改善〜】 脳のアンチエイジング 脳研究の未来

    茂木 正樹

    FOOD Style 21   19 ( 10 )   30 - 33   2015.10

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    Other Link: http://search.jamas.or.jp/link/ui/2016007580

  • 脳内AT2受容体とHDAC2阻害による認知機能低下抑制効果

    岩波 純, 茂木 正樹, 佃 架奈, 王 小俐, 中岡 裕智, 檜垣 彰典, 莖田 昌敬, 山内 俊史, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   361 - 361   2015.10

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  • 糖尿病・肥満マウスでは筋傷害後に異所性脂肪沈着が増加しサルコペニア肥満を誘導する

    茂木 正樹, 小原 克彦, 中岡 裕智, 菅野 晴美, 佃 架奈, 王 小俐, 莖田 昌敬, Bai Hui-Yu, 単 宝帥, 山内 俊史, 檜垣 彰典, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   366 - 366   2015.10

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  • 脂肪細胞のベージュ化におけるアンジオテンシンII受容体の働きについての検討

    佃 架奈, 中岡 裕智, 茂木 正樹, 菅野 晴美, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 王 小俐, 白 薈ぎょく, 単 宝帥, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   366 - 366   2015.10

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  • アンジオテンシンII2型受容体刺激は一部ATIPを介したPPARγの活性化により血管リモデリングを抑制する

    莖田 昌敬, 茂木 正樹, 中岡 裕智, 檜垣 彰典, 単 宝帥, Bai Huiyu, 菅野 晴美, 佃 架奈, 王 小俐, 閔 莉娟, 岩波 純, 大蔵 隆文, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   363 - 363   2015.10

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  • インターフェロン調節因子1(IRF-1)は血管平滑筋におけるアポトーシスを促進し、新生内膜形成を抑制する

    中岡 裕智, 茂木 正樹, 鈴木 純, 菅野 晴美, 佃 架奈, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 王 小俐, Bai Hui-Yu, 単 宝帥, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   364 - 364   2015.10

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  • 慢性脳低灌流モデルマウスにおける脳内ATIPの役割

    岩波 純, 茂木 正樹, 佃 架奈, 王 小俐, 中岡 裕智, 檜垣 彰典, 莖田 昌敬, 山内 俊史, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   368 - 368   2015.10

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  • 子宮内胎児発育遅延は血管リモデリングを促進させるリスクとなる

    山内 俊史, 茂木 正樹, 千阪 俊行, 中岡 裕智, 莖田 昌敬, 菅野 晴美, 佃 架奈, 王 小俐, 白 薈ぎょく, 檜垣 彰典, 閔 莉娟, 岩波 純, 檜垣 高史, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   374 - 374   2015.10

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  • 認知機能におけるアンギオテンシン変換酵素2の役割(Deficiency of Angiotensin Converting Enzyme 2 Impair Cognitive Function)

    王 小俐, 岩波 純, 閔 莉娟, 佃 架奈, 中岡 裕智, 白 薈ぎょく, 単 宝帥, 菅野 晴美, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   367 - 367   2015.10

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  • アンジオテンシン受容体およびネプリライシン阻害薬であるLCZ696の事前経口投与により虚血性脳障害が抑制される(Pre-treatment with LCZ696, An Orally Active Angiotensin Receptor Neprilysin Inhibitor, Prevents Ischemic Brain Damage)

    Bai Hui-Yu, 茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 王 小俐, 莖田 昌敬, 単 宝帥, 山内 俊史, 檜垣 彰典, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   367 - 367   2015.10

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  • 柑橘ジュース飲用により血管リモデリングが抑制される

    閔 莉娟, 浅山 理恵, 大西 亜里香, 茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 王 小俐, Bai Hui-Yu, 単 宝帥, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   423 - 423   2015.10

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  • 認知症マウスモデルにおけるIRF-1の役割(Effect of Interferon Regulatory Factor-1 on Vascular Dementia Using Mouse Chronic Cerebral Hypoperfusion Model)

    王 小俐, 岩波 純, 閔 莉娟, 佃 架奈, 中岡 裕智, 白 薈ぎょく, 単 宝帥, 菅野 晴美, 莖田 昌敬, 山内 俊史, 檜垣 彰典, 茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   38回   427 - 427   2015.10

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  • 生活習慣病と認知症 認知症と高血圧

    茂木 正樹, 岩波 純, 堀内 正嗣

    Dementia Japan   29 ( 3 )   288 - 288   2015.9

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  • 【新しい代謝系・循環器系関連薬とRAS】 RAS関連の新規高血圧治療薬

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   12 ( 3 )   162 - 168   2015.7

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    降圧薬にはさまざまな種類があり、降圧効果だけではなく臓器保護効果が期待され、高血圧治療ガイドライン2014においても合併症に応じた使い分けが述べられている。しかし、更なる降圧効果や臓器保護効果を期待した新規高血圧治療薬の開発も進められている。とくにレニン・アンジオテンシン系(RAS)に関連した降圧薬は、最近唱えられているRASのprotective armとして、ACE2/Ang(1-7)/Mas受容体系やAng II 2型受容体を刺激する薬剤が期待されている。またナトリウム利尿ペプチドの分解抑制を目指したバソペプチダーゼ阻害薬やAng IIをAng IIIに変換するアミノペプチダーゼAを阻害する薬剤なども注目されている。(著者抄録)

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  • アンチエイジングのNext Decade 脳のアンチエイジング Next Decade

    茂木 正樹

    日本抗加齢医学会総会プログラム・抄録集   15回   171 - 171   2015.5

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  • 【最新の高血圧の実地診療 知っておくべき最新情報とその活かしかた】 治療 特定の高血圧の実地診療のすすめかた 新しい降圧薬とその実地診療の活用

    茂木 正樹, 堀内 正嗣

    Medical Practice   32 ( 5 )   847 - 852   2015.5

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  • JSH2014 診療の現場から検証する JSH2014 学会アンケート調査より見えるもの

    茂木 正樹

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   4回   92 - 92   2015.5

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  • Animal Models with a Genetic Alteration of AT&lt;inf&gt;2&lt;/inf&gt; Expression

    Masaki Mogi, Masatsugu Horiuchi

    The Protective Arm of the Renin Angiotensin System (RAS): Functional Aspects and Therapeutic Implications   17 - 22   2015.4

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    Animal models with a genetic alteration of angiotensin II type 2 receptor (AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor) expression have contributed to elucidation of the functional and pathophysiological roles of the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor. Mainly, deletion models have been well investigated to examine AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor function. Overexpression models sometimes demonstrate functional discrepancies in the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor because its expression level is very low physiologically. Therefore, conditional models are used for analyzing the effect of AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor overexpression. Moreover, double or multiple genetic alteration models have been generated to examine the interaction between the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor and other receptors or signaling pathways involving renin-angiotensin system components. Genetic alteration models have also contributed to in vitro analysis of primary cultures prepared from these animals to study the detailed signaling pathways of the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor.

    DOI: 10.1016/B978-0-12-801364-9.00003-1

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  • Roles of AT&lt;inf&gt;2&lt;/inf&gt;R in Cognitive Function

    Masatsugu Horiuchi, Masaki Mogi

    The Protective Arm of the Renin Angiotensin System (RAS): Functional Aspects and Therapeutic Implications   67 - 71   2015.4

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    The presence of hypertension and other vascular risk factors such as diabetes mellitus is well known to be associated with decreased cognitive function including vascular dementia and Alzheimer's disease (AD). Antihypertensive treatment seems to be beneficial to cognitive function by lowering blood pressure and by a specific neuroprotective effect. Angiotensin II type 1 (AT&lt
    inf&gt
    1&lt
    /inf&gt
    ) receptor blockers (ARBs) are known to be associated with a significant reduction in the incidence and progression of AD and dementia compared with angiotensin-converting enzyme inhibitors and other cardiovascular drugs. Angiotensin II type 2 (AT&lt
    inf&gt
    2&lt
    /inf&gt
    ) receptor stimulation by unbound angiotensin II could be expected during treatment with ARBs, and there is accumulating evidence suggesting that the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor not only opposes the AT&lt
    inf&gt
    1&lt
    /inf&gt
    receptor but also has unique effects beyond interaction with AT&lt
    inf&gt
    1&lt
    /inf&gt
    receptor signaling in the brain. Here, we review the effects of activation of the AT&lt
    inf&gt
    2&lt
    /inf&gt
    receptor on cognitive function.

    DOI: 10.1016/B978-0-12-801364-9.00009-2

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  • 【RASのNew Playerをひもとく】 AT2受容体刺激による臓器保護効果 機序と創薬開発

    岩波 純, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   12 ( 2 )   113 - 117   2015.4

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    これまでACE阻害薬、ARBなどレニン・アンジオテンシン系(RAS)抑制による降圧効果や臓器保護効果については基礎研究、臨床試験により報告・証明されてきている。一方、アンジオテンシン(Ang)IIのもう1つの2型(AT2)受容体の作用については、これまで基礎研究が中心に検討されており、臓器保護効果が示唆されていたが、実際の刺激による効果については明らかではなかった。しかし、最近AT2受容体直接刺激薬が開発され、抗炎症、抗酸化ストレスなどの作用をもつことが報告され、さまざまな作用が明らかにされてきており、今後更なる研究、AT2受容体刺激薬の開発が期待される。(著者抄録)

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  • Direct Angiotensin II Type 2 Receptor Stimulation by Compound 21 Prevents Vascular Dementia

    Jun Iwanami, Masaki Mogi, Cana Tsukuda, Xiao-Li Wang, Masanori Kukida, Hirotomo Nakaoka, Toshiyuki Chisaka, Hui-Yu Bai, Bao-Shao Shang, Masatsugu Horiuchi

    STROKE   46   2015.2

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  • 急性期脳梗塞におけるACE2

    川尻 真和, 茂木 正樹, 中里 祐毅, 田口 智之, 佐野 謙, 園田 和隆, 雜賀 徹, 中垣 英明, 佃 架奈, 堀内 正嗣, 山田 猛

    臨床神経学   54 ( Suppl. )   S77 - S77   2014.12

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  • 柑橘果汁飲用による血管リモデリング抑制効果の検討

    大西 亜里香, 茂木 正樹, 浅山 理恵, 中岡 裕智, 菅野 晴美, 佃 架奈, 岩波 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   197 - 197   2014.12

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  • Intrauterine growth restriction(IUGR)は血管リモデリングを促進する

    茂木 正樹, 千阪 俊行, 中岡 裕智, 菅野 晴美, 佃 架奈, 莖田 昌敬, 王 小俐, 白 薈ぎょく, 単 宝帥, 岩波 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   198 - 198   2014.12

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  • 食塩負荷ツクバ高血圧マウスにおけるテルミサルタンの保護効果

    岩波 純, 茂木 正樹, 王 小俐, 佃 架奈, 中岡 裕智, 千阪 俊行, 白 薈ぎょく, 茎田 昌敬, 単 宝帥, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   192 - 192   2014.12

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  • 血管性認知症モデルマウスにおけるIRF-1の役割

    王 小俐, 茂木 正樹, 岩波 純, 佃 架奈, 中岡 裕智, 千阪 俊行, 白 薈ぎょく, 茎田 昌敬, 単 宝帥, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   195 - 195   2014.12

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  • 糖尿病マウスでは細胞分化の異常により筋肉内脂肪が沈着する

    茂木 正樹, 中岡 裕智, 菅野 晴美, 千阪 俊行, 佃 架奈, 莖田 昌敬, 王 小俐, 白 薈ぎょく, 単 宝帥, 岩波 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   201 - 201   2014.12

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  • 急性期脳梗塞患者の血清中ACE2濃度と臨床病態

    茂木 正樹, 川尻 真和, 佃 架奈, 中岡 裕智, 中垣 英明, 岩波 純, 山田 猛, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   206 - 206   2014.12

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  • インターフェロン調節因子-1(IRF-1)によるアンジオテンシンII2型受容体の発現調節および炎症性血管リモデリングの抑制効果

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 千阪 俊行, 莖田 昌敬, 王 小俐, 白 薈ぎょく, 単 宝帥, 岩波 純, 鈴木 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   197 - 197   2014.12

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  • 白色脂肪のベージュ化におけるAT2受容体の関与

    佃 架奈, 茂木 正樹, 菅野 晴美, 中岡 裕智, 千阪 俊行, 莖田 昌敬, 王 小俐, 白 薈ぎょく, 単 宝帥, 岩波 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   200 - 200   2014.12

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  • LCZ696(経口アンギオテンシン受容体及びネプリリシン阻害剤)は虚血性脳傷害を軽減する

    白 薈ぎょく, 茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 王 小俐, 千阪 俊行, 単 宝帥, 莖田 昌敬, 岩波 純, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   186 - 186   2014.12

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  • 血管性認知症モデルマウスにおけるAT2受容体刺激薬の効果

    岩波 純, 茂木 正樹, 王 小俐, 佃 架奈, 中岡 裕智, 千阪 俊行, 白 薈ぎょく, 茎田 昌敬, 単 宝帥, 堀内 正嗣

    Anti-aging Science   6 ( 3 )   189 - 189   2014.12

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  • Future anti-hypertensive drugs

    76 ( 4 )   366 - 372   2014.10

  • 食塩負荷ツクバ高血圧マウスにおける組織障害をテルミサルタンは減弱する

    岩波 純, 茂木 正樹, 佃 架奈, 王 小俐, 中岡 裕智, 莖田 昌敬, 千阪 俊行, Bai Hui-Yu, 単 帥宝, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   37回   333 - 333   2014.10

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  • インターフェロン調節因子1(IRF-1)はアンジオテンシンII2型受容体の発現を調節し、炎症性血管リモデリングを抑制する

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 千阪 俊行, 莖田 昌敬, 王 小俐, Bai Hui-Yu, 単 帥宝, 岩波 純, 鈴木 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   37回   334 - 334   2014.10

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  • 白色脂肪組織でのベージュ脂肪化におけるAT2受容体シグナルの関与

    佃 架奈, 茂木 正樹, 中岡 裕智, 菅野 晴美, 千阪 俊行, 莖田 昌敬, 王 小俐, Bai Huiyu, 単 帥宝, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   37回   328 - 328   2014.10

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  • 糖尿病・肥満マウスでは筋傷害後において脂肪沈着が増加する

    茂木 正樹, 小原 克彦, 中岡 裕智, 菅野 晴美, 佃 架奈, 王 小俐, 千阪 俊行, 茎田 昌敬, Bai Hui-Yu, 単 帥宝, 岩波 純, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   37回   329 - 329   2014.10

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  • Intrauterine Growth Restriction(IUGR)は血管リモデリング促進因子のひとつである

    千阪 俊行, 茂木 正樹, 中岡 裕智, 菅野 晴美, 佃 架奈, 王 小俐, Bai Hui-yu, 単 帥宝, 莖田 昌敬, 岩波 純, 檜垣 高史, 石井 榮一, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   37回   335 - 335   2014.10

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  • RASのトピックス(第39回) アジルサルタンの降圧効果におけるACE2/Ang-(1-7)/Mas系の役割

    岩波 純, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   11 ( 4 )   222 - 226   2014.10

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    レニン・アンジオテンシン系(RAS)の亢進は血圧の上昇や臓器障害を惹起、促進することが知られているが、近年従来のRASに拮抗するアンジオテンシン変換酵素(ACE)2/Ang-(1-7)/Mas系が注目されている。ARBの使用がこの系を活性化することが報告されていることから、新規ARBアジルサルタンによる強い降圧効果について、このACE2/Ang-(1-7)/Mas系への関与に着目して、RASが亢進したツクバ高血圧マウスを用いて検討した。(著者抄録)

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  • Treatment With Telmisartan Inhibits Kidney Injury in High Salt-loading Tsukuba Hypertensive Mice With Attenuation of Sympathetic Nervous System

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Xiao-Li Wang, Masanori Kukita, Hirotomo Nakaoka, Toshiyuki Chisaka, Hui-Yu Bai, Bao-Shao Shang, Masatsugu Horiuchi

    HYPERTENSION   64   2014.9

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  • Fetal Growth Restriction Is A Risk Of Vascular Remodeling

    Toshiyuki Chisaka, Masaki Mogi, Hirotomo Nakaoka, Masataka Kukita, Harumi Kanno, Kana Tsukuda, Hui -Yu Bai, Jun Iwanami, Takashi Higaki, Ei-ichi Ishii, Masatsugu Horiuchi

    HYPERTENSION   64   2014.9

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  • Interferon Regulatory Factor 1 Plays an Important Role in Inhibition of Vascular Remodeling Through Angiotensin II Type 2 Receptor

    Hirotomo Nakaoka, Masaki Mogi, Jun Suzuki, Harumi Kan-no, Kana Tsukuda, Toshiyuki Chisaka, Masayoshi Kukida, Xiao-Li Wang, Hui-Yu Bai, Bao-Shuai Shan, Jun Iwanami, Masatsugu Horiuchi

    HYPERTENSION   64   2014.9

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  • AT(2) Receptor Signaling Plays An Important Role In Conversion Of From White To Beige Fat

    Kana Tsukuda, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-no, Toshiyuki Chisaka, Xial-Li Wang, Masayoshi Kukida, Hui-Yu Bai, Bao-Shuai Shan, Jun Iwanami, Masatsugu Horiuchi

    HYPERTENSION   64   2014.9

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  • Obese Diabetic Mice Exhibited Severe Intramuscular Lipid Accumulation after Muscle Injury

    Masaki Mogi, Katsuhiko Kohara, Hirotomo Nakaoka, Harumi Kan-no, Kana Tsukuda, Xiao-Li Wang, Toshiyuki Chisaka, Masayoshi Kukida, Hui -Yu Bai, Bao-Shao Shan, Jun Iwanami, Masatsugu Horiuchi

    HYPERTENSION   64   2014.9

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  • 【最新臨床脳卒中学[上]-最新の診断と治療-】危険因子 高血圧症 関連分子 アンジオテンシン

    茂木 正樹

    日本臨床   72 ( 増刊5 最新臨床脳卒中学(上) )   188 - 193   2014.7

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  • Current status and the future direction of NEPi

    Fluid management renaissance   4 ( 3 )   265 - 271   2014.7

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  • アンジオテンシンII受容体シグナル伝達を介した神経膠星状細胞老化の調節(Regulation of Astrocyte Senescence via Angiotensin II Receptors' Signaling)

    閔 莉娟, 茂木 正樹, 佃 架奈, 大島 弘世, 中岡 裕智, 菅野 晴美, 王 小俐, 千阪 俊行, Bai Hui-Yu, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   311 - 311   2014.6

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  • 中大脳動脈梗塞モデルにおけるAT2受容体直接刺激薬の脳保護効果

    閔 莉娟, 茂木 正樹, 佃 架奈, 中岡 裕智, 王 小俐, 千阪 俊行, 茎田 昌敬, Bai Hui-Yu, 単 宝帥, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   311 - 311   2014.6

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  • 柑橘系飲料摂取は動脈硬化モデルマウスにおいて血管リモデリングを抑制する

    中岡 裕智, 茂木 正樹, 浅山 理恵, 大西 亜里香, 菅野 晴美, 佃 架奈, 千阪 俊行, 茎田 昌敬, 王 小俐, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   328 - 328   2014.6

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  • AT2受容体刺激薬Compound 21は血管性認知症モデルの認知機能低下を予防する

    岩波 純, 茂木 正樹, 佃 架奈, 王 小俐, 中岡 裕智, 千阪 俊行, 茎田 昌敬, Bai Hui-Yu, 単 宝帥, 閔 莉娟, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   312 - 312   2014.6

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  • 食塩負荷ツクバ高血圧マウスにおけるテルミサルタンの効果

    岩波 純, 茂木 正樹, 佃 架奈, 王 小俐, 大島 弘世, 中岡 裕智, 千阪 俊行, Bai Huiyu, 閔 莉娟, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   317 - 317   2014.6

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  • 糖尿病マウスでは筋傷害後再生において異所性脂肪沈着が起こる

    茂木 正樹, 小原 克彦, 中岡 裕智, 佃 架奈, 王 小俐, 千阪 俊行, 茎田 昌敬, Bai Hui-Yu, 単 宝帥, 菅野 晴美, 閔 莉娟, 岩波 純, 三木 哲郎, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   303 - 303   2014.6

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  • ACE2欠損マウスにおけるアンジオテンシン-(1-7)による認知障害の機能改善(Gain-of-function of cognitive impairment by angiotensin-(1-7) in ACE2 deficient mice)

    王 小俐, 茂木 正樹, 岩波 純, 佃 架奈, 閔 莉娟, 中岡 裕智, Bai Hui-Yu, 大島 弘世, 千阪 俊行, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   305 - 305   2014.6

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  • 実老化を予測する 臓器年齢を統合し実年齢を評価する 実老化を予測することはできるのか バイオマーカー、臓器年齢の統合評価法などを考える

    茂木 正樹, 閔 莉娟, 中岡 裕智, 佃 架奈, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   273 - 273   2014.6

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  • 摂食行動においてアンジオテンシンIIタイプ2受容体は重要な役割を果たす

    中岡 裕智, 茂木 正樹, 菅野 晴美, 佃 架奈, 大島 弘世, 千阪 俊行, 王 小俐, Bai Hui-Yu, 閔 莉娟, 岩波 純, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   14回   305 - 305   2014.6

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  • 高血圧の最新知見と薬物治療のさらなる可能性

    砂川 賢二, 苅尾 七臣, 茂木 正樹, 廣岡 良隆, 岸 拓弥

    日本医事新報   ( 4697 )   C1 - C5   2014.5

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  • EFFECTS OF RENAL SYMPATHETIC DENERVATION ON BLOOD PRESSURE ANDGLUCOSE METABOLISM IN OBESE TYPE 2 DIABETIC RATS

    Rafiq Kazi, Sherajee J. Shamshad, Fujisawa Yoshihide, Mogi Masaki, Sufiun Abu, Rahman Asadur, Nakano Daisuke, Koepsell Hermann, Nishiyama Akira

    NEPHROLOGY   19   44 - 44   2014.5

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  • RENAL SYMPATHETIC DENERVATION SUPPRESSES INSULIN RESISTANCE IN PRE-DIABETIC OBESE OLETF RATS

    Rafiq Kazi, Sherajee J. Shamshad, Fujisawa Yoshihide, Mogi Masaki, Rahman Asadur, Sufiun Abu, Nakano Daisuke, Koepsell Hermann, Nishiyama Akira

    NEPHROLOGY   19   199 - 199   2014.5

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  • 【生活習慣病対策から認知症予防を考える】基礎的検討 高血圧

    茂木 正樹

    月刊糖尿病   6 ( 3 )   19 - 29   2014.4

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  • どうして高血圧になるの? (特集 高血圧患者さんを理解して看護のエキスパートに!)

