研究者業績

荒川 宜親

アラカワ ヨシチカ  (Yoshichika Arakawa)

基本情報

所属
藤田医科大学 医学部微生物学 客員教授
金城学院大学 薬学部 客員教授
名古屋大学 名古屋大学 医学部/大学院医学系研究科 招へい教員(非常勤講師)
厚生労働省 国立感染症研究所 元部長 名誉所員
東海国立大学機構 名古屋大学 名誉教授
学位
医学博士(1989年3月 名古屋大学)

研究者番号
10212622
J-GLOBAL ID
201101032201306103
Researcher ID
P-5997-2015
researchmap会員ID
6000030043

In the 1980s, I initiated the analyses of a chromosomal genetic region (cps cluster) that is responsible for biosynthesis of K2 capsular polysaccharide in Klebsiella pneumoniae strain Chedid, as well as the characterization of chromosomally encoded β‐lactamase LEN-1 of K. pneumoniae strain LEN-1.  My collaborators and I firstly succeeded in the expression of K2 capsular polysaccharide of strain Chedis in an Escherichia coli K12 by introduction of an about 24-kb chromosomal DNA fragment of Chedid.   We also found that several regulatory proteins, chromosomal RcsA and RcsB, as well as plasmid mediated RmpA2, were involved in the expression of the cps clusters of K. pneumoniae Chedid.

   As for the characterization of β‐lactamase LEN-1 produced by  K. pneumoniae strain LEN-1, we found that the amino acid sequence of LEN-1 showed a very high similarity to the R‐plasmid‐mediated penicillinase TEM‐1 on the amino acid sequence level, and this strongly suggested the origination of TEM‐1 from the chromosomal penicillinases of K. pneumoniae or related bacteria.  

   Moreover, the chromosomal KOXY β‐lactamase (or K1 β‐lactamase) of Klebsiella oxytoca was found to belong to the class A β‐lactamases that include LEN‐1 and TEM‐1, although KOXY can effectively hydrolyze cefoperazone (CPZ) like the chromosomal AmpC type cephalosporinases of various Enterobacteriaceae that can hydrolyze several cephalosporins including CPZ.

   Furthermore, my collaborators and I found plural novel serine‐type β‐lactamases, such as MOX‐1, SHV‐24, TEM‐91, CTX‐M‐64, CMY‐9, CMY‐19, GES‐3, GES‐4, and TLA‐3, mediated by plasmids. Besides these serine‐type β‐lactamases, we also first identified exogenously acquired metallo‐β‐lactamases (MBLs), IMP‐1 and SMB‐1, in imipenem‐resistant Serratia marcescens, and the IMP‐1‐producing S. marcescens TN9106 became the index case for carbapenemase‐producing Enterobacteriaceae (CPE). I developed the sodium mercaptoacetic acid (SMA)‐disk test for the simple identification of MBL‐producing bacteria. We were also the first to identify a variety of plasmid‐mediated 16S ribosomal RNA methyltransferases, RmtA, RmtB, RmtC, and NpmA, from various Gram‐negative bacteria that showed very high levels of resistance to a wide range of aminoglycosides. Furthermore, we first found plasmid‐mediated quinolone efflux pump (QepA) and fosfomycin‐inactivating enzymes, e.g., plasmid-mediated FosA3 of E. coli and chromosomally-encoded FosK in Acinetobacter soli.

   We also characterized the penicillin-reduced susceptible Streptococcus agalactiae (PRGBS) for the first time, together with macrolide‐resistant Mycoplasma pneumoniae, Campylobacter jejuni, and Helicobacter pylori, as well as carbapenem‐resistant Haemophilus influenzae.

   At present, my research group is involved with the researches and developments of inhibitors for MBLs and serine-type carbapenemases to overcome the urgent AMR issues by the support of AMED (Japan Agency for Medical Research and Development).


