医学部
基本情報
研究分野
1経歴
3-
2016年4月 - 現在
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2015年4月
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2011年4月
学歴
2-
2011年4月 - 2015年3月
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2001年4月 - 2007年3月
受賞
5論文
54-
Translational psychiatry 15(1) 63-63 2025年2月20日Suicidal ideation (SI) and behavior (SB) are major public health concerns, but risk factors for their development and progression are poorly understood. We used ICD codes and a natural language processing algorithm to identify individuals in a hospital biobank with SI-only, SB, and controls without either. We compared the profiles of SB and SI-only patients to controls, and each other, using phenome-wide association studies (PheWAS) and polygenic risk scores (PRS). PheWAS identified many risk factors for SB and SI-only, plus specific psychiatric disorders which may be involved in progression from SI-only to SB. PRS for suicide attempt were only associated with SB, and even after accounting for psychiatric disorder PRS. SI PRS were only associated with SI-only, although not after accounting for psychiatric disorder PRS. These findings advance understanding of distinct genetic and clinical risk factors for SB and SI-only, which will aid in early detection and intervention efforts.
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Nature 2025年1月22日Bipolar disorder is a leading contributor to the global burden of disease1. Despite high heritability (60-80%), the majority of the underlying genetic determinants remain unknown2. We analysed data from participants of European, East Asian, African American and Latino ancestries (n = 158,036 cases with bipolar disorder, 2.8 million controls), combining clinical, community and self-reported samples. We identified 298 genome-wide significant loci in the multi-ancestry meta-analysis, a fourfold increase over previous findings3, and identified an ancestry-specific association in the East Asian cohort. Integrating results from fine-mapping and other variant-to-gene mapping approaches identified 36 credible genes in the aetiology of bipolar disorder. Genes prioritized through fine-mapping were enriched for ultra-rare damaging missense and protein-truncating variations in cases with bipolar disorder4, highlighting convergence of common and rare variant signals. We report differences in the genetic architecture of bipolar disorder depending on the source of patient ascertainment and on bipolar disorder subtype (type I or type II). Several analyses implicate specific cell types in the pathophysiology of bipolar disorder, including GABAergic interneurons and medium spiny neurons. Together, these analyses provide additional insights into the genetic architecture and biological underpinnings of bipolar disorder.
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Psychiatry and clinical neurosciences 79(1) 12-20 2025年1月AIM: Bipolar disorder (BD) is a common psychiatric disorder characterized by alterations between manic/hypomanic and depressive states. Rare pathogenic copy number variations (CNVs) that overlap with exons of synaptic genes have been associated with BD. However, no study has comprehensively explored CNVs in synaptic genes associated with BD. Here, we evaluated the relationship between BD and rare CNVs that overlap with synaptic genes, not limited to exons, in the Japanese population. METHODS: Using array comparative genome hybridization, we detected CNVs in 1839 patients with BD and 2760 controls. We used the Synaptic Gene Ontology database to identify rare CNVs that overlap with synaptic genes. Using gene-based analysis, we compared their frequencies between the BD and control groups. We also searched for synaptic gene sets related to BD. The significance level was set to a false discovery rate of 10%. RESULTS: The RNF216 gene was significantly associated with BD (odds ratio, 4.51 [95% confidence interval, 1.66-14.89], false discovery rate < 10%). The BD-associated CNV that corresponded with RNF216 also partially overlapped with the minimal critical region of the 7p22.1 microduplication syndrome. The integral component of the postsynaptic membrane (Gene Ontology:0099055) was significantly associated with BD. The CNV overlapping with the intron region of GRM5 in this gene set showed a nominal significant association between cases and controls (P < 0.05). CONCLUSION: We provide evidence that CNVs in RNF216 and postsynaptic membrane-related genes confer a risk of BD, contributing to a better understanding of the pathogenesis of BD.
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Translational Psychiatry 14(1) 2024年10月14日Abstract Recent genome-wide association studies (GWASs) have identified fatty acid desaturase (FADS) genes, which code key enzymes involved in polyunsaturated fatty acid (PUFA) desaturation as susceptibility genes for bipolar disorder (BD). Several quantitative changes in PUFAs suggest their involvement in BD pathogenesis. Therefore, this study aimed to clarify the relationship between BD and PUFAs by conducting lipidomics covariating with the FADS gene variant (rs174550), which is associated with PUFA levels and BD susceptibility. The concentrations of 23 fatty acids were measured using plasma samples from the BD group (n = 535) and the control group (n = 107). Differences in each PUFA concentration ratio were compared between the two groups. Also, differences in each PUFA concentration ratio were compared for each genotype in rs174550. Our results showed that the BD group had significantly lower concentrations of linoleic acid (LA) (β = −0.36, p = 0.023) and arachidonic acid (AA) (β = −0.18, p = 0.013) than the control group. Concerning the effect of FADS on the PUFA concentration ratio, carriers of C-allele at rs174550 had significantly decreased γ-linolenic acid and AA concentration ratios. A previous GWAS reported that the presence of a C-allele at rs174550 increased the BD risk. This direction is consistent with the lipidomic results of the present study. In conclusion, both the FADS and BD were considered to regulate the AA concentration. Thus, as the FADS gene variant is crucial for conducting lipidomics of BD we believe that the allele frequency of FADS must be analyzed.