    茂木 正樹, 堀内 正嗣

    Heart : 基礎知識から最新トピックスまで!ナース・コメディカルのためのハートケア誌   4 ( 2 )   12 - 18   2014.2

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    <POINT>高血圧は、心臓からの血液の拍出量と末梢血管抵抗で決定される!塩分貯留体質などの遺伝や、動脈硬化といった病気が高血圧を引き起こす!ホルモンの異常による二次性高血圧が原因となることもあるので注意!(著者抄録)

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    Other Link: http://search.jamas.or.jp/link/ui/2014090350

  • Intrauterine growth restriction(IUGR)は血管リモデリングを促進させるリスクとなる

    千阪 俊行, 茂木 正樹, 中岡 裕智, 大島 弘世, 菅野 晴美, 佃 架奈, 岩波 純, 檜垣 高史, 堀内 正嗣, 石井 榮一

    日本小児科学会雑誌   118 ( 2 )   346 - 346   2014.2

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  • 高血圧・肺高血圧 高血圧と認知機能

    茂木 正樹, 堀内 正嗣

    Annual Review循環器   2014   217 - 224   2014.1

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    認知症の2大原因は大きく血管性認知症とアルツハイマー病などの神経変性に分けられるが両者の混合型の頻度も高い.高血圧はこれまで血管性認知症の危険因子と考えられてきたが,アルツハイマー病においても,血管性因子が関与し,発症・進展に重要な役割を担っていることが疫学研究などからわかってきた.こうしたことから,これまで血管性認知症の危険因子として考えられていた高血圧が認知症全般に密接に関連していることが示唆されるが,降圧薬投与の介入試験によるアルツハイマー病を中心とした認知症予防の検討に関してまだ報告は少ない.本稿では最近の臨床試験の結果や高血圧と認知機能についての基礎研究の進歩に関して概説し,今後の認知機能に対する降圧治療の可能性などについて考察する.(著者抄録)

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  • The hypotensive effect of azilsartan through angiotensin converting enzyme 2/angiotensin-(1-7)/Mas axis activation

    Jun Iwanami, Masaki Mogi, Xiao-Li Wang, Kana Tsukuda, Hirotomo Nakaoka, Kousei Ohshima, Toshiyuki Chisaka, Hui-Yu Bai, Harumi Kan-no, Li-Juan Min, Masatsugu Horiuchi

    JOURNAL OF PHARMACOLOGICAL SCIENCES   124   104P - 104P   2014

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  • Inhibitory effect of drinking citrus fruits on vascular remodeling using cuff-placement model

    Arika Ohnishi, Rie Asayama, Masaki Mogi, Hirotomo Nakaoka, Harumi Kan-no, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    JOURNAL OF PHARMACOLOGICAL SCIENCES   124   86P - 86P   2014

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  • Direct Stimulation of Angiotensin II Type 2 Receptor Inhibits Binge Eating Disorder in Diabetic Mice

    Hirotomo Nakaoka, Masaki Mogi, Harumi Kan-no, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    JOURNAL OF PHARMACOLOGICAL SCIENCES   124   94P - 94P   2014

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  • 脳の老化におけるARBの新展開 (特集 アンチエイジング薬としてのARBの新展開)

    岩波 純, 茂木 正樹, 堀内 正嗣

    Anti-aging science : 脳心血管抗加齢研究会機関誌   5 ( 3 )   244 - 249   2013.12

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  • RASのトピックス(第35回) 新規ARBアジルサルタンとACE阻害薬ramiprilによる降圧効果の比較

    岩波 純, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   10 ( 4 )   246 - 253   2013.10

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    高血圧は心疾患、脳卒中などのリスクファクターであり、日常診療では厳格な血圧のコントロールが求められる。現在、さまざまなタイプの高血圧治療薬が使用されているが、レニン・アンジオテンシン系(RAS)の阻害薬であるACE阻害薬、ARBは、血圧を低下させるだけでなく、臓器保護作用を有することが報告されている。最近、新規ARBとしてアジルサルタンが開発され、AT1受容体への強い結合力による降圧効果が報告されており、より厳格な血圧コントロールへの使用が期待されている。今回アジルサルタンが、ACE阻害薬のramiprilとの比較において降圧効果によりすぐれ、より忍容性が高いことが示された。(著者抄録)

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  • Stimulation of Angiotensin II Type 2 Receptor Inhibits Binge Eating Disorder with Improving Dopamine Resistance

    Hirotomo Nakaoka, Masaki Mogi, Harumi Kan-no, Kana Tsukuda, Kousei Ohshima, Toshiyuki Chisaka, Xiao-Li Wang, Huiyu Bai, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    HYPERTENSION   62 ( 3 )   2013.9

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  • Role of Angiotensin Converting Enzyme 2/angiotensin (1-7)/mas Axis in the Hypotensive Effect of Azilsartan

    Jun Iwanami, Masaki Mogi, Kana Tsukuda, Xiao-Li Wang, Kousei Ohshima, Toshiyuki Chisaka, Huiyu Bai, Li-Juan Min, Masatsugu Horiuchi

    HYPERTENSION   62 ( 3 )   2013.9

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  • Stroke patients diagnosed as secondary hypertension: five case reports

    Mogi Masaki, Yamashita Shiro, Fujisawa Mutsuo, Okura Takafumi, Higaki Jitsuo, Horiuchi Masatsugu, Katagi Ryosuke

    Japanese Journal of Stroke   35 ( 5 )   350 - 357   2013.9

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    Treatment for hypertension is the most important therapy to prevent the recurrence of stroke. Secondary hypertension is sometimes observed in stroke patients. However, it is difficult to diagnose and properly manage secondary hypertension, which increases the possibily in inducing a secondary stroke. Here, we demonstrate five cases of stroke patients with secondary hypertension. Case 1: A 63-year-old male withcerebral hemorrhage in left frontal lobe and primary aldosteronism. Case 2: A 67-year-old female withcerebral ischemia in left frontal lobe and primary aldosteronism. Case 3: A 38-year-old male with a cerebral hemorrhage in the basal ganglia and a pheochromocytoma. Case 4: A 40-year-old male with cerebral hemorrhage in basal ganglia and Cushing’s syndrome. Case 5: A 65-year-old male with a cerebral ischemia from deep white matter to the cortical branch in parietal region and renovascular hypertension. These cases show us important signs to suspect secondary hypertension in patients with stroke. 1) Juvenile stroke patients especially with hypertension-induced hemorrhage. 2) Juvenile stroke patients with complications of hypertension such as severe cardiomyopathy or chronic kidney disease. 3) Hypokalemia, even treated with blockade of renin-angiotensin system. 4) Systematically observed atherosclerosis patients. 5) Neutrophilia, even after improvement of infection. These points may help us to actively diagnose the secondary hypertension and increase the quality of the management of stroke patients to prevent the recurrence of stroke.

    DOI: 10.3995/jstroke.35.350

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  • 【高血圧診療のすべて】新しい病態理解と治療への展望 レニン-アンジオテンシン(RA)系

    大島 弘世, 茂木 正樹, 堀内 正嗣

    日本医師会雑誌   142 ( 特別1 )   S57 - S60   2013.6

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  • 【高血圧診療のすべて】目でみる高血圧 レニン-アンジオテンシン(RA)系と降圧薬の作用ポイント

    大島 弘世, 茂木 正樹, 堀内 正嗣

    日本医師会雑誌   142 ( 特別1 )   S20 - S20   2013.6

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  • Role of Angiotensin Receptors in Brain Injury

    5 ( 2 )   94 - 98   2013.6

  • 脳卒中後に二次性高血圧症と診断された5症例 症例報告

    茂木 正樹, 山下 史朗, 藤澤 睦夫, 大蔵 隆文, 檜垣 實男, 片木 良典, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   2回   185 - 185   2013.5

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  • 骨髄AT2受容体欠損はマクロファージの形質変化を介して動脈硬化形成を増悪させる

    加藤 拓, 山田 浩之, 入江 大介, 若菜 紀之, 池田 宏二, 沖垣 光彦, 茂木 正樹, 岩井 將, 堀内 正嗣, 松原 弘明

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   2回   159 - 159   2013.5

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  • 【心血管の老化とアンチエイジング】RA系阻害薬とアンチエイジング

    岩波 純, 茂木 正樹, 堀内 正嗣

    Heart View   17 ( 4 )   423 - 428   2013.4

  • 【高血圧 高血圧の幅広い実地診療と新治療ガイドラインの展望】トピックス 新たな降圧薬の話題

    茂木 正樹, 堀内 正嗣

    Medical Practice   30 ( 3 )   471 - 474   2013.3

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  • AT2アゴニストの臨床応用への期待

    茂木 正樹, 堀内 正嗣

    Medical Science Digest   39 ( 2 )   58 - 59   2013.2

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    アンジオテンシンII2型(AT2)受容体シグナルはアンジオテンシンIIの主要な働きを示す1型受容体シグナルを抑制したり、独自の作用機構により、脳・心・腎など様々な臓器保護に繋がることがこれまで実験的に報告されていたが、AT2受容体を直接活性化する安定した薬剤はこれまでなかった。昨今AT2受容体のアゴニスト、Compound 21が開発され、動物実験からは降圧薬として広く使われている1型受容体ブロッカー等とも異なる効果が報告され、今後の臨床応用に向けて期待される。本稿ではCompound 21の最近の話題を中心にAT2受容体アゴニストの可能性を考察する。(著者抄録)

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  • Administration of Direct Angiotensin II Type-2 Receptor Agonist, Compound 21, Even After Stroke Prevents Ischemic Brain Damage

    Masaki Mogi, Li-Juan Min, Fei Jing, Kana Tsukuda, Kousei Ohshima, Hirotomo Nakaoka, Jun Iwanami, Masatsugu Horiuchi

    STROKE   44 ( 2 )   2013.2

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  • レニン・アンジオテンシン系とアルツハイマー病 : 基礎研究の知見 (特集 高血圧と認知症 : 高血圧治療薬で認知症を防げるか)

    茂木 正樹, 堀内 正嗣

    認知症の最新医療 : 認知症医療の今を伝える専門誌   3 ( 1 )   17 - 21   2013.1

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    血圧を調整するホルモンであるレニン・アンジオテンシン系(RAS)が、アルツハイマー病に関与する可能性が注目されている。RASを抑制する降圧薬、特にアンジオテンシンII受容体拮抗薬(ARB)服用者では、アルツハイマー病の発症が少ないことや、認知症患者の施設入所を遅らせたり、死亡率を低下させたりする可能性があると報告されている。また、本来アルツハイマー病は死亡後の脳組織の染色により確診されるが、剖検患者のデータを用いた検討でも、ARBの服用者は、アルツハイマー病の脳組織変化が少ない傾向にあると報告されている。メカニズムは不明であるが、血管障害による神経機能の低下の予防や、アミロイドβの代謝や排泄への影響などが考えられている。(著者抄録)

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  • 【ARBの更なる可能性-pleiotropic effectを中心に-】ARBにつづく創薬の可能性 RASのアンメット・メディカル・ニーズから

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   10 ( 1 )   46 - 51   2013.1

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    さまざまな臨床試験から、ARBなどのレニン・アンジオテンシン系(RAS)の抑制薬は、降圧薬としてだけでなく臓器保護薬として心血管病以外の病態においても効果が期待されている。これはRASが循環血液中だけでなく組織内でも存在し、疾患を修飾しているためと考えられている。また、RASの主たるプレーヤーであるアンジオテンシン(Ang)II-AT1受容体2-Ang(1-7)-Mas受容体シグナルなどの他のRAS因子もさまざまな病態に影響を与えている可能性があり、アンメット・メディカル・ニーズ(UMN)への効果が期待されている。(著者抄録)

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  • Direct Angiotensin II Type-2 Receptor Agonist, Compound 21, Prevents lschemic Brain Damage with Pretreatment and Administration after Middle Cerebral Artery Occlusion

    Masaki Mogi, Li-Juan Min, Jun Iwanami, Masatsugu Horiuchi

    JOURNAL OF PHARMACOLOGICAL SCIENCES   121   89P - 89P   2013

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  • Limonin, a citrus limonoid, had no apparent effect on cognitive dysfunction in mice with chronic cerebral hypoperfusion

    Kana Tsukuda, Masaki Mogi, Li-Juan Min, Fei Jing, Kosei Ohshima, Hirotomo Nakaoka, Harumi Kan-no, Xiaoli Wang, Toshiyuki Chisaka, Huiyu Bai, Jun Iwanami, Masatsugu Horiuchi

    Immunology, Endocrine and Metabolic Agents in Medicinal Chemistry   13 ( 2 )   139 - 143   2013

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    Background: Limonoids are highly oxygenated triterpenoid compounds abundantly contained in citrus fruits. It has been reported that limonoids have several pharmacological activities such as anti-cancer, anti-malarial, and antimicrobial activities. Moreover, recent reports have indicated that limonoids may have a preventive effect on cardiovascular disease and metabolic disorders. However, very little information is available about the effects of limonoids on cognitive impairment due to Alzheimer disease and vascular dementia. In the present study, we investigated whether limonin, one of the major limonoids, has a preventive effect on cognitive dysfunction in a mouse vascular dementia model induced by chronic cerebral hypoperfusion. Materials and Methods: Ten-week-old C57BL/6J male mice were subjected to bilateral common carotid artery stenosis (BCAS) using external microcoils. Mice were administered limonin (10 mg/kg/day) from 8 to 16 weeks of age. Spatial working memory was evaluated by the Morris water maze test at 16 weeks of age. Blood pressure was measured by tail-cuff method. Cerebral blood flow was assessed by 2D laser speckle flowmetry. Results: Chronic cerebral hypoperfusion induced by BCAS significantly impaired cognitive function compared with that of the control group. However, administration of limonin did not ameliorate cognitive dysfunction induced by BCAS. Moreover, cerebral blood flow was reduced by BCAS, but this reduction was not improved by limonin treatment. There was no significant change in blood pressure in each mouse. Conclusion: Limonin had no apparent effect on cognitive impairment attributed to chronic cerebral hypoperfusion. © 2013 Bentham Science Publishers.

    DOI: 10.2174/1871522211313020008

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  • 非塞栓性脳梗塞におけるACE2

    川尻 真和, 茂木 正樹, 高下 純平, 廣岡 さとみ, 野田 和人, 鳥居 孝子, 中垣 英明, 松本 省二, 佃 架奈, 堀内 正嗣, 山田 猛

    臨床神経学   52 ( 12 )   1485 - 1485   2012.12

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  • Effect of Hypertension on Alzheimer's Disease

    4 ( 3 )   261 - 267   2012.11

  • State of the ART 次世代のARB 現状と未来

    茂木 正樹, 堀内 正嗣

    臨床高血圧   18 ( 3 )   180 - 191   2012.10

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  • Renin-Angiotensin-Aldosterone系の新展開 アンジオテンシン受容体

    茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   35回   345 - 345   2012.9

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  • 骨髄AT2受容体欠損はマクロファージの形質変化を介して動脈硬化形成を増悪させる

    加藤 拓, 山田 浩之, 川人 浩之, 入江 大介, 池田 宏二, 沖垣 光彦, 茂木 正樹, 岩井 將, 堀内 正嗣, 松原 弘明

    日本高血圧学会総会プログラム・抄録集   35回   481 - 481   2012.9

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  • 次世代多機能型ARBの開発動向 (特集 RAAS研究の進歩 : RAASの新知見) -- (特論)

    茂木 正樹, 堀内 正嗣

    日本臨床   70 ( 9 )   1621 - 1626   2012.9

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  • 【認知機能と高血圧】RAA系と認知機能障害の分子機序

    佃 架奈, 茂木 正樹, 堀内 正嗣

    血圧   19 ( 8 )   689 - 693   2012.8

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    急速な高齢化社会の進行とともに増加している認知機能障害は、高齢者のQOLを著しく障害するだけでなく、介護者の負担や経済的損失も大きいことから、その予防対策や治療法の確立が急務となっている。最近の研究から、レニン・アンジオテンシン・アルドステロン(RAA)系が認知機能障害と密接に関係していることが報告されており、盛んに研究がおこなわれている。脳においても、RAA系の各コンポーネントが合成され、主要なアンジオテンシン受容体が局在することが知られていることから、脳RAA系の制御により認知機能障害の発症・進展を予防できる可能性が示唆されている。(著者抄録)

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  • RASのトピックス(第30回) ステージ1および2高血圧症患者の24時間および外来血圧に対する新規ARBの効果 アジルサルタンメドキソミルvsバルサルタン、オルメサルタンメドキソミル

    大島 弘世, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    Angiotensin Research   9 ( 3 )   174 - 179   2012.7

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    早期の厳格な降圧は高血圧症患者の将来の臓器障害の予防において重要であるが、降圧治療を受けている患者の1/2が降圧目標に達していない現状がある。ARBは降圧治療の第一選択薬として高血圧治療ガイドライン2009(JSH2009)でも推奨される大変広く用いられている降圧薬であるが、最近すぐれた降圧効果と安全性を有する新たなARBであるアジルサルタンメドキソミルの臨床的有用性が報告され、今後の高血圧症の治療に期待がもたれている。(著者抄録)

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  • 【あなたも名医!高血圧、再整理 がっちり押さえたい最新の診療方法】(第1章)高血圧はなぜ起こる? 診療の前に押さえておきたい発症機序 レニン・アンジオテンシン系が血圧を上げる

    茂木 正樹, 堀内 正嗣

    jmed mook   ( 20 )   5 - 8   2012.6

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  • What's New in SURGERY FRONTIER(第73回) アンチエイジングの最新情報 凝固制御とアンチエイジング

    大島 弘世, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    Surgery Frontier   19 ( 2 )   188 - 191   2012.6

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  • 高血圧性脳血管障害に対するARBの最新知見 PPARγ活性化作用の意義と役割

    堀内 正嗣, Unger Thomas, 茂木 正樹

    Pharma Medica   30 ( 5 )   180 - 185   2012.5

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  • 急性期脳梗塞患者血清中のレニン・アンジオテンシン系コンポーネントの検討

    茂木 正樹, 川尻 真和, 松本 省二, 佃 架奈, 山田 猛, 堀内 正嗣

    日本高血圧学会臨床高血圧フォーラムプログラム・抄録集   1回   138 - 138   2012.4

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  • Treatment of small-vessel disease

    71 ( 2 )   184 - 193   2012.2

  • 【循環器疾患とCKD~そのつながりを読む~】疫学と成因 レニン・アンジオテンシン・アルドステロン(RAA)系

    佃 架奈, 茂木 正樹, 堀内 正嗣

    Circulation   2 ( 2 )   16 - 24   2012.2

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  • Overview and topic of small-vessel disease

    71 ( 2 )   99 - 106   2012.2

  • 【レニン・アンジオテンシン・アルドステロン(RAA)系のホットスポット】認知機能とRAA系 認知症の予防と進行阻止におけるRAA系抑制薬の実力

    岩波 純, 茂木 正樹, 堀内 正嗣

    血圧   19 ( 1 )   42 - 46   2012.1

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    組織におけるレニン・アンジオテンシン・アルドステロン(RAA)系による臓器障害への影響が注目されている。脳におけるRAA系が脳卒中の発症だけでなく認知症にも関与していることが臨床試験や基礎実験などからわかってきた。今後も増加の一途をたどり社会問題となりつつある認知症に対して、降圧治療として広く使われるRAA系抑制薬に、脳保護作用を介した認知症予防効果が期待されている。臨床試験や基礎実験の結果をもとにRAA系抑制薬による認知症予防薬としての可能性について検討する。(著者抄録)

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  • RAA system and hypertension : Recent topics

    44 ( 1 )   4 - 7   2012.1

  • Bone Marrow Angiotensin AT2 Receptor Deficiency Aggravates Atherosclerosis by Eliminating Macrophage Liver X Receptor-Mediated Anti-Atherogenic Actions

    Taku Kato, Hiroyuki Yamada, Hiroyuki Kawahito, Daisuke Irie, Kensuke Fukui, Kouji Ikeda, Mitsuhiko Okigaki, Masaki Mogi, Masaru Iwai, Masatsugu Horiuchi, Hiroaki Matsubara

    CIRCULATION   124 ( 21 )   2011.11

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  • Trousseau syndrome with monocytosis in a patient with pancreatic cancer:a case report

    Mogi Masaki, Fujisawa Mutsuo, Yamashita Shiro, Horiuchi Masatsugu, Katagi Ryosuke

    Japanese Journal of Stroke   33 ( 6 )   583 - 589   2011.11

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    A 64-year-old woman was admitted to our hospital for sudden slurred speech and right leg-predominant weakness. She experienced recurrent episodes of stroke during her 6 years of warfarinization. Magnetic resonance imaging (MRI) indicated anterior cerebral artery (A3) occlusion. Anticoagulation therapy with heparin was started because she was not suitable for t-PA treatment due to "wake-up stroke." After conversion from heparin to warfarin, ischemic stroke recurred twice in the posterior cerebral artery (P1) and the middle cerebral artery (M1) in one month. We speculated but were not able to diagnose cardioembolic stroke because there was no abnormality in her cardiac echo test, ambulatory blood pressure monitor, etc. Fibrin degradation products (FDP) and D-dimer levels were significantly elevated. Moreover, significant leukocytosis, especially monocytosis was observed. Abdominal computed tomography scan exhibited progressive pancreatic cancer which invaded into the spleen with multiple metastasis to the liver. There was a remarkable increase in CA-125 levels. After change of treatment from warfarin to low molecular weight heparin, stroke did not recur; however, she was in a serious systemic condition due to the large M1 occlusion and malignant tumor. Therefore, she received palliative care and died at 66 days after administration. We diagnosed this case as Trousseau syndrome. Monocytosis may be involved in this blood coagulation disorder.