論文

 296
  • H Kato, T Yokoyama, Y Arakawa
    JOURNAL OF MEDICAL MICROBIOLOGY 54(2) 167-171 2005年2月  
    Previous reports have documented that a surface layer protein (SIpA) varies among Clostridium difficile isolates. The typing system by sequencing the variable region of the sIpA gene was applied to typing C. difficile strains belonging to one PCR ribotype, type smz, which has been identified as frequently causing outbreaks in Japan. The PCR ribotype smz strains recovered from patients at different hospitals in Japan were examined. Among 10 type smz strains tested, three subtypes, smz 1, -2 and -3, were identified that differed from each other by one nucleotide. slpA sequence typing was also applied to direct typing on DNA extracted from stool specimens. Of 22 stool specimens examined, 17 were PCR positive for sIpA; eight were typed as sIpA sequence type smz-1 and nine as type smz-2. C. difficile was cultured from 12 of these 17 stool specimens, and the sequence results of the recovered isolates were compared with those from the DNA extracted from the stool specimens. In all 12 of these stool specimens, the sequence results of DNA from recovered C. difficile isolates completely agreed with those of DNA extracted directly from stool specimens. The remaining five stool specimens were culture-negative for C. difficile. Sequence typing has the advantage of enabling easy comparison of typing results among multiple laboratories via the Internet without exchanging reference strains as is required in typing systems which depend on banding-pattern analyses. sIpA sequence typing appears to be a reproducible and reliable typing system for C. difficile as well as being useful for the typing of C. difficile when stool specimens contain only small numbers of C. difficile or are inappropriate for culturing.
  • Kurosaki H, Yamaguchi Y, Higashi T, Soga K, Matsueda S, Yumoto H, Misumi S, Yamagata Y, Arakawa Y, Goto M
    Angew Chem Int Ed Engl 44(25) 3861-3864 2005年  
  • T Fukuda, M Iwaki, T Komiya, Y Arakawa, M Takahashi
    JAPANESE JOURNAL OF INFECTIOUS DISEASES 57(6) 257-259 2004年12月  
    Curtailing the observation of mice challenged with tetanus toxin in potency test of tetanus vaccine would reduce the agony of mice from spastic paralysis. From the viewpoint of animal welfare, we investigated the feasibility of this measure. The potencies of 85 lots of vaccine obtained on the 4th day after challenge were compared with those obtained on the 7th day. No significant difference was found (P = 0.05). indicating that the observation period could be curtailed from 7 days to 4 days without impairing the assessment of the vaccine's potency.
  • A Kodama, K Kamachi, Y Horiuchi, T Konda, Y Arakawa
    JOURNAL OF CLINICAL MICROBIOLOGY 42(12) 5453-5457 2004年12月  
    Antigenic divergence has been found between Bordetella pertussis vaccine strains and circulating strains in several countries. In the present study, we analyzed B. pertussis isolates collected in Japan from 1988 to 2001 using pulsed-field gel electrophoresis (PFGE) and sequencing of two virulence-associated proteins. The 107 isolates were classified into three major groups by PFGE analysis; 87 (81%) were type A, 19 (18%) were type B, and 1 (1%) was type C. Sequence analysis of the S1 subunit of pertussis toxin (ptxS1) and adhesion pertactin (prn) genes revealed the presence of two (ptxS1A and ptrS1B) and three (prn1, prn2, and prn3) variants, respectively, in the isolates. Among those isolates, 82 (95%) of the 87 type A strains and the type C strain had the same combination of ptrS1B and prn1 alleles (ptrS1B/prn1) as the Japanese vaccine strain. On the other hand, 17 (90%) of 19 type B strains had an allele (ptrS1A/prn2) distinct from that of the vaccine strain. A correlation was found between the antigenic variation and the PFGE profile in the isolates. In addition, the frequency of the type B strain was 0, 27, 0, 42, and 37% of the isolates in the periods 1988 to 1993, 1994 to 1995, 1996 to 1997, 1998 to 1999, and 2000 to 2001, respectively. In contrast, the number of reported pertussis-like and pertussis cases decreased gradually from 1991 on, suggesting that the antigenic divergence did not affect the efficacy of pertussis vaccination in Japan.