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Nature genetics 56(10) 2027-2035 2024年10月Human genetic variants are associated with many traits through largely unknown mechanisms. Here, combining approximately 260,000 Japanese study participants, a Japanese-specific genotype reference panel and statistical fine-mapping, we identified 4,423 significant loci across 63 quantitative traits, among which 601 were new, and 9,406 putatively causal variants. New associations included Japanese-specific coding, splicing and noncoding variants, exemplified by a damaging missense variant rs730881101 in TNNT2 associated with lower heart function and increased risk for heart failure (P = 1.4 × 10-15 and odds ratio = 4.5, 95% confidence interval = 3.1-6.5). Putative causal noncoding variants were supported by state-of-art in silico functional assays and had comparable effect sizes to coding variants. A plausible example of new mechanisms of causal variants is an enrichment of causal variants in 3' untranslated regions (UTRs), including the Japanese-specific rs13306436 in IL6 associated with pro-inflammatory traits and protection against tuberculosis. We experimentally showed that transcripts with rs13306436 are resistant to mRNA degradation by regnase-1, an RNA-binding protein. Our study provides a list of fine-mapped causal variants to be tested for functionality and underscores the importance of sequencing, genotyping and association efforts in diverse populations.
MISC
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精神科臨床Legato 7(3) 140-144 2021年12月統合失調症の病態は依然として不明のままであり、現在に至るまでさまざまな切り口から多くの研究がなされてきた。近年、全ゲノム関連研究(genome-wide association study;GWAS)は疾患感受性遺伝子同定に大きく寄与し、病態研究の新たなヒントを与えている。本稿では統合失調症GWASの成果について触れる。(著者抄録)
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日本臨床精神神経薬理学会・日本神経精神薬理学会合同年会プログラム・抄録集 29回・49回 124-124 2019年10月
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精神神経学雑誌 121(4) 251-258 2019年4月統合失調症(SZ)と双極性障害(BD)は遺伝要因と環境要因を共有することが知られており,複雑な遺伝環境相互作用が発症に関与すると考えられている.ゲノムワイド関連解析の結果,主要な精神疾患のなかでもSZとBDは遺伝要因の重なりが特に大きいことが知られているが,エピゲノム要因の重なりについては十分な検討がなされていない.本研究では,SZで行われた大規模なゲノムワイドメチル化関連解析(MWAS)で同定された上位5ヶ所の候補領域について,BD試料を用いた検討を行った.5ヶ所の候補領域のうち2ヶ所[FAM63B,染色体16番intergenic領域(IR in chr 16)]では,SZと同様に,BDにおいても有意な低メチル化状態が認められ,SZとBDに共通なエピゲノム要因である可能性が示唆された.また,1ヶ所(TBC1D22A)の領域では,SZとは異なり,BDでは健常者に比して有意な高メチル化状態が認められた.今後,BDを対象とした大規模なMWASによって,両疾患におけるエピゲノム要因の類似性や独自性の詳細がさらに明らかとなるであろう.(著者抄録)
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精神神経学雑誌 121(4) 251-258 2019年4月統合失調症(SZ)と双極性障害(BD)は遺伝要因と環境要因を共有することが知られており,複雑な遺伝環境相互作用が発症に関与すると考えられている.ゲノムワイド関連解析の結果,主要な精神疾患のなかでもSZとBDは遺伝要因の重なりが特に大きいことが知られているが,エピゲノム要因の重なりについては十分な検討がなされていない.本研究では,SZで行われた大規模なゲノムワイドメチル化関連解析(MWAS)で同定された上位5ヶ所の候補領域について,BD試料を用いた検討を行った.5ヶ所の候補領域のうち2ヶ所[FAM63B,染色体16番intergenic領域(IR in chr 16)]では,SZと同様に,BDにおいても有意な低メチル化状態が認められ,SZとBDに共通なエピゲノム要因である可能性が示唆された.また,1ヶ所(TBC1D22A)の領域では,SZとは異なり,BDでは健常者に比して有意な高メチル化状態が認められた.今後,BDを対象とした大規模なMWASによって,両疾患におけるエピゲノム要因の類似性や独自性の詳細がさらに明らかとなるであろう.(著者抄録)
共同研究・競争的資金等の研究課題
3-
日本学術振興会 科学研究費助成事業 2021年4月 - 2024年3月
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日本学術振興会 科学研究費助成事業 若手研究 2018年4月 - 2019年3月
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日本学術振興会 科学研究費助成事業 若手研究(B) 2016年4月 - 2018年3月