    DOI: 10.3995/jstroke.33.583

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  • Telmisartan Improves Cognitive Decline in Diabetic Mice via Prevention of Blood-Brain Barrier Impairment in Concert with PPAR-gamma Activation

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Fei Jing, Kana Tsukuda, Kousei Ohshima, Masatsugu Horiuchi

    HYPERTENSION   58 ( 5 )   E125 - E126   2011.11

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  • Inhibition of MCP-1/CCR2 Signaling Pathway is Important for Reduction of Ischemic Brain Damage With AT(1) Receptor Blockade

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Li-Juan Min, Fei Jing, Kousei Oshima, Masatsugu Horiuchi

    HYPERTENSION   58 ( 5 )   E179 - E179   2011.11

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  • Effect of Direct AT(2) Receptor Stimulation By Compound 21 on Cognitive Decline In Mouse Chronic Cerebral Hypoperfusion Model

    Jun Iwanami, Masaki Mogi, Li-Juan Min, Kana Tsukuda, Jing Fei, Kousei Ohshima, Masatsugu Horiuchi

    HYPERTENSION   58 ( 5 )   E62 - E62   2011.11

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  • Angiotensin II Type 2 Receptor-Interacting Protein Inhibits Vascular Senescence

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Fei Jing, Kana Tsukuda, Kousei Ohshima, Masatsugu Horiuchi

    HYPERTENSION   58 ( 5 )   E74 - E74   2011.11

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  • 急性期脳梗塞における血中レニン・アンジオテンシン系の変化

    大島 弘世, 茂木 正樹, 川尻 真和, 佃 加奈, 松本 省二, 山田 猛, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   333 - 333   2011.11

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  • 多発性硬化症における髄液中レニン・アンジオテンシン系の変化

    茂木 正樹, 川尻 真和, 佃 加奈, 三木 哲郎, 吉良 潤一, 堀内 正嗣

    Anti-aging Science   3 ( Suppl.1 )   338 - 338   2011.11

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  • 【高血圧治療最前線-適正な血圧管理の重要性-】高血圧における交感神経系とレニン・アンジオテンシン・アルドステロン系

    岩波 純, 茂木 正樹, 堀内 正嗣

    日本臨床   69 ( 11 )   1916 - 1919   2011.11

  • 骨髄AT2受容体欠損はマクロファージの形質変化を介して動脈硬化形成を増悪させる

    加藤 拓, 山田 浩之, 川人 浩之, 入江 大介, 福居 顕介, 池田 宏二, 沖垣 光彦, 茂木 正樹, 岩井 將, 堀内 正嗣, 松原 弘明

    日本高血圧学会総会プログラム・抄録集   34回   390 - 390   2011.10

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  • アンチエイジングからみた高血圧研究 高血圧治療と脳のアンチエイジング

    茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   281 - 281   2011.10

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  • 【脳保護はどこまで可能か-RAS抑制薬の今日的意義-】脳のRAS updateオーバービュー

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   8 ( 4 )   171 - 176   2011.10

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    組織におけるレニン・アンジオテンシン系(RAS)が臓器障害に与える影響が注目されている。脳におけるRASは脳卒中の発症だけでなく脳卒中後の神経障害に関与していることが基礎実験的には明らかになってきている。降圧治療として広く使われるRAS抑制薬は脳卒中の最大の危険因子である高血圧を是正するだけでなく、組織RASの抑制を介した脳保護作用が期待されるが、臨床的なエビデンスがこれから増えると考えられる。(著者抄録)

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  • Vascular smooth muscle cells and endothelial cells in atherosclerosis

    60 ( 10 )   1978 - 1984   2011.10

  • 脳血管領域から高血圧専門医へのメッセージ 脳卒中基礎研究の今(将来の新しい脳保護療法を目指して)

    茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   34回   293 - 293   2011.10

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  • 食塩感受性高血圧ラットで生じる脳関門障害と認知症に対するオルメサルタンの効果

    西山 成, 細見 直永, 茂木 正樹, 堀内 正嗣, 人見 浩史, 中野 大介

    日本内分泌学会雑誌   87 ( 2 )   782 - 782   2011.9

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  • 日高病院におけるがん診療の現状と展望

    岡崎 篤, 神沼 拓也, 大久保 悠, 成清 一郎, 柴崎 徹, 茂木 政彦, 大澤 清孝, 高橋 正樹, 関原 哲夫, 安藤 義孝, 中野 隆史

    群馬医学   ( 93 )   47 - 47   2011.8

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  • 降圧薬の血中濃度と降圧効果

    大島 弘世, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    日本医事新報   ( 4553 )   54 - 56   2011.7

  • 【高血圧治療の進歩に向けた一歩】レニン・アンジオテンシン系新規関連薬

    茂木 正樹, 堀内 正嗣

    Medical Science Digest   37 ( 6 )   214 - 217   2011.6

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    レニン・アンジオテンシン系(RAS)は組織でも発現しており、直接臓器障害を誘導すると考えられる。降圧療法は心・腎・脳・血管などの臓器障害を抑制するが、RAS関連薬は組織RASも抑制することから、同等の降圧効果を認める他の降圧薬よりも臓器保護効果が強い。アンジオテンシン変換酵素阻害薬やアンジオテンシン受容体ブロッカー、抗アルドステロン薬などのRAS関連薬を使うことで降圧だけでない、臓器保護効果に関する臨床的なエビデンスが蓄積されてきたが、基礎研究からはさらに臨床効果が期待されるRAS関連薬が報告されている。例えばアンジオテンシンII2型受容体シグナルは、アンジオテンシンII1型受容体シグナルを抑制するだけでなく、独自の臓器保護作用が期待される。また、一酸化窒素を放出する作用の付加された降圧薬にもさらなる臓器保護効果が期待される。本稿では最近開発され基礎実験での効果が期待されるRAS関連降圧薬について概説する。(著者抄録)

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  • 抗凝固・抗血小板とアンチエイジング(第2回) 加齢と血液凝固活性

    茂木 正樹, 堀内 正嗣, 倉地 須美子

    Anti-aging Science   3 ( 2 )   163 - 169   2011.6

  • 臓器間コネクション(脳心腎トライアングル)(第1回)脳腎連関

    茂木 正樹, 堀内 正嗣

    Cardiovascular frontier   2 ( 3 )   199 - 205   2011.6

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    慢性腎臓病(CKD)患者では心血管病を高率に合併しやすいことが知られているが、最近CKDが、脳卒中や認知機能障害などの脳神経疾患の発症・進展にも関連しているとの臨床的報告が増えている。CKDのマーカーである推算糸球体濾過量(eGFR)や蛋白尿・微量アルブミン尿が、脳卒中の発症だけでなく、無症候性脳梗塞や白質病変・微小脳出血などと関連しており、将来の脳卒中の発症を予見するマーカーとして役立つ可能性が示唆されている。また、認知機能に関しても、CKD患者では非CKD患者と比較して、将来的に認知機能障害を起こす可能性が高いとの報告がある。こうした"脳腎連関"には腎臓と脳で共通した"small vessel disease"が関与しており、両者の血行動態的な相似性が影響している可能性がある。これまでの臨床的検討結果から、予想しにくい将来の脳神経疾患発症の予知マーカーとしてCKDのマーカーが手助けとなるかもしれない。(著者抄録)

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  • アンジオテンシン受容体に着目した脳神経疾患に対する新たな効果的治療法の検討

    茂木 正樹

    日本老年医学会雑誌   48 ( Suppl. )   46 - 46   2011.5

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  • Renin-angiotensin system in metabolic syndrome

    The Cell   43 ( 5 )   164 - 166   2011.5

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  • 生活環境が認知機能に及ぼす影響についてのマウスを用いた検討

    茂木 正樹, 岩波 純, 佃 架奈, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   11回   270 - 270   2011.4

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  • テルミサルタンの可能性 脳領域の観点から

    堀内 正嗣, 猪原 匡史, 田口 明彦, 茂木 正樹

    Pharma Medica   29 ( 4 )   95 - 100   2011.4

  • 糖尿病モデルマウスの認知機能低下における性差およびスピロノラクトンの効果

    岩波 純, 茂木 正樹, 佃 架奈, 堀内 正嗣

    日本抗加齢医学会総会プログラム・抄録集   11回   267 - 267   2011.4

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  • 【レニン-アンジオテンシン系阻害薬の新しい話題】ARB

    大島 弘世, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    Angiology Frontier   10 ( 1 )   24 - 30   2011.3

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    アンジオテンシンII受容体拮抗薬(ARB)は、降圧治療の第一選択薬として『高血圧治療ガイドライン2009(JSH2009)』でも推奨され大変広く用いられている降圧薬である。本邦では現在6種類のARBを使用することができるようになり、レニン-アンジオテンシン(RA)系の抑制によるさまざまな臓器保護効果というクラスエフェクトだけでなく、薬剤独自の作用、いわゆるドラッグエフェクトに関する報告が主に基礎実験から蓄積されてきた。今のところ薬剤間の差別化につながるような臨床的なエビデンスはまだ少ないが、今後6剤のARB間における独自の作用に着目した臨床試験も期待される。また、現在クラスエフェクトを超えた作用をもつ次世代多機能型ARBの開発・臨床試験が進んでおり、本稿ではこうしたRA系の抑制作用を超えたARBの作用について、文献的報告を交えて紹介する。(著者抄録)

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  • Systemic Treatment With Direct Angiotensin Ii Type 2 Receptor Agonist, Compound 21, Improved Cognitive Function Via Increase In Cerebral Blood Flow And Enhancement Of Excitatory Post-synaptic Potential With Neurite Elongation

    Masaki Mogi, Fei Jing, Li-Juan Min, Jun Iwanami, Kana Tsukuda, Thomas Unger, Bjorn Dahlof, Masatsugu Horiuchi

    STROKE   42 ( 3 )   E300 - E300   2011.3

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  • 抗凝固・抗血小板とアンチエイジング(第1回)抗凝固とアンチエイジング総論

    大島 弘世, 檜垣 實男, 茂木 正樹

    Anti-aging science   3 ( 1 )   59 - 64   2011.2

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  • アンジオテンシンII2型受容体と認知機能

    茂木 正樹

    日本応用酵素協会誌   ( 45 )   117 - 117   2011.2

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  • RASと認知症 (特集 血管から認知症を考える)

    茂木 正樹, 堀内 正嗣

    Cardiovascular frontier   2 ( 1 )   23 - 29   2011.2

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    血管性認知症とアルツハイマー病は認知症の2大要因であるが、最近ではアルツハイマー病においても血管障害の関与が示唆されており、心血管系の臓器障害に深く関連するレニン・アンジオテンシン系(RAS)が認知症に重要な作用をもつと考えられる。アンジオテンシンII受容体拮抗薬などのRAS阻害薬が脳血管障害の発症・再発を予防することが臨床的にわかってきており、血管性認知症への効果も動物実験から最近報告されている。またアルツハイマー病に関しても、アミロイドβのクリアランスや修飾にRASが関与すると考えられ、臨床的な検討も報告されている。RASの制御による認知症の発症・進展を予防する治療が期待されている。(著者抄録)

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  • 【高血圧治療の未来への展開】最近の話題 新規開発中の降圧薬とAT2受容体刺激薬

    茂木 正樹, 堀内 正嗣

    日本内科学会雑誌   100 ( 2 )   432 - 440   2011.2

  • Clinical interaction between brain and kidney in small vessel disease

    Masaki Mogi, Masatsugu Horiuchi

    Cardiology Research and Practice   1 ( 1 )   2011

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    Patients with chronic kidney disease (CKD) are well known to have a higher prevalence of cardiovascular disease from epidemiological studies. Recently, CKD has also been shown to be related to neurological disorders, not only ischemic brain injury but also cognitive impairment. This cerebrorenal connection is considered to involve small vessel disease in both the kidney and brain, based on their hemodynamic similarities. Clinical studies suggest that markers for CKD such as estimated glomerular filtration rate (eGFR), proteinuria, and albuminuria may be helpful to predict brain small vessel disease, white matter lesions (WMLs), silent brain ischemia (SBI), and microhemorrhages. Recently, changes in the vascular system of the brain have been shown to contribute to the onset and progression of cognitive impairment, not only vascular dementia but also Alzheimer's disease. Patients with CKD are also reported to have higher risk of impaired cognitive function in the future compared with non-CKD subjects. These results indicate that CKD markers may be helpful to predict the future risk of neuronal disease. Copyright © 2011 Masaki Mogi and Masatsugu Horiuchi.

    DOI: 10.4061/2011/306189

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  • IMPAIRED MEMORY FUNCTION IN TIMP-3 DEFICIENT MICE

    Osamu Yasuda, Yoshichika Baba, Yukihiro Takemura, Masaki Mogi, Masatsugu Horiuchi, Keisuke Fukuo, Hiromi Rakugi

    JOURNAL OF GENE MEDICINE   12 ( 12 )   1046 - 1046   2010.12

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  • PPARγを活性化する降圧薬テルミサルタンによる脳卒中・認知機能障害に対する抑制効果

    茂木 正樹, 岩波 純, 佃 架奈, 堀内 正嗣

    臨床神経学   50 ( 12 )   1096 - 1096   2010.12

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  • 【高血圧治療の新展開】RASと高血圧 レニン・アンジオテンシン系阻害薬の現在・過去・未来

    大島 弘世, 檜垣 實男, 茂木 正樹, 堀内 正嗣

    Cardiovascular Frontier   1 ( 4 )   329 - 337   2010.11

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    レニン・アンジオテンシン系(renin-angiotensin system;RAS)は高血圧治療の鍵であり、間接的あるいは直接的に全身の臓器障害を引き起こすことがこれまでの研究から判明している。RASの発見は古く、ACE阻害薬(ACE-I)、アンジオテンシン受容体拮抗薬(ARB)やアルドステロン拮抗薬をはじめとするRAS阻害薬の開発の歴史も長い。RAS阻害薬は、大規模臨床試験から脳心血管・腎臓を中心とする主要イベントを抑制することが明らかとなっている。JSH2009でも強調されているように、高血圧治療は将来的な臓器障害をいかに防ぐかが重要であり、RAS阻害薬の降圧作用を超えたさまざまな効果に着目した大規模臨床試験が現在も進められている。高血圧そして臓器障害の治療薬として進化しているRAS阻害薬について最近の話題を含めて概説した。(著者抄録)

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  • 【シナプスをめぐるシグナリング】ニューロペプチド Angiotensin IIと認知機能

    茂木 正樹, 堀内 正嗣

    生体の科学   61 ( 5 )   488 - 489   2010.10

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    Language:Japanese   Publisher:(公財)金原一郎記念医学医療振興財団  

    DOI: 10.11477/mf.2425101059

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  • Cognitive impairment associated with metabolic syndrome

    Anti-aging science   2 ( 3 )   269 - 273   2010.10

  • Dahl食塩感受性高血圧ラットにおけるBBB透過性異常と認知障害に対するオルメサルタンの効果(Effects of olmesartan on BBB permeability and cognitive impairment in Dahl salt-sensitive hypertensive rats)

    ペリッシュ・ニコラス, 細見 直永, 上野 正樹, 茂木 正樹, 島田 健司, 堀内 正嗣, 河野 雅和, 西山 成

    日本薬理学雑誌   136 ( 4 )   15P - 15P   2010.10

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  • ダール食塩感受性高血圧ラットで生じる脳関門障害に対するオルメサルタンの効果

    ペリッシュ・ニコラス, 細見 直永, 上野 正樹, 茂木 正樹, 島田 健司, 堀内 正嗣, 河野 雅和

    日本高血圧学会総会プログラム・抄録集   33回   388 - 388   2010.10

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  • 足関節へのテーピング施行が歩行に及ぼす影響

    大木 琢也, 行田 直人, 泉 晶子, 茂木 一平, 谷口 和彦, 岡本 武昌, 吉田 正樹

    スポーツ整復療法学研究   12 ( 2 )   105 - 105   2010.9

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  • CSF angiotensin II and angiotensin-converting enzyme levels in anti-aquaporin-4 autoimmunity

    T. Matsushita, N. Isobe, M. Kawajiri, M. Mogi, K. Tsukuda, M. Horiuchi, Y. Ohyagi, J. Kira

    JOURNAL OF THE NEUROLOGICAL SCIENCES   295 ( 1-2 )   41 - 45   2010.8

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    Background: Anti-aquaporin-4 (AQP4) antibody targets perivascular astrocyte foot processes, which contain abundant angiotensinogen, a precursor of angiotensin II, angiotensin-converting enzyme (ACE) and ACE2.
    Objective: To disclose any abnormality in the intrathecal angiotensin II metabolic pathway in Japanese patients with neuromyelitis optica (NMO) or NMO spectrum disorders (NMOs) and positive for anti-AQP4 antibody.
    Methods: We measured CSF angiotensin II, ACE and ACE2 levels in 15 anti-AQP4 antibody-positive patients with NMO or NMOs, 21 anti-AQP4 antibody-negative multiple sclerosis (MS) patients, 32 patients with other neurological diseases (OND) and 24 non-neurologic controls, using established ELISAs.
    Results: CSF angiotensin II levels were lower in patients with NMO/NMOs (2.01 +/- 1.82 pg/ml) and those with MS (3.15 +/- 1.67 pg/ml) than in the OND (5.41 +/- 2.34 pg/ml) and control groups (6.71 +/- 2.65 pg/ml) (P-corr&lt;0.005). The difference in CSF angiotensin II levels between NMO/NMOs and MS patients was nearly significant (P-uncorr=0.052). In NMO/NMOs and MS patients, angiotensin II levels were negatively correlated with CSF/serum albumin ratio (P&lt;0.05). ACE levels in CSF were lower in patients with NMO/NMOs (34.3 +/- 5.61 ng/ml) than in MS patients (42.5 +/- 8.19 ng/ml, P-corr=0.035) and controls (44.7 +/- 4.02 ng/ml, P-corr&lt;0.0003) while ACE2 levels were lower in NMO/NMOs (1.13 +/- 0.49 ng/ml) and MS (1.75 +/- 0.86 ng/ml) patients than in controls (2.76 +/- 0.23 ng/ml, P-corr&lt;0.001 for both).
    Conclusion: CSF angiotensin II, ACE, and ACE2 levels are decreased in NMO/NMOs patients with anti-AQP4 antibody, reflecting severe destruction of perivascular astrocytes. (C) 2010 Elsevier B.V. All rights reserved.