  • M Matsuoka, M Narita, N Okazaki, H Ohya, T Yamazaki, K Ouchi, Suzuki, I, T Andoh, T Kenri, Y Sasaki, A Horino, M Shintani, Y Arakawa, T Sasaki
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY 48(12) 4624-4630 2004年12月  
    In recent years, Mycoplasma pneumoniae strains that are clinically resistant to macrolide antibiotics have occasionally been encountered in Japan. Of 76 strains of M. pneumoniae isolated in three different areas in Japan during 2000 to 2003, 13 strains were erythromycin (ERY) resistant. Of these 13 strains, 12 were highly ERY resistant (MIC, greater than or equal to256 mug/ml) and 1 was weakly resistant (MIC, 8 mug/ml). Nucleotide sequencing of domains H and V of 23S rRNA and ribosomal proteins L4 and L22, which are associated with ERY resistance, showed that 10 strains had an A-to-G transition at position 2063 (corresponding to 2058 in Escherichia coli numbering), 1 strain showed A-to-C transversion at position 2063, 1 strain showed an A-to-G transition at position 2064, and the weakly ERY-resistant strain showed C-to-G transversion at position 2617 (corresponding to 2611 in E. coli numbering) of domain V. Domain 11 and ribosomal proteins L4 and L22 were not involved in the ERY resistance of these clinical M. pneumoniae strains. In addition, by using our established restriction fragment length polymorphism technique to detect point mutations of PCR products for domain V of the 23S rRNA gene of M. pneumoniae, we found that 23 (24%) of 94 PCR-positive oral samples taken from children with respiratory infections showed A2063G mutation. These results suggest that ERY-resistant M. pneumoniae infection is not unusual in Japan.
  • Nishio H, Komatsu M, Shibata N, Shimakawa K, Sueyoshi N, Ura T, Satoh K, Toyokawa M, Nakamura T, Wada Y, Orita T, Kofuku T, Yamasaki K, Sakamoto M, Kinoshita S, Aihara M, Arakawa Y
    J Clin Microbiol 42(11) 5256-5263 2004年11月  
  • Nagano N, Nagano Y, Cordevant C, Shibata N, Arakawa Y
    J Clin Microbiol 42(9) 3978-3984 2004年9月  
  • Wachino J, Doi Y, Yamane K, Shibata N, Yagi T, Kubota T, Arakawa Y
    Antimicrob Agents Chemother 48(8) 2905-2910 2004年8月  
  • K Kamachi, Y Arakawa
    INFECTION AND IMMUNITY 72(7) 4293-4296 2004年7月  
    Four plasmids encoding different C terminally and N terminally truncated pertussis toxin S1 subunits of Bordetella pertussis were constructed and tested for inducibility of protection against pertussis toxin in mice after DNA-based immunization. The region encoding an N-terminal 180-amino-acid fragment of the S1 subunit had the most potent ability to induce protective immunity.
  • Doi Y, Wachino J, Ishiguro M, Kurokawa H, Yamane K, Shibata N, Shibayama K, Yokoyama K, Kato H, Yagi T, Arakawa Y
    Antimicrob Agents Chemother 48(7) 2652-2658 2004年7月  
  • WC Jin, Y Arakawa, H Yasuzawa, T Taki, R Hashiguchi, K Mitsutani, A Shoga, Y Yamaguchi, H Kurosaki, N Shibata, M Ohta, M Goto
    BIOLOGICAL & PHARMACEUTICAL BULLETIN 27(6) 851-856 2004年6月  