    DOI: 10.1016/j.jns.2010.05.014

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  • RASのトピックス(第23回) 退役軍人を対象にしたアルツハイマー病、認知症の発症における大規模前向き検討 ARBの有用性について

    岩波 純, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   7 ( 3 )   195 - 201   2010.7

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    アンジオテンシンII1型受容体ブロッカー(ARB)の投与により、アルツハイマー病などの認知症の予防に効果があることが注目されている。ARBは降圧薬として使用されているが、臓器保護作用を有し、腎臓や心臓、血管などの臓器障害の予防に効果があることが報告されている。また、脳においては、ARBを投与することにより脳卒中後の脳障害が軽減することも報告されている。これまで、高血圧が認知症に影響することは示唆されていたが、最近、アメリカの退役軍人を対象にした調査により、ARBが認知症の予防に効果があることが報告され臨床的に期待される。(著者抄録)

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  • ARBs protect brain aging

    Anti-aging science   2 ( 2 )   180 - 187   2010.6

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  • 【アルドステロンブロッカー】アルドステロンブロッカーの脳保護作用研究の最先端

    岩波 純, 茂木 正樹, 堀内 正嗣

    血圧   17 ( 6 )   501 - 505   2010.6

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    わが国は超高齢社会に突入し、高齢者の生活の質の低下を防ぐためにも脳血管障害や認知症などの脳障害予防が重要となってきている。アルドステロンの受容体であるミネラルコルチコイド受容体は、脳においても発現していることや脳梗塞後に発現が増加することがわかっており、アルドステロンが脳でさまざまな作用をしていると考えられる。しかし、脳におけるアルドステロンの作用についてはいまだ未解明の部分が多い。最近、われわれの検討も含め、アルドステロンブロッカーによる脳梗塞や脳神経障害の抑制作用を認める基礎実験の結果から、アルドステロンブロッカーの脳保護作用が期待される。今後、臨床的な検討が必要と考えられる。(著者抄録)

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  • 高血圧とメタボリックシンドローム (特集 循環器疾患up to date 2010)

    堀内 正嗣, 茂木 正樹, 友納 由美子

    Cardiovascular frontier   1 ( 1 )   53 - 59   2010.5

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    レニン・アンジオテンシン系は、重要な血圧調節系として知られているが、心血管を中心とした臓器リモデリングにも重要な役割を担っていることが知られている。近年、多くの臨床試験よりアンジオテンシンII受容体ブロッカー、アンジオテンシン変換酵素阻害薬が糖尿病の新規発症抑制、インスリン抵抗性改善に効果があることなどが報告されている。骨格筋、脂肪組織におけるアンジオテンシンIIの役割が次第に明らかにされてきたが、膵臓、肝におけるアンジオテンシンIIの作用も今後の重要な検討課題である。本総説においては、メタボリックシンドロームと高血圧との関連をアンジオテンシンIIを中心に解説する。(著者抄録)

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    Other Link: http://search.jamas.or.jp/link/ui/2011002605

  • マウスモデルから見た脳の老化に対する降圧薬治療の影響 テルミサルタンによるPPARγ活性化を含めた脳卒中・認知機能障害に対する抑制効果

    茂木 正樹, 堀内 正嗣

    日本老年医学会雑誌   47 ( Suppl. )   112 - 113   2010.5

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  • Deletion of TIMP-3 Impaired Special Learning but Does Not Affect Ischemic Brain Damage After Stroke

    Jun Iwanami, Masaki Mogi, Li-Juan Min, Kana Tsukuda, Akiko Sakata, Jing Fei, Masaru Iwai, Osamu Yasuda, Masatsugu Horiuchi

    STROKE   41 ( 4 )   E374 - E374   2010.4

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  • Female Exhibited Severe Ischemic Brain Damage in Obese Diabetic Mice

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Fei Jing, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    STROKE   41 ( 4 )   E279 - E279   2010.4

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  • Deletion of Angiotensin II Type 2 Receptor in Hematopoietic Cells Enhanced Brain Damage After Ischemia-Reperfusion Injured Mice

    Jun Iwanami, Masaki Mogi, Li-Juan Min, Kana Tsukuda, Akiko Sakata, Jing Fei, Masaru Iwai, Masatsugu Horiuchi

    STROKE   41 ( 4 )   E348 - E348   2010.4

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  • Angiotensin II type 1 receptor blocker, telmisartan reduces brain ischemic damage via inhibition of AT1 receptor and activation of PPAR gamma

    Jun Iwanami, Masaki Mogi, Li-Juan Min, Kana Tsukuda, Akiko Sakata, Jing Fei, Masaru Iwai, Masatsugu Horiuchi

    ENDOCRINE JOURNAL   57   S400 - S400   2010.3

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  • ARBのクラスイフェクトを超えた作用

    105 ( 3 )   453 - 458   2010.3

  • 入院処遇から通院処遇へ移行した事例を通して気づいたデイケアスタッフのかかわり

    茂木 俊恵, 根岸 正樹, 神尾 里佳, 萩原 直樹, 山崎 奈穂, 石川 千春

    司法精神医学   5 ( 1 )   125 - 125   2010.3

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  • Sex difference of cognition and stroke size in type 2 diabetes mellitus and obesity model mice

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Fei Jing, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    ENDOCRINE JOURNAL   57   S405 - S405   2010.3

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  • 急性期脳梗塞における血清レニンアンジオテンシン系の検討

    川尻 真和, 茂木 正樹, 田中 弘二, 古賀 優子, 松本 省二, 田中 公裕, 佃 架奈, 堀内 正嗣, 山田 猛

    日本内科学会雑誌   99 ( Suppl. )   153 - 153   2010.2

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  • Brain aging and insulin

    Anti-aging science   2 ( 1 )   89 - 92   2010.2

  • レニン-アンジオテンシン系の進歩 脳神経系疾患におけるレニン・アンジオテンシン系の役割Up-To-Date

    茂木 正樹

    血管   33 ( 1 )   12 - 12   2010.1

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  • 疾患の病因と病態 妊娠高血圧症候群とアンジオテンシンII受容体自己抗体

    坂田 暁子, 茂木 正樹, 伊藤 昌春, 堀内 正嗣

    Annual Review循環器   2010   71 - 78   2010.1

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    最近,妊娠高血圧症候群pregnancy induced hypertension(PIH)患者の一部にアンジオテンシンII(AII)タイプ1(AT1)受容体自己抗体AT1 receptor-agonistic antibody(AT1-AA)が発見され,PIHの病態への関与が示唆されている.AT1-AAは,アンジオテンシンIIに依存せずAT1受容体を直接刺激し,plasminogen activator inhibitor-1やtissue factorを増加させることにより血液の過凝固状態を招いたり,絨毛細胞の増殖を阻害するsoluble fms-like tyrosine kinase-1や酸化ストレス等を増加させ,胎盤形成を障害したりして,PIHを誘導すると考えられている.さらに,PIH発症妊婦の出産後の将来的な心血管系疾患の発症の予知因子としての役割も報告されている.一方でAT1-AAの増加はPIHの原因というよりは,PIHによる低酸素状態や炎症により二次的に出現した可能性も高いとの報告もあり,AT1-AAとPIHとの関連についても議論の余地が多い.本稿ではPIHとAT1-AAとの関連についての最近の研究動向を概説する.(著者抄録)

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  • ディベート 認知症予防にARBは効果があるか? 効果がある

    茂木 正樹, 堀内 正嗣

    Clinical Neuroscience   27 ( 12 )   1434 - 1434   2009.12

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  • Neuromyelitis optica(NMO)における神経系レニン・アンジオテンシン系(RAS)の検討

    石津 尚明, 川尻 真和, 茂木 正樹, 松下 拓也, 三野原 元澄, 堀内 正嗣, 吉良 潤一

    臨床神経学   49 ( 12 )   1120 - 1120   2009.12

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  • 筋萎縮性側索硬化症(ALS)における神経系レニン・アンジオテンシン系(RAS)の検討

    川尻 真和, 茂木 正樹, 立石 貴久, 田中 正人, 檜垣 暢宏, 佃 架奈, 大八木 保政, 堀内 正嗣, 吉良 潤一

    臨床神経学   49 ( 12 )   1105 - 1105   2009.12

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  • 高血圧モデルマウスにおける炎症性血管傷害と早期AT1受容体ブロッカー投与による抑制作用 ヒトレニン・アンジオテンシノーゲントランスジェニックマウスを用いた検討

    稲葉 慎二, 岩井 將, 菅野 晴美, 古野 めぐみ, 中岡 裕智, 岡山 英樹, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   32回   288 - 288   2009.10

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  • アンジオテンシンの新たな展開(第59回) AT2受容体アゴニスト

    茂木 正樹, 堀内 正嗣

    分子心血管病   10 ( 5 )   519 - 524   2009.10

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    アンジオテンシン2型(AT2)受容体シグナルは、1型(AT1)受容体に対する拮抗作用だけでなく、その独自のはたらきが注目されているが、直接的なAT2受容体刺激による研究が待たれていた。最近、スイスのグループから、ラット心筋梗塞モデルにAT2受容体アゴニスト(Compound 21)を投与することにより、心筋リモデリングの抑制効果が認められたと報告された。AT2受容体アゴニストは抗アポトーシス・抗炎症作用により細胞生存を制御し、心筋梗塞後の虚血サイズを著明に軽減して収縮・拡張不全を抑制したということだが、これまでAT2受容体シグナルの作用が報告されている他臓器においても今後AT2受容体アゴニストの臓器保護作用が期待され、臨床応用も視野に入ってきた。(著者抄録)

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  • Effect of Telmisartan on Cognitive Impairment in Alzheimer Disease Model Mice: Involvement of PPAR-gamma Activation

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Li-Juan Min, Akiko Sakata, Fei Jing, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   E63 - E63   2009.10

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  • Role of renin-angiotensin-aldosterone systemin neuronal damage of spinal ganglion

    F. Jing, L. J. Min, M. Mogi, J. Iwanami, A. Sakata, K. Tsukuda, M. Iwai, M. Horiuchi

    INTERNATIONAL JOURNAL OF CARDIOLOGY   137   S144 - S144   2009.10

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    DOI: 10.1016/j.ijcard.2009.09.497

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  • Renin-Angiotensin-Aldosterone System is Involved in Neuronal Damage in Spinal Ganglion

    Li-Juan Min, Masaki Mogi, Jun Iwanami, Akiko Sakata, Fei Jing, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   E50 - E50   2009.10

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  • Temporary Treatment with AT(1) Receptor Blocker Valsartan in Early Stage of Hypertension Prevented Vascular Remodeling in Hypertensive Mice Carrying Human Renin and Angiotensinogen Genes

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   E120 - E120   2009.10

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  • Renin-angiotensin system in the brain

    Japanese journal of clinical medicine   67 ( 増刊6 高血圧(上) )   497 - 502   2009.10

  • Telmisartan Reduces Stroke Size in Diabetic Mouse Through Activation of Peroxisome Proliferator-Activated Receptor Gamma

    Jun Iwanami, Masaki Mogi, Li-Juan Min, Kana Tsukuda, Akiko Sakata, Jing Fei, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   E73 - E74   2009.10

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  • Angiotensin II Type 1 Receptor-Associated Protein Prevents Vascular Smooth Muscle Cell Senescence via an Inactivation of Calcineurin/Nuclear Factor of Activated T Cells Pathway

    L. J. Min, M. Mogi, F. Jing, K. Tsmura, J. Iwanami, A. Sakata, K. Tsukuda, M. Iwai, M. Horiuchi

    INTERNATIONAL JOURNAL OF CARDIOLOGY   137   S143 - S143   2009.10

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    DOI: 10.1016/j.ijcard.2009.09.494

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  • Enhancement of Cardiac Hypertrophy Induced by L-NAME in Human Renin/Human Angiotensinogen Double Transgenic Mice

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   54 ( 4 )   E53 - E53   2009.10

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  • アンジオテンシンの新たな展開 神経再生医療とAng II

    岩波 純, 茂木 正樹, 堀内 正嗣

    分子心血管病   10 ( 3 )   293 - 297   2009.6

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    骨髄細胞などの生体内の未分化細胞を用いた細胞治療が確立され効果が期待されている。またさまざまな組織において幹細胞や前駆細胞が存在し、障害時の修復に関与することが報告されており、脳においても限られた部位にではあるが、神経幹細胞が存在し脳卒中後の再生治療への利用が考えられている。また、外因性に骨髄細胞を投与することにより神経保護療法も期待されている。レニン・アンジオテンシン(RA)系は全身性だけでなく局所でも発現し、作用することがわかってきた。また再生医療における役割についてもこれまでほとんど検討されていなかったが、最近少しずつわかってきた。本稿では、こうした神経再生医療におけるアンジオテンシンII(Ang II)の作用についておもに受容体シグナルに着目して概説する。(著者抄録)

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  • 細胞外基質代謝による認知機能低下機構の解析

    安田 修, 竹村 幸宏, 茂木 正樹, 堀内 正嗣, 福尾 惠介, 樂木 宏実

    日本老年医学会雑誌   46 ( Suppl. )   52 - 52   2009.5

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  • Reduced angiotensin II levels in the cerebrospinal fluid of patients with amyotrophic lateral sclerosis

    M. Kawajiri, M. Mogi, N. Higaki, T. Tateishi, Y. Ohyagi, M. Horiuchi, T. Miki, J. -I. Kira

    ACTA NEUROLOGICA SCANDINAVICA   119 ( 5 )   341 - 344   2009.5

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    Recent studies suggest that angiotensin II, a major substrate in the renin-angiotensin system, protects neurons through stimulation of its type 2 receptors. However, quite a few clinical studies of angiotensin II levels have shown their relation to disease severity in neurodegenerative disorders, including amyotrophic lateral sclerosis (ALS).
    To clarify the significance of angiotensin II in ALS.
    We assayed angiotensin II concentrations in cerebrospinal fluid (CSF) samples from 23 patients with ALS, nine patients with spinocerebellar degeneration (SCD) and 24 control individuals. We evaluated the disability levels of patients with ALS using the Revised ALS Functional Rating Scale (ALSFRS-R) and calculated the disease progression rate (DPR).
    CSF angiotensin II levels were significantly lower in the ALS group compared with that in the control group (P = 0.00864), and showed a significant positive correlation with scores on the ALSFRS-R, and a significant negative correlation with the DPR.
    In the present study, we reveal for the first time that angiotensin II levels in the CSF from patients with ALS are significantly reduced and significantly associated with disease severity and progression rate. These findings suggest that reduced levels of intrathecal angiotensin II may play a role in ALS.

    DOI: 10.1111/j.1600-0404.2008.01099.x

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  • Spatial Memory Impairment in Amyloid Beta-injected Mice was Improved by Treatment with an Angiotensin II Receptor Antagonist, Telmisartan Partly due to PPAR gamma Activation

    Kana Tsukuda, Masaki Mogi, Jun Iwanami, Jian-Mei Li, Li-Juan Min, Teppei Fujita, Akiko Salkata, Masaru Iwai, Masatsugu Horiuchi

    STROKE   40 ( 4 )   E276 - E276   2009.4

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  • Sex Difference of Stroke Size and Cognitive Function in Type 2 Diabetes Mellitus Mice

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Li-Juan Min, Teppei Fujita, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    STROKE   40 ( 4 )   E134 - E134   2009.4

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  • Angiotensin II Type1 Receptor Blocker, Telmisartan, Decreased Brain Damage Via Peroxisome Proliferator-Activated Receptor Gamma Activation in Diabetes Model Mouse.

    Jun Iwanami, Masaki Mogi, Jian-Mei Li, Li-Juan Min, Kana Tsukuda, Teppei Fujita, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    STROKE   40 ( 4 )   E211 - E211   2009.4

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  • 【RAAS研究の進歩とARB ARB応用拡大の新知見】RAAS研究の進歩 アンジオテンシンIIをめぐる基礎研究 中枢神経機能

    茂木 正樹, 堀内 正嗣

    日本臨床   67 ( 4 )   735 - 741   2009.4

  • Gross talk of aldosterone and AT1 receptor in vascular smooth muscle cells

    Masaki Mogi

    Japanese Journal of Clinical Pharmacology and Therapeutics   40 ( 2 )   45S - 46S   2009.3

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    DOI: 10.3999/jscpt.40.45S

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  • アルドステロンをめぐって 血管平滑筋細胞におけるアルドステロンとAT1受容体の相互作用

    茂木 正樹, 堀内 正嗣

    臨床薬理   40 ( 2 )   45S - 46S   2009.3

  • Neuromyelitis optica(NMO)における神経系レニン・アンジオテンシン系の検討

    石津 尚明, 川尻 真和, 茂木 正樹, 松下 拓也, 三野原 元澄, 堀内 正嗣, 吉良 潤一

    神経免疫学   17 ( 1 )   79 - 79   2009.3

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  • アンジオテンシンの新たな展開 神経分化とAng II

    佃 架奈, 茂木 正樹, 堀内 正嗣

    分子心血管病   10 ( 1 )   73 - 77   2009.2

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    脳神経系におけるアンジオテンシンII(Ang II)の作用はおもにAng IIタイプ2(AT2)受容体シグナルを介した神経分化・神経保護作用が期待される。神経幹細胞の凝集塊であるneurospheresにAng IIを加えると成熟神経マーカーの発現が増加するがグリア細胞のマーカーに変化はないことからAng IIが神経細胞への分化を促進することが示唆される。詳しい検討からこれはおもにAT2受容体シグナルが活性化されることで関連蛋白であるATIPやSHP1が複合体をつくり、核内に移行してMMS2(methyl methanesulfonate sensitive 2)というDNA損傷抑制因子が活性化する機構が関与することがわかってきた。さらに細胞治療や認知機能の性差にもAng II-AT2受容体シグナルが関与していることが明らかになってきた。レニン・アンジオテンシン(RA)系の制御による今後の脳神経保護療法への応用が期待される。(著者抄録)

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  • 【ACE阻害薬とARB どう使い分けるか】識る ARBによるAT2受容体活性化

    茂木 正樹, 堀内 正嗣

    Heart View   13 ( 2 )   160 - 165   2009.2

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  • Angiotensin-converting enzyme (ACE) and ACE2 levels in the cerebrospinal fluid of patients with multiple sclerosis

    M. Kawajiri, M. Mogi, N. Higaki, T. Matsuoka, Y. Ohyagi, K. Tsukuda, K. Kohara, M. Horiuchi, T. Miki, J. I. Kira

    MULTIPLE SCLEROSIS JOURNAL   15 ( 2 )   262 - 265   2009.2

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    Background We reported a reduction in the levels of angiotensin II in cerebrospinal fluid (CSF) from patients with multiple sclerosis (MS).
    Objective and methods To clarify the mechanism underlying this reduction, we assayed angiotensin-converting enzyme (ACE) and ACE2 concentrations along with angiotensin II concentrations in CSF samples from 20 patients with MS and 17 controls with non-neurological diseases.
    Results ACE levels were significantly elevated in patients with MS compared with controls (48.42 +/- 4.84 vs 44.71 +/- 3.9 pg/mL), whereas ACE2 levels were significantly reduced (2.56 +/- 0.26 vs 2.78 +/- 0.24 pg/mL), acting toward a normalization of angiotensin II levels.
    Conclusion These results further indicate an alteration of the intrathecal renin-angiotensin system in patients with MS. Multiple Sclerosis 2009; 15: 262-265. http://msj.sagepub.com

    DOI: 10.1177/1352458508097923

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  • 【高血圧領域での最新エビデンス】PROFESS

    茂木 正樹, 堀内 正嗣

    循環器科   65 ( 2 )   160 - 166   2009.2

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  • 生活習慣病における医学、薬学の萠芽的研究 メタボリックシンドロームに伴って生じる認知機能障害の病態解明と降圧薬を用いた予防的アプローチについての検討

    茂木 正樹, 堀内 正嗣

    医科学応用研究財団研究報告   26   360 - 363   2009.2

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    マウスモデルを用いて認知機能を電撃回避法により評価し、実際にメタボリックシンドロームに伴って認知機能の低下が認められるか、こうした認知機能低下を降圧薬で抑制できるか検討した。野生型マウスでは、毎週認知機能試験を行うことにより、回避率は次第に増加した。しかし、KK-Ayマウスでは回避率は低下する傾向を認めた。KK-Ayマウスにカンデサルタンを投与することにより、回避率は濃度依存性に増加した。マウスモデルにニフェジピンを投与すると、回避率は週毎の電撃回避試験により増加を認めた。ニフェジピンの投与により血糖値の低下作用は認めなかったが、血中インスリンレベルは有意に低下した。オルメサルタン投与により高食塩水負荷により誘導されると思われる血圧上昇は抑えられ、血糖値の改善、血中コレステロールレベルの改善が抑制された。

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  • Brain protective effects of AT2 receptor signaling

    228 ( 5 )   501 - 507   2009.1

  • 【脳・心・腎連関 血管からみた分子メカニズム】血管関連遺伝子導入マウスにおける脳障害機序解明

    茂木 正樹, 堀内 正嗣

    分子脳血管病   8 ( 1 )   64 - 69   2009.1

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    脳卒中は日本人の死因の第3位を占める疾患にもかかわらず心疾患などに比較してこれまで詳しい検討があまりなされていなかった。しかし、最近遺伝子ノックアウトマウスの脳梗塞モデルの検討が盛んにおこなわれ、脳障害の機序が次第に明らかになってきた。本稿では血管関連遺伝子導入(欠損)マウスを用いた論文を紐解きながら、脳・心・腎血管関連の因子と脳障害との関連についてまとめる。(著者抄録)

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  • 診断と治療 最近の進歩 高血圧・肺高血圧症 ACEI vs ARBどちらが高血圧治療として有効か?

    茂木 正樹, 堀内 正嗣

    Annual Review循環器   2009   259 - 265   2009.1

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    アンジオテンシン変換酵素阻害薬(ACEI)とアンジオテンシン受容体ブロッカー(ARB)はともにレニン-アンジオテンシン系の主要な作用物質であるアンジオテンシンIIの働きを抑える降圧薬であり,両者の降圧作用はほぼ同等と考えられるのに対して,臓器保護に関連したpleiotropicな効果や空咳などの副作用において違いがあることが従来指摘されていたが,実際に両者の優劣についての大規模臨床試験は施行されていなかった.しかし最近,ACEIのラミプリルとARBのテルミサルタンを比較した ONTARGET試験が報告されたことにより,ARBがACEIに劣性の要素はなく副作用の少ない薬剤であることが証明された.ただ,ONTARGETで使用されたACEI,ARBがクラスの典型的薬剤なのか,より有用性の高いプラス効果を有する独自の薬剤の影響が加味されているのか議論もあり,更なる検討の必要があると思われる.(著者抄録)

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  • 平成17年度相模原市乳癌検診の検討

    竹中 晴幸, 秋山 憲義, 梨本 剛, 林 玲子, 佐藤 好信, 伊藤 良仁, 近藤 正樹, 田所 義昇, 増山 一正, 茂木 浩子, 山廣 昇, 原 英, 佐々木 洋, 檜山 栄一, 菅 雄一郎, 陳 文輝, 相模原市医師会乳がん検診部会

    神奈川医学会雑誌   36 ( 1 )   31 - 31   2009.1

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  • 多発性硬化症における神経系レニン・アンジオテンシン系に関する研究

    川尻 真和, 茂木 正樹, 小副川 学, 松岡 健, 桧垣 暢宏, 佃 架奈, 堀内 正嗣, 小原 克彦, 三木 哲郎, 吉良 潤一

    臨床神経学   48 ( 12 )   1236 - 1236   2008.12

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  • アルドステロンをめぐって 血管平滑筋細胞におけるアルドステロンとAT1受容体の相互作用

    茂木 正樹, 堀内 正嗣

    臨床薬理   39 ( Suppl. )   S137 - S137   2008.11

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  • 【再生医療とRASの関係を探る】神経分化・再生とRAS

    岩波 純, 茂木 正樹, 堀内 正嗣

    Angiotensin Research   5 ( 4 )   233 - 237   2008.10

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    レニン・アンジオテンシン系(RAS)はさまざまな組織において発現・作用していることが報告されている。脳においてはアンジオテンシンII(A II)1型(AT1)受容体からのシグナルは酸化ストレスなどの産生により神経傷害を促進する一方、2型(AT2)受容体は神経傷害の抑制にはたらくことが示唆されている。近年、再生医療の分野が進歩し、脳内の内在性の神経幹細胞だけではなく、骨髄細胞を用いた新しい細胞治療が脳卒中後の新しい治療法として期待されている。RASは神経の分化に影響しており、A IIの受容体刺激の調節が脳梗塞後の治療に関与することが示唆される。(著者抄録)

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  • Renin inhibitor, aliskiren, improved insulin resistance in skeletal muscle and adipose tissue in type 2 diabetic KK-Ay mice

    Masaru Iwai, Yumiko Tomono, Harumi Kanno, Shinji Inaba, Izumi Senba, Megumi Furuno, Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E87 - E87   2008.10

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  • Angiotensin II type 1 receptor blocker, telmisartan, reduced ischemic brain damage partly due to the activation of peroxisome proliferator-activated receptor gamma in diabetes mouse model

    Jun Iwanami, Masaki Mogi, Jian-Mei Li, Li-Juan Min, Kana Tsukuda, Teppei Fujita, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E59 - E59   2008.10

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  • Angiotensin II type 1 receptor-associated protein suppresses vascular smooth muscle senescence via inactivation of calcineurin/nuclear factor of activated T-cells pathway

    Masaki Mogi, Li-Juan Min, Kouichi Tamura, Jian-Mei Li, Kana Tsukuda, Akiko Sakata, Teppei Fujita, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E71 - E71   2008.10

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  • Deletion of AT2 receptor increased adipose tissue mass associated with attenuation of adipocyte size and differentiation in atherosclerotic model mice

    Masaru Iwai, Yumiko Tomono, Shinji Inaba, Harumi Kanno, Izumi Senba, Megumi Furuno, Masaki Mogi, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E50 - E50   2008.10

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  • Continuous activation of renin-angiotensin system impairs cognitive function in human renin/angiotensinogen transgenic mice

    Shinji Inaba, Masaru Iwai, Megumi Furuno, Yumiko Tomono, Harumi Kanno, Izumi Senba, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E108 - E109   2008.10

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  • Sex difference in stroke size after focal cerebral ischemia involving estrogen and angiotensin II type 2 receptor signaling

    Akiko Sakata, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Jian-Mei Li, Li-Juan Min, Teppei Fujita, Masaru Iwai, Masaharu Ito, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E92 - E93   2008.10

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  • Overexpression of angiotensin II type 2 receptor-interacting protein attenuated cuff-induced neointimal formation

    Teppei Fujita, Masaki Mogi, Jun Iwanami, Kana Tsukuda, Jian-Mei Li, Li-Juan Min, Akiko Sakata, Hideki Okayama, Masaru Iwai, Clara Nahmias, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   52 ( 4 )   E95 - E95   2008.10

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  • 【レニン-アンジオテンシン-アルドステロン系の新しい展開】アルドステロンと脳血管障害

    茂木 正樹, 岩波 純, 堀内 正嗣

    Mebio   25 ( 9 )   54 - 61   2008.9

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  • 降圧薬は認知症に対する新たな治療薬となり得るか? 脳神経におけるレニン・アンジオテンシン系の役割

    茂木 正樹, 堀内 正嗣

    Dementia Japan   22 ( 2 )   122 - 122   2008.8

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  • Comparison of the protective effects of combination of various calcium channel blockers and an AT1 receptor blocker, olmesartan, on inflammatory vascular injury in mice

    S. Inaba, M. Iwai, Y. Tomono, H. Kanno, I. Senba, M. Furuno, H. Okayama, M. Mogi, J. Higaki, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S319 - S319   2008.6

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  • 脳血管障害者の自動車運転検査と高次脳機能評価(注意力・遂行機能検査)との関連

    平石 武士, 石井 まゆみ, 茂木 正樹, 神戸 優, 都丸 直樹

    日本作業療法学会抄録集   42回   O83 - O83   2008.6

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  • Renin angiotensin system in cerebrospinal fluid of patients with neurodegenerative diseases

    M. Mogi, M. Kawajiri, K. Tsukuda, J. Iwanami, L. -J. Min, A. Sakata, T. Fujita, M. Iwai, T. Miki, J. -I. Kira, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S512 - S512   2008.6

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  • Sex different effect of AT2 receptor signaling on brain ischemic injury and cognitive function

    A. Sakata, M. Mogi, J. Iwanami, K. Tsukuda, J. -M. Li, L. -J. Min, T. Fujita, M. Iwai, M. Ito, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S38 - S38   2008.6

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  • Lack of AT2 receptor attenuated adipocyte differentiation and increased adipocyte size in white adipose tissue of atherosclerotic mice treated with high cholesterol diet

    M. Iwai, Y. Tomono, S. Inaba, H. Kanno, I. Senba, M. Furuno, M. Mogi, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S23 - S24   2008.6

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  • Enlargement of ischemic brain damage associated with oxidative stress after middle cerebral artery occlusion in human renin/angiotensinogen transgenic mice

    S. Inaba, M. Iwai, M. Furuno, Y. Tomono, H. Kanno, I. Senba, H. Okayama, M. Mogi, J. Higaki, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S396 - S396   2008.6

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  • Deletion of angiotensin II type 2 receptor signaling increased vascular senescence with inhibition of methyl methanesulfonate sensitive 2

    M. Mogi, L. -J. Min, J. Iwanami, J. -M. Li, A. Sakata, T. Fujita, K. Tsukuda, M. Iwai, M. Horiuchi

    JOURNAL OF HYPERTENSION   26   S513 - S513   2008.6

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  • Timp-3欠損マウスの認知機能解析

    安田 修, 茂木 正樹, 竹村 幸宏, 河本 秀宣, 樋口 勝能, 堀内 正嗣, 樂木 宏実

    日本老年医学会雑誌   45 ( Suppl. )   81 - 81   2008.5

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  • Reduction of angiotensin II in the cerebrospinal fluid of patients with multiple sclerosis

    M. Kowajiri, M. Mogi, M. Osoegawa, T. Matsuoka, K. Tsukuda, K. Kohara, M. Horiuchi, T. Miki, J. I. Kira

    MULTIPLE SCLEROSIS   14 ( 4 )   557 - 560   2008.5

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    We previously demonstrated that angiotensin II acts as a crucial neuroprotective factor after neural injury through angiotensin II type-2 (AT2) receptor signaling. Although the pathway is known to play an important role in the development of experimental autoimmune encephalomyelitis, cerebrospinal fluid (CSF) angiotensin II levels in patients with multiple sclerosis (MS) have never been studied. To clarify the significance of angiotensin II in MS, we assayed angiotensin II concentrations using an established enzyme-linked immunoabsorbent assay in CSF samples from patients with MS (n=21), patients with inflammatory neuropathies (IN) (n=23) and control individuals who did not have either of the neurological diseases or any other disease that might affect the angiotensin II levels in the CSF (control) (n=24). Angiotensin II levels in the CSF were 3.79 +/- 1.54 pg/ml in the MS group, 5.13 +/- 2.27 pg/ml in the IN group and 6.71 +/- 2.65 pg/ml in the control group. The angiotensin II levels in the CSF of the MS group were significantly lower than in the control group (p = 0.00057). Angiotensin II concentration in the CSF tended to have a negative correlation with the Kurtzke's Expanded Disability Status Scale scores during MS relapse (p = 0.0847). These findings suggest that reduced levels of intrathecal angiotensin II may be related to the abnormal neural damage and repair processes in MS.

    DOI: 10.1177/1352458507085760

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  • 基礎研究は臨床現場に何をもたらしたか 基礎実験から見た脳卒中、認知機能低下への降圧療法の選択脳内レニン・アンジオテンシン系の役割

    茂木 正樹, 堀内 正嗣

    脳卒中   30 ( 2 )   218 - 218   2008.3

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  • アンジオテンシンの新たな展開 AT1受容体自己抗体と妊娠高血圧症候群

    坂田 暁子, 茂木 正樹, 伊藤 昌春, 堀内 正嗣

    分子心血管病   9 ( 1 )   74 - 77   2008.2

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    アンジオテンシンII(Ang II)タイプ1(AT1)受容体自己抗体(AT1receptor-agonistic antibodies:AT1-AA)が1999(平成11)年にWallukarらにより妊娠高血圧腎症(preeclampsia:PE)の患者から発見され、その後の報告でPEを発症する妊婦の多くに妊娠20週頃にはAT1-AAが検出されることもわかってきた。また、AT1-AAは、soluble fms-like tyrosine kinase-1(sFlt-1)やtissue factor(TF)の増加、酸化ストレスに関与することによりPEを引き起こす可能性を示唆する報告も増えてきている。今回は、PEにおけるAT1-AAの病的意義などについて、今までの報告をまとめて考察する。(著者抄録)

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  • 【ARBによる最近の臨床エビデンスの解釈 わが国初の大規模臨床試験のデータを含めて】ARBと脳卒中

    茂木 正樹, 堀内 正嗣

    分子心血管病   9 ( 1 )   29 - 34   2008.2

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    脳卒中の発症抑制は最大の危険因子である高血圧の厳格なコントロールが効果的であることはいうまでもないが、最近の大規模臨床試験からレニン・アンジオテンシン(RA)系を抑制する降圧薬、おもにアンジオテンシンII(Ang II)タイプ1(AT1)受容体ブロッカー(ARB)は、他の降圧薬と比較して降圧度が同等であっても脳卒中の発症・再発をさらに抑制する効果をもつというエビデンスが次第に確立してきた。既報あるいは今後発表される予定の臨床試験におけるARBの脳卒中発症抑制効果について、とくにわが国発の大規模臨床試験であるJIKEI HEART Studyの結果を中心にARBの脳保護効果について言及する。また、ARBの脳神経保護作用についてのメカニズムについても考察する。(著者抄録)

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  • 【老化とRAS】脳の老化とRAS

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   5 ( 1 )   19 - 23   2008.1

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    これまで心血管系の疾患を中心に検討されてきたレニン・アンジオテンシン系(RAS)は、さまざまな組織でもローカルに発現していることが報告され、脳神経における組織RASのはたらきが注目されている。高齢化社会においてQOLの低下を伴わない"サクセスフルエイジング"を目指したアプローチが注目されている。脳の老化に関しては、脳梗塞発症・再発の抑制や、認知機能低下の抑制やアルツハイマー病などの神経変性疾患への対策は大変重要なポイントである。RASは神経分化に影響し、脳においてもその制御が病態に関与することが次第にわかってきたことから、RASの効果的な抑制による"脳の老化"を防ぐアプローチが期待される。(著者抄録)

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  • 多発性硬化症における髄液中アンジオテンシンII

    川尻 真和, 茂木 正樹, 小副川 学, 松岡 腱, 堀内 正嗣, 三木 哲郎, 吉良 潤一

    臨床神経学   47 ( 12 )   1167 - 1167   2007.12

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  • 【脳から心血管障害を考える】血圧調節因子による脳梗塞修飾

    茂木 正樹, 堀内 正嗣

    分子心血管病   8 ( 6 )   579 - 584   2007.12

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    高血圧は脳梗塞の重要な危険因子であるが、血圧調節因子が脳梗塞をどのように修飾しているかを文献的考察や実験結果から網羅的にレビューする。血圧調節因子のうち、レニン・アンジオテンシン(RA)系は重要なはたらきをもっていると考えられる。なかでもアンジオテンシンII(Ang II)は主たる影響因子であるが、作用する受容体によりはたらきが異なる可能性がわかってきた。また、アルドステロンやコルチゾール、甲状腺ホルモンも脳梗塞との関連が示唆されている。生体にとって不可欠なこうしたホルモンも、過剰になれば脳梗塞の危険因子、あるいは予後不良因子になる。さらに、血管拡張・酸化ストレス抑制に関与する一酸化窒素(NO)も産生が減弱すると脳梗塞を増大させることから密接な関係があると考えられる。(著者抄録)

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  • 【レニン・アンジオテンシン系(RAS)】脳梗塞とRAS

    茂木 正樹, 堀内 正嗣

    内分泌・糖尿病科   25 ( 5 )   458 - 462   2007.11

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  • New protective role of AT(2) receptor stimulation in vascular smooth muscle cell senescence involving methyl methanesulfonate sensitive 2

    Masaki Mogi

    HYPERTENSION   50 ( 4 )   E96 - E96   2007.10

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  • 【代謝とRAS】女性ホルモン代謝

    坂田 暁子, 茂木 正樹, 伊藤 昌春, 堀内 正嗣

    Angiotensin Research   4 ( 4 )   232 - 236   2007.10

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    レニン・アンジオテシン系(RAS)と女性ホルモンとの関連を、おもにエストロゲンを中心に、その作用機序や、高血圧との関連、一酸化窒素(NO)産生と酸化ストレス抑制作用による心血管病変への影響という視点で解説する。また、アンジオテンシンII(A II)タイプ1受容体(AT1受容体)とA IIタイプ2受容体(AT2受容体)とエストロゲンの関連についても概説する。(著者抄録)

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  • 【降圧療法と脳血管障害】血圧と脳循環 高血圧によるラジカルストレスと脳血管系の障害

    茂木 正樹, 堀内 正嗣

    分子脳血管病   6 ( 4 )   384 - 389   2007.10

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    適度なラジカルストレスは脳循環維持に大変重要であるが過剰のラジカルストレスは高血圧や脳血管障害を誘導する。わが国でフリーラジカル消去薬による急性期の脳血管障害治療が開始されたが、高血圧や脳血管障害慢性期の抗ラジカル療法としては降圧薬による"降圧を超えた作用"に期待がもたれている。降圧薬による脳内ラジカルストレスの軽減効果は降圧薬により作用機序が異なるようであり、併用療法でより効果的な抑制が示唆される。(著者抄録)

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  • Diabetes-associated cognitive impairment is improved by a calcium channel blocker, nifedipine

    Kana Tsukuda, Tohon Ehime, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Teppei Fujita, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   50 ( 4 )   E137 - E137   2007.10

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  • レニン・アンジオテンシン・アルドステロン系の新しい展開 脳神経疾患とアンジオテンシン

    茂木 正樹, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   121 - 121   2007.10

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  • アンジオテンシンII2型受容体刺激による血管平滑筋細胞老化の抑制機構(酸化ストレスの減少およびMMS2の活性化の影響)

    関 莉娟, 茂木 正樹, 佃 架奈, 岩波 純, 李 健梅, 坂田 暁子, 藤田 鉄平, 岩井 将, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   30回   199 - 199   2007.10

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  • Exaggeration of focal cerebral ischemia in transgenic mice carrying human renin and human angiotensinogen genes

    Shinji Inaba, Masaru Iwai, Yumiko Tomono, Harumi Kanno, Hideki Okayama, Masaki Mogi, Jitsuo Higaki, Masatsugu Horiuchi

    HYPERTENSION   50 ( 4 )   E140 - E140   2007.10

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  • Roles of AT(2) receptor in adipose tissue function and differentiation in atherosclerosis: Study with gene-deficient mice treated with high cholesterol diet

    Yumiko Tomono, Masaru Iwai, Shinji Inaba, Harumi Kanno, Masaki Mogi, Masatsugu Horiuchi

    CIRCULATION   116 ( 16 )   180 - 180   2007.10

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  • アンジオテンシンの新たな展開 認知機能とARB

    茂木 正樹, 堀内 正嗣

    分子心血管病   8 ( 3 )   296 - 300   2007.6

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    昨今の大規模臨床試験から、アンジオテンシンII(Ang II)タイプ1(AT1)受容体ブロッカー(ARB)の脳卒中発症抑制効果についてはほぼ確立してきたと思われる。さらに認知機能に及ぼすARBの効果について注目されている。臨床試験ではARBの優位性についての報告はまだ少ないが、マウスにおいてはAng IIタイプ2(AT2)受容体からのシグナルが神経保護や再生に関与することがわかってきており、認知機能にも関連していることが示唆されている。認知機能障害の原因には多くの因子が作用するが、ARBにより神経を直接保護するようなメカニズムはレニン・アンジオテンシン(RA)系のアンバランスから生じるさまざまな微小環境の改善効果とともにARBによる認知機能低下抑制効果に繋がることが期待される。(著者抄録)

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  • 便座が排便時の座位姿勢に及ぼす影響

    山口 智晴, 樺澤 里紗, 茂木 正樹, 井田 友美

    日本作業療法学会抄録集   41回   P297 - P297   2007.6

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  • 高食塩・高脂肪食負荷で認められた認知機能の低下に対するオルメサルタンとアゼルニジピンの効果

    佃 架奈, 茂木 正樹, 岩井 將, 堀内 正嗣

    日本老年医学会雑誌   44 ( Suppl. )   129 - 129   2007.5

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  • レニン・アンジオテンシン系はアンチエイジングの鍵分子か? (特集 アンチエイジングに迫る)

    茂木 正樹, 堀内 正嗣

    Life style medicine   1 ( 2 )   148 - 153   2007.4

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    これまで心血管系の疾患を中心に検討されてきたレニン・アンジオテンシン(RA)系は、さまざまな組織でもローカルに発現していることが報告され、注目されている。RA系のバランスの破綻は細胞レベルではテロメア非依存性の老化を促進し、組織レベルでは炎症や線維化を惹起し臓器不全を引き起こす。また、メタボリックシンドロームの発症にも深くかかわっており、動脈硬化による循環器系障害による多臓器の機能低下を誘導し、全身的なレベルでも加齢による種々の疾病の原因となることから、RA系はアンチエイジングの鍵分子になっていると考えられ、RA系のバランスを修正するRA系の阻害薬による加療がアンチエイジングにつながると期待される。(著者抄録)

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  • 【レニン・アンジオテンシン系の新展開】RA系抑制薬の脳保護作用

    茂木 正樹, 堀内 正嗣

    血圧   14 ( 4 )   417 - 420   2007.4

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    レニン・アンジオテンシン(RA)系抑制薬による脳保護作用は、降圧薬の降圧を超えた作用として、昨今注目されている。大規模臨床試験からも脳卒中の発症予防にRA系抑制薬、とくに、ARBが有効なことが明らかになってきた。その有効性には、降圧という本来の作用に加え、心房細動や糖尿病など脳卒中の危険因子の発症の抑制作用も関連している。さらには、マウスを用いた実験から、ARBが発症後の梗塞巣拡大の抑制や、神経分化の促進作用による、より直接的な神経保護作用をもつこともわかってきた。今後、脳における組織RA系のはたらきがより詳しく検討されることにより、神経変性疾患などへもARBの治療応用が期待される。(著者抄録)

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  • 【心不全 最新の基礎・臨床研究の進歩】成因・病態に関する基礎的研究 不全心の分子機構に関する最新の基礎研究 神経体液性因子の活性化の分子機構と作用 R-A-A系 AT1受容体、AT2受容体

    藤田 鉄平, 茂木 正樹, 堀内 正嗣

    日本臨床   65 ( 増刊4 心不全(上) )   149 - 153   2007.4

  • ACE阻害薬とARBの心血管イベント抑制効果 ARBによる脳保護作用

    茂木 正樹, 堀内 正嗣, 岩井 将

    日本内分泌学会雑誌   83 ( 1 )   82 - 82   2007.4

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  • Angiotensin II type 1 receptor blocker, olmesartan, ameliorates metabolic syndrome-induced cognitive impairment in mouse models