    For the purpose of screening of inhibitors that are effective for wide range of metallo-beta-lactamases, the inhibitory effect of two series of compounds, 2-omega-phenylalkyl-3-mercaptopropionic acid (PhenylCnSH (n=1-4)) and N-[(7-chloro-quinolin-4-ylamino)-alkyll-3-mercapto-propionamide (QuinolineCnSH (n=2-6)), where n denotes the alkyl chain length, on metallo-beta-lactamases IMP-1 and VIM-2 was examined. These inhibitors contain a thiol group and a hydrophobic group linked by variable-length methylene chain. PhenylCnSH (n=1-4) was found to be a potent inhibitor of both IMP-1 and VIM-2. PhenylC4SH was the potent inhibitor of both IMP-1 (IC50= 1.2 mum) and VIM-2 (IC50= 1.1 mum) among this study. When the number of methylene units was varied, QuinolineC4SH showed the maximum inhibitory activity against IMP-1 and VIM-2 (IC50=2.5mum and IC50=2.4mum). The relationship between the inhibitory effect of the alkyl chain length was different for both series of inhibitors, suggesting that IMP-1 has a tighter binding site than VIM-2. QuinolineCnSH did not serve as a fluorescence reagent for metallo-beta-lactamases.
  • Y Doi, J Wachino, K Yamane, N Shibata, T Yagi, K Shibayama, H Kato, Y Arakawa
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY 48(6) 2075-2080 2004年6月  
    A novel aminoglycoside resistance gene, aac(6')-lad, encoding aminoglycoside 6'-N-acetyltransferase, was identified in Acinetobacter genospecies 3 strain A-51. The gene encoded a 144-amino-acid protein, which shared modest identity (up to 36.7%) with some of the aminoglycoside 6'-N-acetyltransferases. The results of high-pressure liquid chromatography assays confirmed that the protein is a functional aminoglycoside 6'-N-acetyltransferase. The enzyme conferred resistance to amikacin, tobramycin, sisomicin, and isepamicin but not to gentamicin. The prevalence of this gene among Acinetobacter clinical isolates in Japan was then investigated. Of 264 Acinetobacter sp. strains isolated from geographically diverse areas in Japan in 2002, 16 were not susceptible to amikacin, and aac(6')-lad was detected in 7. Five of the producers of aminoglycoside 6'-N-acetyltransferase type lad were identified as Acinetobacter baumannii, and two were identified as Acinetobacter genospecies 3. These results suggest that aac(6')-lad plays a substantial role in amikacin resistance among Acinetobacter spp. in Japan.
  • K Yamane, Y Doi, K Yokoyama, T Yagi, H Kurokawa, N Shibata, H Kato, Y Arakawa
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY 48(6) 2069-2074 2004年6月  
    Nine Pseudomonas aeruginosa strains showing very high levels of resistance to various aminoglycosides have been isolated from clinical specimens in seven separate Japanese hospitals in five prefectures since 1997. These strains harbor the newly identified 16S rRNA methylase gene (rmtA). When an rmtA gene probe was hybridized with genomic DNAs of the nine strains digested with EcoRI, two distinct patterns were observed. The 11.1- and 15.8-kb regions containing the rmtA genes of strains AR-2 and AR-11, respectively, were sequenced and compared. In strain AR-2, a transposase gene-like sequence (sequence 1) and a probable tRNA ribosyltransferase gene (orfA) were located upstream of rmtA, and a Na+/H+ antiporter gene-like sequence (sequence 2) was identified downstream of rmtA. This 6.2-kbp insert (the rmtA locus) was flanked by 262-bp kappagamma elements. Part of the orfQ gene adjacent to an inverted repeat was found outside of the rmtA locus. In strain AR-11, the rmtA gene and sequence 2 were found, but the 5' end of the orfA gene was truncated and replaced with IS6100. An orfQ-orfI region was present on each side of the rmtA gene in strain AR-11. The G+C content of the rmtA gene was about 55%, and since the newly identified rmtA gene may well be mediated by some mobile genetic elements such as Tn5041, further dissemination of the rmtA gene could become an actual clinical problem in the near future.
  • Wachino J, Doi Y, Yamane K, Shibata N, Yagi T, Kubota T, Ito H, Arakawa Y
    Antimicrob Agents Chemother 48(6) 1960-1967 2004年6月  
  • Keigo Shibayama, Yoshichika Arakawa
    Nihon saikingaku zasshi. Japanese journal of bacteriology 59(2) 415-24 2004年5月  査読有り