    Masaki Mogi, Kana Tsukuda, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    STROKE   38 ( 2 )   582 - 582   2007.2

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  • Diabetes-associated cognitive impairment is improved by angiotensin II type 1 receptor blocker, candesartan

    Kana Tsukuda, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    STROKE   38 ( 2 )   523 - 523   2007.2

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  • Angiotensin II type-2 receptor stimulation induces neural differentiation by ubiquitin proteasome system via a neuroprotective factor, MMS2

    Masaki Mogi, Jian-Mie Li, Jun Iwanami, Juan Min, Kana Tsukuda, Akiko Sakata, Masaru Iwai, Masatsugu Horiuchi

    STROKE   38 ( 2 )   461 - 461   2007.2

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  • 【RASの新知見 基礎編】AT1受容体のヘテロダイマー

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   4 ( 1 )   1 - 6   2007.1

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    AT1受容体からのシグナルはアンジオテンシンII(A II)による心血管病の発症・進展に非常に重要であるが、このシグナルの調節は、血中のA II濃度の変化や受容体の発現調節だけでなく、他の受容体との相互作用や構造的な変化による受容体自体の活性調節、あるいは受容体の細胞表面への発現調節機構などが影響しあっておこなわれていることもわかってきた。その1つに、別の受容体とヘテロダイマーを形成する影響が示唆される。なかでも子癇前症におけるブラジキニンB2受容体とのヘテロダイマーについては興味深い検討がなされている。他にもAT1受容体といくつかの受容体とのヘテロダイマー形成の報告はあるが、いまのところ限られた研究所からの報告が多く、今後さらに広い検討が必要と思われる。また、受容体ではないがAT1受容体の細胞質内へのインターナリゼーションを導き活性を調節する因子であるATRAPなどもある種のヘテロダイマー的な役割をもっている。(著者抄録)

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  • 【レニン・アンジオテンシン系(RAS)の病態と治療 基礎研究と臨床研究から考えるRASの最前線】基礎研究と臨床研究から考えるRASの病態への関与 脳 RASは脳・神経を障害するか

    茂木 正樹, 堀内 正嗣

    Progress in Medicine   26 ( 12 )   3117 - 3121   2006.12

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  • Signaling regulates stem-progenitor cell differentiation partly through FKHRL1

    Masaki Mogi, Kenneth Walsh, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   213 - 213   2006.12

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  • Knocking down of MMS2, a neuroprotective factor inhibits neural differentiation and impaired cognitive function after stroke

    Masaki Mogi, Jun Iwanami, Jian-Mei Li, Li-Juan Min, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   46 - 46   2006.12

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  • 多発性硬化症およびCIDPにおける髄液中アンジオテンシン2

    川尻 真和, 茂木 正樹, 越智 雅之, 上谷 英里, 永井 勅久, 中村 俊平, 伊賀瀬 道也, 小原 克彦, 堀内 正嗣, 三木 哲郎

    臨床神経学   46 ( 12 )   1092 - 1092   2006.12

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  • Complex formation and nuclear translocation of SHP-1 and novel AT(2) rreceptor-interacting protein enhances MMS2 upregulation, resulting in neural differentiation

    Jian-Mei Li, Masaki Mogi, Jun Iwanami, Li-Juan Min, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   153 - 153   2006.12

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  • Angiotensin II type 1 receptor blocker, candesartan ameliorates cognitive impairment in type-2 diabetes mice with improvement of insulin resistance

    Kana Tsukuda, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Li-Juan Min, Rui Chen, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   83 - 83   2006.12

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  • Synergistic induction of vascular smooth muscle cell senescence by aldosterone and angiotensin II

    Li-Juan Min, Masaki Mogi, Jian-Mei Li, Jun Iwanami, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   186 - 186   2006.12

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  • Effect of AT1 receptor blockade ameliorates adipose tissue inflammation and improves insulin resistance in type 2 diabetic KK-Ay mice

    Yumiko Tomono, Masaru Iwai, Rui Chen, Hirokazu Tomochika, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   162 - 162   2006.12

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  • Calcium channel blocker, nifedipine, inhibits MCP-1 expression in injured artery via inhibition of NF-kappa B

    Xinyu Gao, Masaru Iwai, Yumiko Tomono, Rui Chen, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   369 - 369   2006.12

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  • Efect of combination of pravastatin and olmesartan on glucose intolerance in type 2 diabetic KK-Ay mice

    Rui Chen, Masaru Iwai, Yumiko Tomono, Xinyu Gao, Masaki Mogi, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   387 - 387   2006.12

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  • Brain protective effect of bone marrow stromal cells is attenuated by inhibition of angiotensin II type 2 receptor signaling

    Jun Iwanami, Masaki Mogi, Jian-Mei Li, Li-Juan Min, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    JOURNAL OF HYPERTENSION   24   118 - 118   2006.12

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  • Deletion of angiotensin II type 1 receptor enhances adipocyte differentiation and inhibits atherogenesis in atherosclerotic mouse model

    Masaru Iwai, Yumiko Tomono, Hirokazu Tomochika, Rui Chen, Shinji Inaba, Masaki Mogi, Masatsugu Horiuchi

    CIRCULATION   114 ( 18 )   322 - 322   2006.10

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  • 【インターベンション時代の脳卒中学 超急性期から再発予防まで】脳血管障害総論 危険因子と対策 危険因子に用いられる薬物 脳卒中発症抑制効果 ACE-I,ARB(アンジオテンシンIIタイプ1受容体阻害薬)

    茂木 正樹, 堀内 正嗣

    日本臨床   64 ( 増刊7 インターベンション時代の脳卒中学(上) )   724 - 729   2006.10

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  • Deletion of AT(2) receptor attenuates protective effects of bone marrow stromal cells on ischemic brain damage

    Jun Iwanami, Masaki Mogi, Jian-Mei Li, Li-Juan Min, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    CIRCULATION   114 ( 18 )   157 - 157   2006.10

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  • Crosstalk of AT1, AT2 receptors and aldosterone in angiotensin II-rgulated vascular smooth muscle cell senescence

    Masaki Mogi, Li-Juan Min, Jian-Mei Li, Jun Iwanami, Kana Tsukuda, Masaru Iwai, Masatsugu Horiuchi

    HYPERTENSION   48 ( 4 )   E57 - E57   2006.10

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  • Cerebroprotection Mechanisms by Angiotensin II Type-1 Receptor Blockers

    MOGI Masaki, IWAI Masaru, HORIUCHI Masatsugu

    46 ( 4 )   377 - 382   2006.8

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  • 【高血圧 最新の研究動向】基礎編 Beyond BP lowering effect Ca拮抗薬 虚血性脳血管障害改善

    茂木 正樹, 岩井 將, 堀内 正嗣

    日本臨床   64 ( 増刊5 高血圧(上) )   531 - 535   2006.7

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  • AT2 receptor-interacting protein is a pivotal regulator of angiotensin II type 2 receptor-mediated neural differentiation

    JM Li, M Mogi, J Iwanami, LJ Min, M Iwai, M Horiuchi

    STROKE   37 ( 2 )   677 - 677   2006.2

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  • Angiotensin II type 2 receptor stimulation enhances neural differentiation and affects cognitive function through MMS2-upregulation after stroke

    M Mogi, JM Li, J Iwanami, K Tsukuda, LJ Min, M Iwai, M Horiuchi

    STROKE   37 ( 2 )   629 - 629   2006.2

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  • 【炎症とRAS】基礎的知見から 脳血管障害

    茂木 正樹, 堀内 正嗣

    Angiotensin Research   3 ( 1 )   24 - 29   2006.1

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    ARBやACE阻害薬によってレニン・アンジオテンシン系(RAS)を阻害することにより,脳血管障害の発症や高齢者の認知機能低下が抑制されることが最近の大規模臨床試験より報告されている.このことはRASにより惹起される血管壁での慢性炎症(vascular inflammation)や梗塞後の酸化ストレス増大が,脳血管障害の発症・進展の病態に深く関与していることを示唆している.脳血管障害におけるRASの影響はこれまで,血管や局所の組織を中心とした検討や,細胞レベルでは血管内皮,平滑筋細胞などの血管系細胞を中心としたものが多かった.われわれはRASが直接神経に及ぼす影響に着目し,2型アンジオテンシンII(AT2)受容体からのシグナルが直接神経保護的にはたらくことがわかってきた.こうした視点もふまえ,脳血管障害における炎症とRASについて言及する(著者抄録)

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  • Angiotensin II Type 2 receptor stimulation enhances neural differentiation and attenuates cognitive decline after focal cerebral ischemia through MMS2-inducntion

    M Mogi, JM Li, J Iwanami, LJ Min, K Tsukuda, M Iwai, M Horiuchi

    JOURNAL OF PHARMACOLOGICAL SCIENCES   100   96P - 96P   2006

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  • Effect of eplerenone, a selective aldosterone blocker, on cerebral ischemia model mice

    J Iwanami, M Iwai, JM Li, LJ Min, M Mogi

    CIRCULATION   112 ( 17 )   U132 - U132   2005.10

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  • アンジオテンシン1型受容体ブロッカーによる脳保護のメカニズム

    茂木 正樹, 岩井 將, 堀内 正嗣

    脈管学   45 ( 10 )   755 - 755   2005.10

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  • AT1 receptor blocker prevented the ischemic brain damage after middle cerebral artery occlusion in atherosclerotic model using apolipoprotein E deficient mice

    M Iwai, R Chen, A Ide, J Iwanami, M Mogi, M Horiuchi

    CIRCULATION   112 ( 17 )   U350 - U350   2005.10

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  • 予防的に甲状腺を全摘したウエルナー症候群の1例

    中村 俊平, 越智 雅之, 茂木 正樹, 橋本 司, 川尻 真和, 名倉 潤, 小原 克彦, 三木 哲郎

    日本老年医学会雑誌   42 ( 5 )   583 - 583   2005.9

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  • 加齢に伴うアンジオテンシンII受容体サブタイプ発現の変化が血管リモデリングの性差の減少に関与している

    奥村 みどり, 岩井 將, 茂木 正樹, 伊藤 昌春, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   78 - 78   2005.9

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  • 生活習慣病に伴う認知機能障害の検討 2型糖尿病モデルマウスにおけるARBの効果について

    佃 架奈, 茂木 正樹, 岩波 純, 岩井 將, 堀内 正嗣

    日本内分泌学会雑誌   81 ( 2 )   555 - 555   2005.9

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  • 血管傷害モデルにおけるATRAP(AT1 receptor-associated protein)の作用 トランスジェニックマウスを用いた検討

    大下 晃, 岩井 將, 李 健梅, 吉井 豊史, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    日本高血圧学会総会プログラム・抄録集   28回   33 - 33   2005.9

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  • アンジオテンシンII2型受容体シグナルによる神経分化の促進と認知機能への影響

    茂木 正樹, 岩井 將, 堀内 正嗣

    日本内分泌学会雑誌   81 ( 2 )   547 - 547   2005.9

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  • 【ARBを活かす】診る RAS活性化による臓器傷害を診る 脳とRAS

    茂木 正樹, 李 健梅, 岩波 純, 岩井 將, 堀内 正嗣

    Heart View   9 ( 8 )   828 - 833   2005.8

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  • リスク因子としての心血管ホルモン 血管リモデリング,加齢変化の性差におよぼすアンジオテンシンII受容体サブタイプの役割

    奥村 みどり, 岩井 將, 茂木 正樹, 伊藤 昌春, 堀内 正嗣

    日本内分泌学会雑誌   81 ( 1 )   37 - 37   2005.4

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  • 癌の発症メカニズムにおける幹細胞の役割について(ABCトランスポーターのBcrp1に注目して)

    茂木正樹, 三木哲郎, 満田憲昭

    大和証券ヘルス財団研究業績集   28 ( 28 )   144 - 147   2005.3

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  • Association of dopamine beta-hydroxylase polymorphism with hypertension through interaction with fasting plasma glucose in Japanese International journal

    M Abe, ZH Wu, M Yamamoto, JJ Jin, Y Tabara, M Mogi, K Kohara, T Miki, J Nakura

    HYPERTENSION RESEARCH   28 ( 3 )   215 - 221   2005.3

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    Dopamine-beta-hydroxylase (DBH) catalyzes the conversion of dopamine to norepinephrine and is released from sympathetic neurons into the circulation. Several lines of evidence, including the finding of elevated plasma DBH activity in essential hypertension, suggest an important role of DBH in hypertension. Recently, a novel polymorphism (-1021C/T) in the 5 flanking region of the DBH gene has been shown to account for 35-52% of the variation in plasma DBH activity. We therefore investigated the possible association between the DBH -1021C/T polymorphism and hypertension in a large Japanese population. Moreover, because the development of hypertension is considered to be due at least partly to gene-environmental interactions, we also investigated the possible interactions between the DBH -1021C/T polymorphism and environmental factors. Consequently, we found a significant interaction between the DBH -1021C/T polymorphism and fasting plasma glucose (FPG) in the association with hypertension. CC homozygotes showed a steeper increase in probability of hypertension with FPG than T allele carriers. We also found a marginally significant trend suggesting the presence of an interaction between the DBH -1021C/T polymorphism and FPG in the association with blood pressure. Consistent with the presence of the interaction, we found that a 19 bp sequence containing the DBH -1021C/T polymorphism includes two palindromic non-canonical E boxes separated by 5 bps, and closely resembles the glucose response element of the L-type pyruvate kinase gene. These findings could be helpful in conducting further molecular and biological studies on the relationship among glucose metabolism, the sympathetic nervous system, and hypertension.

    DOI: 10.1291/hypres.28.215

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  • 【新薬展望2005】治療における最近の新薬の位置付け 新薬の広場 高血圧治療薬

    渡邉 早苗, 大蔵 隆文, 岩井 將, 茂木 正樹, 檜垣 實男, 堀内 正嗣

    医薬ジャーナル   41 ( 増刊 )   503 - 512   2005.1

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    高血圧治療薬の中で,特に開発・申請が著しいのは,アンジオテンシンII受容体拮抗薬(ARB)であり,2004年には新たにオルメサルタンが発売された.オルメサルタンは,従来のARBと比較して,カルシウム(Ca)拮抗薬に匹敵する優れた降圧作用を有し,臨床効果が期待されている.また,新しい機序を持つ高血圧治療薬としては,選択的アルドステロン拮抗薬であるエプレレノンが現在申請中であり,既に降圧効果および安全性,左室肥大および腎保護に対する優れた臨床成績が報告されている.また,ACE/NEP(neutral endopeptidase)阻害薬であるオマパトリラート,ARBと利尿剤の合剤が現在申請中であり,臨床応用が期待されている(著者抄録)

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  • Association of a GNAS1 gene variant with hypertension and diabetes mellitus International journal

    Miyuki Yamamoto, Michiko Abe, Jing Ji Jin, Zhihong Wu, Yasuharu Tabara, Masaki Mogi, Katsuhiko Kohara, Tetsuro Miki, Jun Nakura

    Hypertension Research   27 ( 12 )   919 - 924   2004.12

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    Previous studies have shown that the T allele of the GNAS1 T393C polymorphism is associated with poor responsiveness to β-blockade and that the T393C polymorphism interacts with cigarette smoking and alcohol consumption in the pathogenesis of hypertension. Thus, the T393C polymorphism is likely to interact with β-adrenoceptor (β-AR) stimulation in the pathogenesis of hypertension. Although this interaction might be caused by a direct effect of Gs proteins on the cardiovascular system, it could also result from an indirect effect of Gs proteins mediated by glucose metabolism. Moreover, association studies are often irreproducible. We therefore examined the possible interaction between the T393C polymorphism and γ-glutamyl transpeptidase (GGT), which is an established biomarker of alcohol consumption, in the association with glucose metabolism as well as with hypertension in a Japanese population. Genotyping for GNAS1 was performed by using the polymerase chain reaction-restriction fragment length polymorphism method in all 821 samples. The present study showed a significant interaction between the T393C polymorphism and GGT in the association with hypertension (p=0.033). This interaction was even more significant after adjustment for all confounding factors (p=0.0025). In contrast, analysis of the possible interaction of the T393C polymorphism with GGT in the association with diabetes mellitus or fasting plasma glucose failed to show a significant result. These results did not support the hypothesis that the interaction between the T393C polymorphism and GGT in the association with hypertension could be caused by an indirect effect of Gs proteins mediated by glucose metabolism.

    DOI: 10.1291/hypres.27.919

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  • The role of Akt-forkhead signaling in the hematopoietic stem-progenitor cell differentiation: Expansion of hematopoietic and endothelial progenitors from Akt-1 null marrows and peripheral blood involving FKHRL1-activation

    M Mogi, K Walsh, T Miki

    BLOOD   104 ( 11 )   473A - 474A   2004.11

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  • アポEフェノタイプと神経細胞

    満田憲昭, 青戸守, 茂木正樹

    Lipid   15 ( 5 )   470 - 476   2004.10

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  • Binswanger型脳血管性痴呆に胸腹部大動脈瘤を合併した1例

    鴨川 賢二, 茂木 正樹, 川尻 真和, 橋本 司, 田口 敬子, 小原 克彦, 三木 哲郎

    日本老年医学会雑誌   41 ( 5 )   562 - 562   2004.9

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  • 脊椎術後に発症したCIDPの2例

    楠木 智, 川尻 真和, 橋本 司, 田口 敬子, 茂木 正樹, 小原 克彦, 三木 哲郎

    日本老年医学会雑誌   41 ( 5 )   562 - 562   2004.9

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  • 原発性マクログロブリン血症に伴う多発単神経炎の1例

    喜多 潤子, 川尻 真和, 橋本 司, 田口 敬子, 茂木 正樹, 小原 克彦, 三木 哲郎

    日本老年医学会雑誌   41 ( 5 )   562 - 562   2004.9

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  • 低髄液圧症候群の一例-画像検査の文献的考察

    関山 西里, 由比 瑞穂, 亀津 優, 北川 泰久, 茂木 秀明, 山田 晋也, 篠田 正樹

    日本頭痛学会誌   31 ( 2 )   191 - 191   2004.9

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  • Homocysteine enhances endothelial apoptosis via upregulation of Fas-mediated pathways International journal

    T Suhara, K Fukuo, O Yasuda, M Tsubakimoto, Y Takemura, H Kawamoto, T Yokoi, M Mogi, T Kaimoto, T Ogihara

    HYPERTENSION   43 ( 6 )   1208 - 1213   2004.6

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    Hyperhomocysteinemia is an independent risk factor for the development of atherosclerosis. However, the underlying mechanism of endothelial cell injury in hyperhomocysteinemia has not been elucidated. In this study, we examined the effect of homocysteine (Hcy) on Fas-mediated apoptosis in endothelial cells. Hcy-induced upregulation of Fas in endothelial cells (ECs) in a dose-dependent manner. At the same time, Hcy increased intracellular peroxide in ECs. Hcy-induced Fas expression was inhibited by the treatment with catalase. Hcy increased NF-kappaB DNA binding activity, and adenovirus-mediated transfection of a Ikappa-B mutant (Ikappa-B mt) gene inhibited Hcy-induced Fas expression. ECs were sensitive to Fas-mediated apoptosis when exposed to Hcy. Under these condition, Ikappa-B mt protected ECs from Fas-mediated apoptosis. In addition, Hcy inhibited expression of the caspase-8 inhibitor FLICE-inhibitory protein (FLIP). Adenovirus-mediated transfection of constitutively active Akt gene abolished the Hcy-mediated downregulation of FLIP. These data suggest that upregulation of Fas expression and downregulation of FLIP is a mechanism through which Hcy induces EC apoptosis.

    DOI: 10.1161/01.HYP.0000127914.94292.76

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  • Association of GNB3 gene with pulse pressure and clustering of risk factors for cardiovascular disease in Japanese International journal

    M Yamamoto, M Abe, JJ Jin, ZH Wu, Y Tabara, M Mogi, K Kohara, T Miki, J Nakura

    BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS   316 ( 3 )   744 - 748   2004.4

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    Heterotrimeric guanine nucleotide-binding proteins (G proteins) mediate many pathways including the beta-adrenergic signaling pathway. The C825T polymorphism in the gene coding for the beta3 subunit of G proteins (GNB3) has been shown to be associated with several phenotypes such as hypertension, obesity, and diabetes mellitus comprising the metabolic syndrome. The GNB3 C825T polymorphism may therefore be associated with many atherosclerosis-related phenotypes. On these grounds, we studied the C825T polymorphism in relation to atherosclerosis-related phenotypes in a large Japanese population. Analyses in general linear models showed that T carriers had a significantly wider pulse pressure (P = 0.0089) as well as a significantly higher systolic blood pressure (P = 0.026). In contrast, analyses in logistic regression models showed that the C825T polymorphism was not significantly associated with each of the four major classical risk factors for cardiovascular and cerebrovascular disease (obesity, hypertension, hypertriglyceridemia, and diabetes mellitus). However, a significantly higher percentage of subjects had none of the four disorders in CC homozygotes than in T carriers (P = 0.026). Thus, the C825T polymorphism was significantly associated with clustering of these four risk factors. Although the effect of the gene on each phenotype appears to be weak, considering the combined impact of the effects of the C825T polymorphism on risk factors, the GNB3 gene may be an important gene for human health. (C) 2004 Elsevier Inc. All rights reserved.

    DOI: 10.1016/j.bbrc.2004.02.113

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  • MRIで小脳歯状核近傍にT2延長病変を認めた卵管癌による抗Yo抗体陽性の傍腫瘍性小脳変性症(PCD)の1例

    鴨川 賢二, 光永 吉宏, 田口 敬子, 橋本 司, 川尻 真和, 茂木 正樹, 名倉 潤, 小原 克彦, 三木 哲郎, 冨永 佳代

    臨床神経学   44 ( 4~5 )   314 - 314   2004.4

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  • Akt-signaling regulates side-population cell phenotype via Bcrp1 translocation.

    M Mogi, PJ Quesenberry, K Walsh

    BLOOD   102 ( 11 )   825A - 825A   2003.11

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  • 【分子栄養学からみた生活習慣病の予防と治療】分子栄養学からみた高血圧の予防と治療

    茂木 正樹, 三木 哲郎

    臨床栄養   103 ( 5 )   570 - 575   2003.10

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  • AMPK signaling in endothelial cells is essential for angiogenesis under hypoxic but not normoxic conditions

    D Nagata, M Mogi, K Walsh

    CIRCULATION   106 ( 19 )   113 - 113   2002.11

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  • Cardiac-specific expression of Akt3 improves heart function and protects against doxorubicin-induced heart failure in young mice but not in old mice

    Y Taniyama, M Ito, M Mogi, K Walsh

    CIRCULATION   106 ( 19 )   101 - 101   2002.11

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  • いわゆる鼓膜epidermosisと思われる二次性真珠腫の1例

    松井 和夫, 竹村 栄毅, 飯田 正樹, 永瀬 大, 茂木 英明, 窪田 哲昭

    Otology Japan   12 ( 4 )   445 - 445   2002.10

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  • 急性冠症候群の予知と予防は可能か 急性心筋梗塞及び不安定狭心症患者における血中可溶型Fasリガンドの上昇とその生理作用

    福尾 惠介, 清水 真澄, 茂木 正樹, 横井 豊彦, 須原 敏充, 荻原 俊男

    動脈硬化   ( 34回抄集 )   96 - 96   2002.6

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  • 再発性多発軟骨炎と考えられた気道狭窄の2症例

    茂木 英明, 窪田 哲昭, 松井 和夫, 高崎 宗太, 大橋 一正, 飯田 正樹, 春日 将夫, 小林 斉, 石田 良, 勝野 雅弘

    日本耳鼻咽喉科学会会報   105 ( 5増刊 )   621 - 621   2002.5

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  • The soluble form of Fas ligand may stimulate angiogesisthrough up-regulation of eNOS under hypoxia

    Yokoi Toyohiko, Fukuo Keisuke, Mogi Masaki, Ogihara Toshio

    Circulation journal : official journal of the Japanese Circulation Society   66   839 - 839   2002.3

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  • Caspase-3-dependent inducible nitric oxide synthase expression in activated macrophages

    T Suzuki, K Fukuo, M Tsubakimoto, O Yasuda, M Mogi

    CIRCULATION   104 ( 17 )   45 - 45   2001.10

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  • 低酸素ストレス下における,内皮由来NOSの増加を介した可溶性Fasリガンド(sFasL)の血管新生作用

    横井 豊彦, 福尾 恵介, 茂木 正樹, 荻原 俊男

    日本高血圧学会総会プログラム・抄録集   24回   114 - 114   2001.10

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  • 選択的動注化学療法を施行した頭頸部悪性腫瘍の検討 再発例を中心に

    飯田 正樹, 窪田 哲昭, 高崎 宗太, 大橋 一正, 門倉 義幸, 華岡 肇, 太田 隆之, 勝野 雅弘, 茂木 英明

    神奈川医学会雑誌   28 ( 2 )   272 - 273   2001.7

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  • オステオポンチンによる血管新生誘導(p38MAPK活性抑制による新しい血管新生機序)

    茂木 正樹, 福尾 惠介, 上出 利光, 荻原 俊男

    日本老年医学会雑誌   38 ( Suppl. )   113 - 113   2001.5

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  • マクロファージにおける可溶型Fasリガンドの役割

    福尾 惠介, 茂木 正樹, 鈴木 隆志, 安田 修, 荻原 俊男

    動脈硬化   29 ( Suppl. )   215 - 215   2001.5

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  • 内皮細胞における可溶型Fasリガンドによる抗アポトーシス作用

    茂木 正樹, 福尾 惠介, 荻原 俊男

    日本老年医学会雑誌   38 ( Suppl. )   113 - 113   2001.5

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  • マクロファージの活性化機構におけるカスパーゼの役割

    鈴木 隆志, 福尾 惠介, 椿本 真紀, 茂木 正樹, 安田 修, 荻原 俊男

    動脈硬化   29 ( Suppl. )   214 - 214   2001.5

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  • Hypoxia stimulates release of the soluble form of Fas ligand that inhibits endothelial cell apoptosis

    M. Mogi, K. Fukuo, J. Yang, T. Suhara, T. Ogihara

    Laboratory Investigation   81 ( 2 )   177 - 184   2001

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    Fas ligand (FasL), an apoptosis-inducing cytokine, is constitutively expressed on endothelial cells (EC). Here, we report that the soluble form of FasL (sFasL) is released from EC and inhibits hypoxia-induced EC apoptosis. For hypoxia experiments, human EC were exposed to low oxygen tension in airtight chambers flushed with preanalyzed gas mixtures (1% oxygen, 5% CO2, 94% N2) at 37°C. Exposure of cultured EC to hypoxia transiently increased FasL mRNA and protein levels. The maximum increase was observed at 3 and 6 hours after exposure to hypoxia, respectively. Although sFasL protein was not detected in the supernatant from EC without hypoxia, sFasL protein level in the supernatant was transiently increased from 6 hours and disappeared again at 24 hours after the exposure to hypoxia. Interestingly, the supernatant from hypoxia-exposed EC inhibited EC apoptosis induced by hypoxia, which was abolished by a neutralizing antibody against FasL. In addition, incubation with KB8301, an inhibitor of metalloproteinase, suppressed the release of sFasL from EC and enhanced hypoxia-induced apoptosis in EC. Furthermore, exogenously added recombinant sFasL inhibited hypoxia-induced apoptosis. These findings indicate that sFasL released from EC may inhibit hypoxia-induced EC apoptosis. Therefore, the shedding of FasL could be a new therapeutic target in regulating hypoxia-induced EC injury.

    DOI: 10.1038/labinvest.3780225

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  • Osteopontin stimulates angiogenesis in vitro and in vivo

    M Mogi, K Fukuo, T Suzuki

    CIRCULATION   102 ( 18 )   65 - 65   2000.10

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  • Negative feedback regulation of activated macrophages via Fas-mediated apoptosis

    T Niinobu, K Fukuo, O Yasuda, M Mogi, T Ogihara

    CIRCULATION   102 ( 18 )   238 - 238   2000.10

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  • 活性化マクロファージにおけるFas/Fas ligand系を介したネガティブフィードバック機構

    茂木 正樹, 福尾 惠介, 新居延 忠昭, 椿本 真紀, 安田 修, 荻原 俊男

    日本内分泌学会雑誌   76 ( 2 )   462 - 462   2000.9

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  • 血管内皮細胞における可溶性Fasリガンドの役割

    茂木 正樹, 福尾 惠介, 楊 進, 荻原 俊男

    日本内分泌学会雑誌   76 ( 2 )   483 - 483   2000.9

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  • 【動脈硬化に対する免疫分子細胞生物学的アプローチ】血管内皮細胞からのFasリガンド産生とその意義(sFasLに注目して)

    茂木 正樹, 福尾 惠介, 荻原 俊男

    臨床免疫   33 ( 6 )   699 - 703   2000.6

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  • 内皮細胞における酸化ストレスによる細胞死シグナルFas活性化機構に関する検討

    茂木 正樹, 福尾 惠介, 安田 修, 須原 敏充, 荻原 俊男

    日本老年医学会雑誌   37 ( Suppl. )   97 - 97   2000.5

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  • P175 オステオポンチンによる血管新生誘導作用

    茂木 正樹, 福尾 惠介, 荻原 俊男

    Japanese circulation journal   64 ( Suppl.I )   502 - 502   2000.3

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  • 0582 ホモシスチンによるNFkBの活性化を介した内皮細胞死誘導機構

    須原 敏充, 福尾 恵介, 安田 修, 茂木 正樹, 新居延 忠昭, 萩原 俊男, 玉谷 実智夫

    Japanese circulation journal   64 ( Suppl.I )   331 - 331   2000.3

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  • Negative feedback regulation of activated macrophages via Fas-mediated apoptosis

    Tadaaki Niinobu, Keisuke Fukuo, Osamu Yasuda, Maki Tsubakimoto, Masaki Mogi, Hiroyuki Nishimaki, Shigeto Morimoto, Toshio Ogihara

    American Journal of Physiology - Cell Physiology   279 ( 2 )   C504 - C509   2000

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    Apoptosis is a critical event for eliminating activated macrophages. Here we show that Fas-mediated apoptosis may participate in the mechanism of negative feedback regulation of activated macrophages. Cytokine-activated macrophages released high levels of nitric oxide (NO) that induced apoptosis in macrophages themselves. This NO-induced macrophage apoptosis was inhibited by a Fas-Fc chimeric molecule that binds to Fas ligand (FasL) and prevents its interaction with endogenous cell surface Fas. High levels of NO stimulated the release of the soluble form of FasL that was inhibited by a matrix metalloproteinase inhibitor KB-8301. High levels of NO also upregulated the expression of Fas mRNA in macrophages. In addition, macrophages isolated from Fas-lacking mice were resistant to NO-induced apoptosis. Finally, inhibition of apoptosis by a caspase inhibitor augmented peroxide production from activated macrophages. These findings suggest that high levels of NO released from activated macrophages may promote the Fas-mediated macrophage apoptosis that may be a negative feedback mechanism for elimination and the down-regulation of activated macrophages in the vessel wall.

    DOI: 10.1152/ajpcell.2000.279.2.c504

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  • オステオポンチンによる血管新生誘導作用

    茂木 正樹, 福尾 惠介, 荻原 俊男

    動脈硬化   27 ( Suppl.1 )   122 - 122   1999.11

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  • 血管内皮細胞におけるホモシスチンのNFκBを介した細胞死シグナルFas誘導作用

    福尾 惠介, 須原 敏充, 玉谷 実智夫, 茂木 正樹, 荻原 俊男

    動脈硬化   27 ( Suppl.1 )   122 - 122   1999.11

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  • 0776 オステオポンチンによるインテグリンの活性化を介した内皮細胞増殖促進作用

    茂木 正樹, 福尾 恵介, 櫻井 昌禄, 森本 茂人, 荻原 俊男

    Japanese circulation journal   63 ( 1 )   344 - 344   1999.3

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  • 培養血管内皮細胞における低酸素-再酸素化刺激による細胞死の誘導,及び可溶性Fasリガンドによる細胞死抑制作用

    茂木 正樹, 福尾 惠介, 須原 敏充, 新居延 忠昭, 森本 茂人, 荻原 俊男

    動脈硬化   26 ( Suppl.1 )   117 - 117   1998.11

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  • Chondromodulin I Is a novel anti-angiogenic factor which induces apoptosis in endothelial cells

    M Mogi, K Fukuo, T Suhara, S Morimoto, Y Hiraki

    CIRCULATION   98 ( 17 )   390 - 390   1998.10

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  • 尋常性乾癬に合併したIgA腎症に対してシクロスポリンを投与した2症例

    茂木 正樹, 中西 功, 斎藤 中哉

    腎と透析   43 ( 2 )   301 - 305   1997.8

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    39歳男,43歳男.乾癬スコア(PASI)で30以上の難治性乾癬であった.乾癬に対するCyAの初期投与量は一般に3~5mg/kg/dayであるが,腎機能の急激な悪化を避ける為,投与量は3mg/kg/dayより開始した.CyA血中濃度は両症例とも100ng/ml以下で推移し,これまで半年~1年の観察期間中,血清クレアチニンの増加等の腎機能低下は認めていない

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  • 尋常性乾癬に合併したIgA腎症に対してシクロスポリンが有効であった2症例

    茂木 正樹

    日本腎臓学会誌   39 ( 1 )   93 - 93   1997.2

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  • 上・下肢筋力低下で発症し,著明な高ナトリウム血症を呈した胚芽腫の一例

    林 晃正, 茂木 正樹, 中村 弘之

    大阪府立病院医学雑誌   19 ( 1 )   93 - 98   1996.10

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    20歳男.意識障害はなく,筋力低下以外の神経学的異常もなかった.入院時,血清Na186mEq/1,血清浸透圧367mOsm/kgH2Oと著明な高値を示した.筋力低下は血清Naの補正と共に改善し,CPK値も正常化した.下垂体前葉系ホルモンは全般に低値であり,分泌刺激に対しても低反応であった.頭部MRIで松果体及び視床下部に増強像が認められ,髄腔内播種をともなった胚芽腫と診断した.口渇が殆どなく,渇中枢の障害が考えられた.更に内因性ADHの分泌障害も示唆された.以上より,胚芽腫の視床下部周辺への浸潤により,浸透圧調節中枢が障害された結果hypernatremiaを呈したと考えた

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  • 著明な貧血を呈したアルコール性肝硬変の1例

    茂木 正樹

    日本老年医学会雑誌   32 ( 8~9 )   616 - 616   1995.9

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  • アプリンジン使用中に発症したtorsades de pointes

    大沢 正樹, 田代 敦, 茂木 格

    心臓   26 ( 12 )   1241 - 1246   1994.12

  • 米国と日本におけるD&O賠償責任と保険

    北村 正樹, 茂木 郁生

    保険学雑誌 = Journal of insurance science / 日本保険学会 編   ( 546 )   p113 - 136   1994.9

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    コレクション : 国立国会図書館デジタルコレクション > デジタル化資料 > 雑誌

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    Other Link: http://id.ndl.go.jp/bib/3582476

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Presentations

  • 全国の医学部薬理学関連講座における講義・実習に関する、実態調査の結果から 薬理学教育シンポジウム 3「これからの薬理学教育を考える」 Invited

    茂木正樹

    第92回 日本薬理学会年会  2019.3 

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  • Vascular Dementia and the Renin-Angiotensin System. -Lifestyle-Related Diseases as Risk Factors for Dementia- Invited

    MOGI Masaki

    ConBio 2017  2017.12 

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  • Hypertension Paradox への挑戦、認知症予防を見据えた早期の血圧管理 Invited

    茂木 正樹

    第41回日本高血圧学会総会  2018.9 

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  • 認知症の発症・進展予防にRA系阻害薬のBeyond BP lowering effectsは存在するのか? Invited

    茂木 正樹

    第40回日本高血圧学会総会  2017.10 

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  • レニン・アンジオテンシン系遺伝子改変マウス Invited

    茂木 正樹

    第53回 高血圧関連疾患モデル学会学術総会  2017.11 

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

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  • 高血圧・脳神経疾患における脳RAAS

    茂木正樹

    The 39th Annual Scientific Meeting of the Japanese Society of Hypertension  2016  The japanese Society of Hypertension

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    Venue:Sendai  

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  • 現在開発中の新規高血圧治療薬 Invited

    茂木 正樹

    第6回 臨床高血圧フォーラム  2017.5 

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

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  • 生活習慣病とフレイル Invited

    茂木正樹

    第4回黒潮カンファレンス  2019.11 

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

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  • 中四国薬理学教育コンソーシアム事業について シンポジウム「次世代の医学部薬理学実習の提案」 Invited

    茂木正樹

    第93回 日本薬理学会年会  2020.3 

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

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  • レニン・アンジオテンシン・アルドステロン系の役割、シンポジウム「高血圧と脳・心・腎連関」 Invited

    茂木正樹

    第42回 日本高血圧学会総会  2019.10 

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

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  • 糖尿病とフレイル

    茂木正樹

    The 58th Annual Meeting of Japan Geriatrics Society  2016  The Japan Geriatrics Society

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    Venue:Kanazawa  

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  • 糖尿病マウスにおける筋障害後の異所性脂肪沈着 −サルコペニア肥満の誘因を検討する−

    茂木正樹

    The 51th Annual Meeting of the Society for Hypertention Related Disease Model Research  2015  Society for Hypertension Related Disease Model Research

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    Venue:Osaka  

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  • 新規降圧薬のターゲットと開発状況

    茂木正樹

    第5回臨床高血圧フォーラム  2016  The japanese Society of Hypertension

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    Venue:Tokyo  

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  • 脳のアンチエイジング ?Next Decade-

    茂木正樹

    15th Scientific Meeting of the Japanese Society of Anti-Aging Medicine  2015  Japanese Society of Anti-Aging Medicine

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    Venue:Fukuoka  

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  • 認知症と高血圧

    茂木正樹

    The 34th Annual Meeting of Japan Society for Dementia Reserch  2015  Japan Society for Dementia Research

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    Venue:Aomori  

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  • 糖尿病マウスでは筋傷害後再生において異所性脂肪沈着が起こる

    茂木正樹

    14th Scientific Meeting of the Japanese Society of Anti-Aging Medicine  2014  Japanese Society of Anti-Aging Medicine

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    Venue:Osaka  

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  • JSH2014:学会アンケート調査より見えるもの

    茂木正樹

    The Japanese Society of Hypertension  2015  The japanese Society of Hypertension

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    Venue:Fukuoka  

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  • アンジオテンシンII 2型受容体活性化による臓器保護作用“レニン・アンジオテンシン・アルドステロン系研究の最先端”

    茂木正樹

    The 36th Annual Scientific Meeting of the Japanese Society of Hypertension  2013  The japanese Society of Hypertension

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    Venue:Osaka  

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  • バイオマーカー、臓器年齢の統合評価法などを考える

    茂木正樹

    14th Scientific Meeting of the Japanese Society of Anti-Aging Medicine  2014  Japanese Society of Anti-Aging Medicine

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    Venue:Osaka  

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  • 脳の老化とレニン・アンジオテンシン系

    茂木正樹

    16th Scientific Meeting of the Japanese Society of Anti-Aging Medicine  2016  Japanese Society of Anti-Aging Medicine

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    Venue:Yokohama  

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  • 高血圧と脳梗塞・認知症

    茂木正樹

    第7回日本脳血管・認知症学会学術大会(VasCog)  2016  The Japanese Society for Vascular Cognitive Impairment

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    Venue:Kanazawa  

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  • ンジオテンシン受容体“Renin-Angiotensin-Aldosterone系の新展開

    茂木正樹

    The 35th Annual Scientific Meeting of the Japanese Society of Hypertension  2012  The japanese Society of Hypertension

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    Venue:Utsunomiya  

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  • レニン・アンジオテンシン系による血管細胞老化とアンチエイジング

    茂木正樹

    Society of Cerebrol-Cordio-Vosculor Anti-Aging  2012  Society of Cerebrol-Cordio-Vosculor Anti-Aging

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    Venue:Osaka  

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  • 脳卒中基礎研究の今(将来の新しい脳保護療法を目指して)

    茂木正樹

    The 34th Annual Scientific Meeting of the Japanese Society of Hypertension  2011  The japanese Society of Hypertension

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    Venue:Utsunomiya  

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  • レニン・アンジオテンシン系に着目した血管性認知障害に対する治療戦略

    茂木正樹

    第3回血管性認知障害研究会(VasCog2012)  2012 

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    Venue:Tokyo  

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  • アンジオテンシン受容体に着目した 脳神経疾患に対する新たな 効果的治療法の検討

    茂木正樹

    ノバルティス老化および老年医学研究基金  2011  Novartis

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    Venue:Tokyo  

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  • アンチエイジングからみた高血圧研究 “高血圧治療と脳のアンチエイジング

    茂木正樹

    The 34th Annual Scientific Meeting of the Japanese Society of Hypertension  2011  The japanese Society of Hypertension

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    Venue:Utsunomiya  

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  • 脳神経疾患におけるレニン・アンジオテンシン系の役割 Up-To-Date

    茂木正樹

    Japanese Society for Cercuration Research  2010  Japanese society for Circulation Reserch

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    Venue:Nagoya  

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  • How does the Renin-angiotensin System Affect Cerebrovascular Events?