  • M Ochiai, M Kataoka, H Toyoizumi, A Yamamoto, K Kamachi, Y Arakawa, T Kurata, Y Horiuchi
    JAPANESE JOURNAL OF INFECTIOUS DISEASES 57(2) 58-59 2004年4月  
    Haemophilus influenzae type b (Hib) is a major cause of bacterial meningitis among children. Hib conjugate vaccines have effectively prevented Hib infection, and routine immunization with Hib conjugate vaccine has diminished the incidence of the disease in the United States and European countries. Introduction of Hib conjugate vaccines is also required in Japan. However, endotoxin that can carry over from Gram-negative H. influenzae with a purified component may contribute to adverse events following Hib vaccination. In the present study, we examined the endotoxin content in Hib conjugate vaccines. The Hib conjugate vaccine batches, which were produced by a European vaccine manufacturer, were shown to have considerably high endotoxin activity and to vary from 13.9 to 173.7 endotoxin units/dose. These results suggest that it is necessary to monitor the endotoxin content of the vaccine batches to ensure the quality and safety of the vaccines.
  • Y Arakawa, Y Ike, M Nagasawa
    LANCET 363(9418) 1401-1401 2004年4月  
  • K Yamane, J Asato, N Kawade, H Takahashi, B Kimura, Y Arakawa
    JOURNAL OF CLINICAL MICROBIOLOGY 42(3) 1370-1372 2004年3月  
    We encountered two cases of fatal necrotizing fasciitis caused by Photobacterium damsela in Japan. Both cases occurred in fishermen who became sick after fishing. They developed multiple organ failure within 20 to 36 h from the onset of initial symptoms despite intensive chemotherapy and surgical treatments.
  • Y Doi, K Yokoyama, K Yamane, J Wachino, N Shibata, T Yagi, K Shibayama, H Kato, Y Arakawa
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY 48(2) 491-496 2004年2月  
    Serratia marcescens S-95, which displayed an unusually high degree of resistance to aminoglycosides, including kanamycins and gentamicins, was isolated in 2002 from a patient in Japan. The resistance was mediated by a large plasmid which was nonconjugative but transferable to an Escherichia coli recipient by transformation. The gene responsible for the aminoglycoside resistance was cloned and sequenced. The deduced amino acid sequence of the resistance gene shared 82% identity with RmtA, which was recently identified as 16S rRNA methylase conferring high-level aminoglycoside resistance in Pseudomonas aeruginosa. Histidine-tagged recombinant protein showed methylation activity against E. coli 16S rRNA. The novel aminoglycoside resistance gene was therefore designated rmtB. The genetic environment of rmtB was further investigated. The sequence immediately upstream of rmtB contained the right end of transposon Tn3, including bla(TEM), while an open reading frame possibly encoding a transposase was identified downstream of the gene. This is the first report describing 16S rRNA methylase production in S. marcescens. The aminoglycoside resistance mechanism mediated by production of 16S rRNA methylase and subsequent ribosomal protection used to be confined to aminoglycoside-producing actinomycetes. However, it is now identified among pathogenic bacteria, including Enterobacteriaceae and P. aeruginosa in Japan. This is a cause for concern since other treatment options are often limited in patients requiring highly potent aminoglycosides such as amikacin and tobramycin.
  • K Kanai, K Shibayama, S Suzuki, JI Wachino, Y Arakawa
    MICROBIOLOGY AND IMMUNOLOGY 48(12) 977-980 2004年  
    We examined population dynamics in a mixed culture of clonally related macrolide-resistant and -susceptible Helicobacter pylori strains isolated from a single patient. The resistant strain had a macrolide resistance-conferring A2143G mutation in the 23S rRNA gene. The growth rate of these two strains did not apparently differ when cultured separately. On the other hand, by conducting sequential passage of a mixed culture of the resistant and the susceptible strains, the ratio of the resistant strain to the susceptible strain in the culture typically decreased per passage, indicating that the resistance imposed a significant disadvantage on bacterial fitness in the population.