    茂木正樹

    The 43th Annual Scientific Meeting of the Japan Atherosclerosis Society  2011  Japan Atherosclerosis Society

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    Venue:Sapporo  

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  • 基礎実験から見た脳卒中・認知機能低下への降圧療法の選択‐脳内レニン・アンジオテンシン系の役割‐

    茂木正樹

    第33回日本脳卒中学会総会  2008  The Japan Stroke Society

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    Venue:Kyoto  

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  • 血管平滑筋細胞におけるアルドステロンとAT1受容体の相互作用

    茂木正樹

    The 29th Annual Scientific Meeting of the Japanise Society of Clinical Pharmacology and Therapeutics  2008  The Japanese Society of Clinical Pharmacology and Therapeutics

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    Venue:Tokyo  

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  • 体内老化因子としてのレニン・アンジオテンシン系

    茂木正樹

    The 13th International Conference on Anti-Aging Medicine  2013  Japanese Society of Anti-Aging Medicine

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    Venue:Yokohama  

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  • 脳神経疾患とアンジオテンシン

    茂木正樹

    The 30th Annual Scientific Meeting of the Japanese Society of Hypertension  2007  The Japanese Society Hypertension

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    Venue:Okinawa  

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  • 脳梗塞モデルにおける中枢性アンジオテンシンII受容体の役割と受容体阻害による障害予防の試み

    茂木正樹

    ノバルティス老化および老年医学研究基金 2004年度研究助成講演  2006 

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    Venue:Kanazawa  

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  • ACE阻害薬とARBの心血管イベントの抑制効果

    茂木正樹

    The 80th Annual Meeteing of The Japan Endocrine Society  2007  The Japan Endocrine Society

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    Venue:Tokyo  

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  • アンジオテンシンII2型受容体シグナルによる神経分化の促進と認知機能への影響

    茂木正樹

    第9回日本心血管内分泌代謝学会学術総会  2005  The Society of Cardiovascular Endocrinology and Metabolism

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    Venue:Tokyo  

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  • 岡本奨励賞研究紹介講演

    茂木正樹

    岡本奨励賞研究紹介講演  2006  The Japan Research Foundation for Healthy Aging

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    Venue:Tokyo  

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  • アンジオテンシンII1型受容体ブロッカーによる脳保護のメカニズム

    茂木正樹

    The 46th Annual Meeting of Japanese Colledge of Angiology  2005  Japanese College of Angiology

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    Venue:Osaka  

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  • 高血圧の基礎研究を臨床に生かす具体策 Invited

    茂木正樹

    第43回日本臨床薬理学会学術総会  2022.11 

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

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  • 高血圧基礎研究者の実態と問題 事前アンケート結果とリソース情報の共有計画高血圧の基礎研究を推進するために ~All JAPANで考える~ Invited

    茂木正樹

    第1回高血圧フォーラム  2023.5 

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

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  • 「レニン・アンジオテンシン系の最近の知見」 シンポジウム「高血圧の成因に関する新たな知見UPDATE 2021」 Invited

    茂木正樹

    第43回日本高血圧学会総会  2021.10 

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

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  • Hypertension and Dementia ~Learning a Lesson from the SPRINT~

    Masaki Mogi

    2022.10 

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    Language:English   Presentation type:Symposium, workshop panel (nominated)  

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  • 「COVID-19 に対する各大学の対応と生理学及び薬理学教育への影響に関する緊急合同調査」についての結果報告 シンポジウム「With/afterコロナ時代の新たな薬理学教育I:遠隔教育の実践と課題」 Invited

    茂木正樹

    第94回 日本薬理学会年会  2021.3 

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

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  • Dementia and the Renin-Angiotensin System. Lifestyle-Related Diseases as Risk Factors for Dementia. Invited

    Masaki Mogi

    The Orientation Program for Postgraduate Students of the Faculty of Pharmacy Universitas Gadjah Mada  2021.8 

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

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  • Could Management of Blood Pressure Prevent Dementia in the Elderly? Invited International conference

    MOGI Masaki

    Hypertension Seoul 2018 in conjunction with the 49th Annual Scientific Conference of the KSH  2018.11 

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    Language:English   Presentation type:Symposium, workshop panel (nominated)  

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Industrial property rights

  • galectin-7に結合する核酸アプタマー及び該核酸アプタマーを含むgalectin-7を発現する組織検出用組成物

    茂木 正樹, 羽藤 直人, 劉 爽, 山田 啓之, 高木 太郎, 鈴木 康之, 竹政 絵理香

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    Applicant:国立大学法人愛媛大学

    Application no:特願2022-028756  Date applied:2022.2

    Announcement no:特開2023-124898  Date announced:2023.9

    J-GLOBAL

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Awards

  • 岡本研究奨励賞

    2006  

    茂木 正樹

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  • 第9回日本心血管内分泌代謝学会 若手研究奨励賞

    2005  

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    Country:Japan

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  • YIA by CVEM

    2005  

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  • アジア・太平洋高血圧会議 若手奨励賞

    2005  

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  • Young Investigator Award by Asia Pacific Conference of Hypertension

    2005  

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  • Young Investigator Award by Asia Pacific Conference od Hypertension

    2005  

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  • 医学研究助成金

    2003  

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    Country:Japan

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Research Projects

  • 嗅覚障害に対する水素ガス吸入療法の有効性に関する解析

    2022.4 - 2025.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    西田 直哉, 茂木 正樹, 青石 邦秀

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    Grant amount:\2860000 ( Direct Cost: \2200000 、 Indirect Cost:\660000 )

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  • SARS-CoV-2感染におけるマスト細胞の関与と重症化機序解明に向けた研究

    2022.4 - 2025.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    茂木 正樹, 劉 爽

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    Grant amount:\4030000 ( Direct Cost: \3100000 、 Indirect Cost:\930000 )

    重症急性呼吸器症候群コロナウイルス 2 (SARS-CoV-2) の重症化を引き起こす複数の炎症誘発性サイトカインの放出起因に関連し、マスト細胞のホスト細胞へのウイルス侵入に対する影響についての検討を進めた。SARS-CoV-2のスパイク糖タンパク質が組み込まれたシュードビリオンはマスト細胞の活性化を引き起こし、マスト細胞由来のキマーゼであるMCP2がスパイクタンパク質と複合体を形成し、プロテアーゼ依存性のウイルス侵入を促進することが見出された。ウイルス侵入を定量化した結果から、マスト細胞安定剤であるケルセチンは、非処理細胞と比較して、潜在的にウイルス侵入の 41.3% を阻害する作用を示したが、キマーゼ阻害剤として機能するキモスタチンは、ウイルス侵入の52.1%を抑制することが見出された。一方でマスト細胞欠損マウスを使用した実験から、マスト細胞は上気道の初期のウイルス負荷に影響を与える可能性があり、その結果、下気道へのウイルス侵入のリスクが高まることが示された。さらに、マスト細胞欠損マウスは、ウイルス接種後の後期に進行中の感染を示したが、野生型マウスではウイルス陽性細胞のクリアランスが観察された。以上より、マスト細胞は、SARS-CoV-2のウイルス侵入に対する保護効果を持つ一方、その後の病原性に影響を与え、善悪両方を備えた多面的な免疫調節因子として機能することが見出された。SARS-CoV-2の治療におけるマスト細胞安定剤とキマーゼ阻害剤は、感染段階とサイトカインストームのリスクに関して有用である可能性があり、今後マスト細胞に影響を与える薬剤使用に関する空間的・時間的最適化の検討、および感染関連因子の探索などを進める予定である。

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  • Development of a new education system based on the practical nursing clinical pharmacology education model (iDrug)

    2021.4 - 2025.3

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

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    Grant amount:\16900000 ( Direct Cost: \13000000 、 Indirect Cost:\3900000 )

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  • Development of a novel method for predicting and diagnosing dementia focusing on blood exosome microRNA

    2020.4 - 2023.3

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

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    Grant amount:\4290000 ( Direct Cost: \3300000 、 Indirect Cost:\990000 )

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  • アレルギー疾患が動脈硬化症における新生内膜形成に及ぼす影響について

    2019

    日本学術振興会  科学研究費助成事業  奨励研究

    清井 武志, 茂木 正樹, 劉 爽

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    Grant amount:\540000 ( Direct Cost: \540000 )

    喘息患者では動脈硬化症が進展しやすい可能性について疫学的報告がなされている。本研究では, 卵白アルブミン(OVA)誘発喘息モデルマウスの大腿動脈にポリエチレンカフを留置することでカフ誘導性血管障害を引き起こし, 血管リモデリングについて評価を行った。結果として, OVA誘発喘息モデルマウスの大腿動脈では, 平滑筋細胞からなる血管新生内膜の形成増進が確認された。この新生内膜形成による血管リモデリングは, 動脈硬化症の誘因となることが指摘されており, 本研究結果はアレルギー疾患である喘息において動脈硬化症が進展しやすい可能性が示唆され, 過去の疫学的報告結果を実験的に支持した。

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  • Effects of transient cerebral ischemia on intracerebral amyloid beta metabolism and cognitive decline

    2017.4 - 2020.3

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

    Min Li-Juan

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    Grant amount:\4550000 ( Direct Cost: \3500000 、 Indirect Cost:\1050000 )

    Our study examined the possibility that cerebral ischemia may increase Aβ-induced cognitive decline by increasing cerebrovascular senescence and Aβ clearance impairment, and the possible ameliorative role of angiotensin (Ang) II type 2 (AT2) receptor activation in this worsening of cognitive function. We demonstrated that cerebral ischemia potentially worsens Aβ-induced cognitive decline involving enhancement of oxidative stress and inflammation, impairment of RAGE-mediated Aβ clearance system, and exaggeration of cerebral Aβ level and neuronal degeneration. AT2 receptor activation in the cerebrovasculature could play a preventive role in this worsening of cognitive function through inhibition of oxidative stress, inflammation, impaired RAGE-mediated Aβ clearance system and neuronal degeneration.

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  • Effect of protective arm of the renin-angiotensin system on ischemic brain damage

    2017.4 - 2020.3

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

    Iwanami Jun

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    Grant amount:\4550000 ( Direct Cost: \3500000 、 Indirect Cost:\1050000 )

    Accumulating evidences and previous our research suggest that angiotensin II type 2 receptor(AT2R) stimulation could contribute to protection against ischemic brain damage. However, the effect of ATIP (AT2R interacting protein) on ischemic brain damage is still unclear. Therefore, we investigated the effects of the ATIP on focal cerebral ischemia using ATIP-transgenic (ATIP-Tg) mice. There was no significant difference in ischemic size between WT and ATIP-Tg mice. Treatment with AT2R agonist decreased ischemic size in both strains. Interestingly, this protective effect of AT2R agonist was more marked in ATIP-Tg compared with WT mice. In CBF of core region of ischemic area, there were no significant differences among all groups. However, the reduction of CBF in penumbra region just after MCA occlusion was attenuated in ATIP-Tg mice with AT2R agonist administration. These results suggested that ATIP could enhance the cerebral protective effects of AT2R stimulation after ischemia.

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  • Exploration of new therapeutic approach to sarcopenic obesity focusing on ectopic fat deposition

    2016.4 - 2019.3

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

    Mogi Masaki

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    Grant amount:\4680000 ( Direct Cost: \3600000 、 Indirect Cost:\1080000 )

    Sarcopenic obesity, age-related muscle loss, which is compensated by an increase in fat mass, impairs quality of life in elderly people. We investigated intramuscular fat deposition using a muscle injury model in type 2 diabetic mice, KKAy. KKAy exhibited impaired muscle regeneration and ectopic fat deposition via impaired cell differentiation of fibro-adipocyte progenitor (FAP) cells. Impaired micro-circulation is one of the mechanisms in this cell abnormal differentiation. However, anti-platelet therapy did not improve ectopic fat deposition after muscle injury. Interestingly, ectopic calcium deposition was observed in this injured muscle of KKAy. Therefore, diabetes may induced abnormal differentiation of mesenchymal cells and impaired the quality of skeletal muscle after muscle injury.

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  • Interaction of Renin-Angiotensin System with microRNA in Vascular Senescence

    2014.4 - 2016.3

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

    Min Li-Juan, HORIUCHI Masatsugu, MOGI Masaki

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    Grant amount:\3900000 ( Direct Cost: \3000000 、 Indirect Cost:\900000 )

    We examined the possible role of microRNA-21, which involved in Ras/ERK signaling pathway and its target gene Spry1, in angiotensin II-induced vascular senescence. In vitro, we observed that microRNA-21 was associated with angiotensin II-induced VSMC senescence together with its downstream target molecule. In vivo, we did not obtained the same results in this time. In future, it is necessary to investigate the interaction of microRNA-21 with vascular senescence using other senescent mouse models. We have not yet observed the possible involvement of Spry1 in the microRNA-21 associated VSMC senescence. In future, the examination of other molecules such as Sp-1 is needed.

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  • Elucidation of a preventive strategy against diabetic dementia induced by blood-brain barrier disruption

    2013.4 - 2016.3

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

    MOGI MASAKI, HORIUCHI Masatsugu, IWANAMI Jun, OHSHIMA Kousei, TSUKUDA Kana

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    Grant amount:\4940000 ( Direct Cost: \3800000 、 Indirect Cost:\1140000 )

    Type 2 diabetes mellitus has been highlighted as a major risk factor for cognitive decline associated with not only vascular dementia but also Alzheimer disease.We previously reported that BBB disruption was involved in T2DM-induced cognitive impairment.Here,we further investigated the relation between BBB disruption and diabetes. Results are shown below.
    (1) In diabetic mice, KKAy, BBB disruption is occurred at first. Then, vascular dysfunction may be spread out to small vessel disease via time-course observation of KKAy brain (unpublished data). (2) Renin-angiotensin system may be involving BBB disruption via evaluation of BBB in human-renin and human-angiotensinogen overexpressed mice. (3) Angiotensin II type 2 receptor stimulation has a preventive effect on diabetic dementia and vascular dementia models using direct AT2 receptor stimulation with C21. Therefore, AT2 receptor stimulation may have a potential as new therapeutical approach for diabetic dementia.

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  • Systematic Approach for the Enhancement of Cognitive Function by the Activation of Angiotensin Type 2 receptor Associated Protein

    2013.4 - 2016.3

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

    Horiuchi Masatsugu, Mogi Masaki, Iwanami Jun, Ohshima Kousei

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    Grant amount:\17550000 ( Direct Cost: \13500000 、 Indirect Cost:\4050000 )

    We observed that cognitive impairment after bilateral common carotid artery stenosis (BCAS), as a model of vascular dementia, was more marked in angiotensin type 2 (AT2) receptor knockout (KO) mice compared with that in wild-type (WT) mice, and that the overexpression of AT2 receptor interacting protein (ATIP) could protect cognitive impairment after BCAS. We also reported that angiotensin converting enzyme (ACE2) KO mice exhibited significant impairment of spatial cognitive function. These results suggest that protective arm of renin-angiotensin system (RAS) could attenuate cognitive decline after ischemic brain damage. Moreover, we proposed a new mechanism by which ATIP could plays an important roles in neurons and vascular smooth muscle cells as transcription factor as a member of protective arm of RAS.

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  • Pathophysiological mechanisms in sarcopenic obesity

    2011.4 - 2014.3

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

    KOHARA Katsuhiko, MOGI Masaki

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    Grant amount:\19110000 ( Direct Cost: \14700000 、 Indirect Cost:\4410000 )

    We proposed the definition of sarcopenia and sarcopenic obesity. Three aspects of sarcopenic obesity, 1) metabolic abnormality, 2) functional change, and 3) causality, were investigated.
    1) Metabolic abnormality; Sarcopenic obesity is associated with insulin resistance, leptin resistance, and adiponectin paradox. Sarcopenia is also involved in the BNP resistance observed in obese subjects.
    2) Functional changes; Sarocopenia was related to frailty, arterial stiffness, central blood pressure and end organ damages. 3)Causalty; Several candidate genes for sarcopenia were identified including KCNQ1 and CHD13. We demonstrated ectopic fat infiltration in the skeletal muscle in cardiotoxin injury model of ob/ob and KKAy mouse. Causal relationship between sarcopenic obesity and cardiovascular events will be followed in longitudinal study.

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  • Preventive effect of marrow stromal cells on stroke and neurodegenerative disease

    2010 - 2012

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

    MOGI Masaki, HORIUCHI Masashi

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    Grant amount:\4550000 ( Direct Cost: \3500000 、 Indirect Cost:\1050000 )

    We investigated the effect of renin-angiotensin system (RAS) on stroke and dementia. RAS in marrow-derived cells regulated stroke size using chimeric mice which were replaced bone marrows by other kinds of mice. Moreover, regulation of RAS prevented diabetes-induced dementia via inhibition of blood-brain barrier using diabetic mice, KKAy.

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  • Roles of Angiotensin II Receptor-Associated Protein in Vascular Senescence

    2009 - 2011

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

    HORIUCHI Masatsugu, IWAI Masaru, MOGI Masaki

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    Grant amount:\17550000 ( Direct Cost: \13500000 、 Indirect Cost:\4050000 )

    Angiotensin II mediates various effects through complex signaling pathways on binding to its G-protein-coupled receptors(GPCRs), the angiotesin II type 1(AT1) receptor and type 2(AT2) receptor. These receptors are regulated by GPCR-interacting proteins such as AT1 receptor-associated protein(ATRAP), and AT2 receptor-interacting protein(ATIP), which we have cloned. In this study, we demonstrated that ATRAP and ATIP negatively regulated vascular smooth muscle cell(VSMC) senescence in concert with the cross-talk of each angiotensin II receptor subtype.

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  • New Therapeutical Approach for Neural Disorders Focusing on Angiotensin II type 2 Receptor Signaling

    2007 - 2008

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

    MOGI Masaki

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    Grant amount:\3690000 ( Direct Cost: \3300000 、 Indirect Cost:\390000 )

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  • New Therapeutic Approach Using Novel Nuclear Translocating Signaling Protein Against Vascular Remodeling and Atherosclerosis

    2006 - 2008

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

    HORIUCHI Masatsugu, IWAI Masaru, MOGI Masaki

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    Grant amount:\18060000 ( Direct Cost: \15300000 、 Indirect Cost:\2760000 )

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  • 脳梗塞モデルにおける中枢性AT_2受容体の機能解析と虚血性障害予防の試み

    2004 - 2005

    日本学術振興会  科学研究費助成事業  萌芽研究

    堀内 正嗣, 岩井 将, 茂木 正樹

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    Grant amount:\3200000 ( Direct Cost: \3200000 )

    AT1a受容体欠損(AT1aKO)マウスおよびAT2受容体欠損(AT2KO)マウスに中大脳動脈を閉塞し脳虚血障害モデルを作成、術後24時間目に、虚血領域、中大脳動脈支配域周辺部における血流低下の程度、superoxide産生はAT1aKOマウスにおいて野性型マウスより有意に減少していたが、AT2KOマウスにおいては逆に増強していた。さらに対照マウスにAT1受容体プロッカーであるValsartan(1.0〜3.0mg/kg/day)をあらかじめ10日間投与しておくと、血圧の変化に影響することなく、閉塞術後の脳虚血域、脳表層血流の変化、虚血部位におけるsuperoxide産生の変化が有意に抑制されたが、これらの作用はAT2KOマウスでは減弱していた。以上の実験結果は、虚血性脳障害においてAT1a受容体がそれを増強する作用を有しており、これに対してAT2受容体は拮抗的に働くことを示唆している。以上の結果は、Circulation,110,843-848,2004に報告している。次に、電撃回避試験により中大脳動脈閉塞後の認知・学習能の変化の検討したところ、AT2KOでは回避能力の顕著な低下が認められた。野生型マウスの梗塞領域では神経分化因子であるMMS2のmRNA発現が増加を認めるが、AT2KOマウスではMMS2の発現増加は認められなかった。培養ラット神経細胞では、アンジオテンシンII刺激によりMMS2の発現は亢進し、AT2受容体ブロッカー、PD123319の同時投与ではその作用が阻害された。MMS2をRNAiでノックダウンすると神経突起の伸長が有意に抑制されることにより、MMS2が神経分化に重要であることが示唆された。以上の結果より、AT2受容体からのシグナルは神経細胞分化促進や認知機能障害の抑制に効果的に働いている可能性が示唆され、現在詳細について検討を進めている。

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  • Therapeutic application of vascular diseases by novel angiotensin II receptor signal regulating molecule

    2003 - 2005

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

    HORIUCHI Masatsugu, IWAI Masaru, MOGI Masaki

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    Grant amount:\14400000 ( Direct Cost: \14400000 )

    The cardiovascular actions of angiotensin II (Ang II) are mainly mediated by the Ang II type 1 (AT_1) receptor. We cloned a novel AT_1 receptor-associated protein (ATRAP) using a yeast two-hybrid screening system. To explore the role of ATRAP in vascular remodeling, we developed transgenic mice for mouse ATRAP-cDNA, and examined remodeling after inflammatory vascular injury induced by polyethylene-cuff placement. In ATRAP transgenic (ATRAP-Tg) mice, ATRAP mRNA was increased 3- to 4-fold in the heart, aorta and femoral artery. ATRAP-Tg mice showed no significant change in body weight, systolic blood pressure, heart rate and heart-to-body weight ratio. However, cell proliferation and neointimal formation in the injured artery were attenuated in ATRAP-Tg mice. The increase in NADPH oxidase activity and the expression of p22^<phox>, an NADH/NADPH oxidase subunit, after cuff placement was also attenuated in ATRAP-Tg mice. Moreover, activation of extracellular signal-regulated kinase (ERK), signal transducer and activator of transcription (STAT)1, and STAT3 after cuff placement were significantly reduced in ATRAP-Tg mice. In addition, we observed that cardiac hypertrophy induced by pressure-overload and Ang II infusion was attenuated in ATRAP-Tg mice, and that pressor response to Ang II was also decreased in ATRAP-Tg mice. These results suggest that ATRAP plays an important role in cardiovascular remodeling as a negative regulator.

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Teaching Experience

  • 薬理学

    2017 Institution:愛媛大学大学院医学系研究科

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  • 分子細胞生物学

    2004 - 2017 Institution:愛媛大学大学院医学系研究科

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  • 老年医学

    2003 - 2004 Institution:愛媛大学医学部

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