  • Shiraki Y, Shibata N, Doi Y, Arakawa Y
    Emerg Infect Dis 10(1) 69-75 2004年1月  
  • A Yamamoto, T Sakai, M Ochiai, K Kamachi, M Kataoka, H Toyoizumi, Y Arakawa, Y Horiuchi
    MICROBIOLOGY AND IMMUNOLOGY 48(2) 97-102 2004年  
    Enhancing/interfering effect of antibiotics on endotoxin was evaluated using the endotoxin test and the cell line assay in 28SC cells that has a responsiveness consistent with that of human peripheral blood. When a total of 21 products of seven different kinds of antibiotics were tested, none showed any significant effect on the endotoxin test at its therapeutic dose. However, aminoglycosides showed a significant augmenting effect on IL-6 induction of endotoxin in 28SC cells. Detailed examination of the augmenting effect was made on spectinomycin in the in vitro cell line assay and also in the lethal endotoxin challenge assay in D-galactosamine-treated mice. Spectinomycin also enhanced the endotoxin lethality in D-galactosaniine-treated mice. A kinetic analysis in endotoxin-sensitized 28SC cells revealed that the augmentation takes place as quickly as 10 min after spectinomycin treatment. Accordingly, a special caution concerning the augmenting effect was assumed necessary for the safety control of antibiotic products as well as for selecting antibiotics for the therapeutic use.
  • K Yokoyama, Y Doi, K Yamane, H Kurokawa, N Shibata, K Shibayama, T Yagi, H Kato, Y Arakawa
    LANCET 362(9399) 1888-1893 2003年12月  
    Background Bacteria develop resistance to aminoglycosides by producing aminoglycoside-modifying enzymes such as acetyltransferase, phosphorylase, and adenyltransferase. These enzymes, however, cannot confer consistent resistance to various aminoglycosides because of their substrate specificity. Notwithstanding, a Pseudomonas aeruginosa strain AR-2 showing high-level resistance (minimum inhibitory concentration >1024 mg/L) to various aminoglycosides was isolated clinically. We aimed to clone and characterise the genetic determinant of this resistance. Methods We used conventional methods for DNA manipulation, susceptibility testing, and gene analyses to clone and characterise the genetic determinant of the resistance seen. PCR detection of the gene was also done on a stock of P aeruginosa strains that were isolated clinically since 1997. Findings An aminoglycoside-resistance gene, designated rmtA, was identified in P aeruginosa AR-2. The Escherichia coli transformant and transconjugant harbouring the rmtA gene showed very high-level resistance to various aminoglycosides, including amikacin, tobramycin, isepamicin, arbekacin, kanamycin, and gentamicin. The 756-bp nucleotide rmtA gene encoded a protein, RmtA. This protein showed considerable similarity to the 16S rRNA methylases of aminoglycoside-producing actinomycetes, which protect bacterial 16S rRNA from intrinsic aminoglycosides by methylation. Incorporation of radiolabelled methyl groups into the 30S ribosome was detected in the presence of RmtA. Of 1113 clinically isolated P aeruginosa strains, nine carried the rmtA gene, as shown by PCR analyses. Interpretation Our findings strongly suggest intergeneric lateral gene transfer of 16S rRNA methylase gene from some aminoglycoside-producing microorganisms to P aeruginosa. Further dissemination of the rmtA gene in nosocomial bacteria could be a matter of concern in the future.
  • Nagano N, Shibata N, Saitou Y, Nagano Y, Arakawa Y
    J Clin Microbiol 41(12) 5530-5536 2003年12月  
  • Shibata N, Doi Y, Yamane K, Yagi T, Kurokawa H, Shibayama K, Kato H, Kai K, Arakawa Y
    J Clin Microbiol 41(12) 5407-5413 2003年12月  
  • K Kamachi, T Konda, Y Arakawa
    VACCINE 21(31) 4609-4615 2003年11月  
    Pertussis toxin (PT) is the major virulence factor of Bordetella pertussis, and detoxified PT is a crucial antigen of acellular pertussis vaccine. Here. plasmid DNA expressing the pertussis toxin S1 subunit (pcDNA/S1) of B. pertussis was evaluated for immunogenicity and for the ability to induce protection against PT challenge or B. pertussis infection in mice. The gene gun delivery of pcDNA/S1, performed by inserting the S1 gene into a mammalian expression vector, successfully induced anti-PT IgG antibody production. Immunization of mice with pcDNA/S1 significantly inhibited leukocytosis-promoting activity caused by PT or B. pertussis. In addition, pcDNA/S1 induced significant protection against intracerebral challenge with a lethal dose of B. pertussis. The results of the present study demonstrated that a DNA vaccine encoding the PT-S1 subunit induced protection against B. pertussis infection in mice. Thus, this vaccine preparation is potentially applicable for the production of novel vaccines against B. pertussis infection. (C) 2003 Elsevier Ltd. All rights reserved.
  • M Komatsu, H Kato, M Aihara, K Shimakawa, M Iwasaki, Y Nagasaka, S Fukuda, S Matsuo, Y Arakawa, M Watanabe, Y Iwatani
    EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES 22(9) 525-529 2003年9月  
    Patients hospitalized in a hospital with a high incidence of antibiotic-associated diarrhea due to toxin A-negative, toxin B-positive (A-/B+) Clostridium difficile were retrospectively investigated to determine the clinical manifestations and risk factors for infection. Of 77 Clostridium difficile isolates obtained from 77 patients during the 1-year investigation period, 30 were A-/B+ and 47 were toxin A-positive, toxin B-positive (A+/B+). By pulsed-field gel electrophoresis analysis, 23 of the 30 A-/B+ strains were outbreak-related, suggesting nosocomial spread of a single type of bacterium, which mainly affected patients in the wards of respiratory medicine, hematology and neurology. Using regression analysis, three factors were found to be associated with infection by A-/B+ isolates: (i) exposure to antineoplastic agents (P=0.01, odds ratio [OR]=5.1), (ii) the use of nasal feeding tubes (P=0.008, OR=5.2), and (iii) assignment to a certain internal medicine ward (P=0.05, OR=3.0). Between patients with Clostridium difficile-associated diarrhea caused by A-/B+ strains and those with A+/B+ strains, no statistically significant difference was found in body temperature, serum concentration of C-reactive protein, leukocyte count in whole blood, frequency of diarrhea, or type of underlying disease. These results indicate that A-/B+ strains of Clostridium difficile can cause intestinal infection in humans and they spread nosocomially in the same manner as A+/B+ strains.
  • Kurokawa H, Shibata N, Doi Y, Shibayama K, Kamachi K, Yagi T, Arakawa Y
    Antimicrob Agents Chemother 47(9) 2981-2983 2003年9月  
  • M Goto, H Yasuzawa, T Higashi, Y Yamaguchi, A Kawanami, S Mifune, H Mori, H Nakayama, K Harada, Y Arakawa
    BIOLOGICAL & PHARMACEUTICAL BULLETIN 26(5) 589-594 2003年5月  
    The pH dependence for the hydrolysis of beta-lactam antibiotics by a metallo-beta-lactamase (IMP-1) produced from Serratia marcescens was investigated varying the concentration of Zn(II). The activity of IMP-1 for imipenem was decreased at pH less than pH 5.3 without external addition of Zn(II) ions but was recovered with addition of Zn(II). Varying the concentration of external Zn(II), the molar activity of the enzyme, k(obs), that was defined by the velocity of hydrolysis of imipenem/concentration of IMP-1 was expressed by k(obs)=v(init)/[E](T)=k(max)[Zn]/(K-d+[Zn]) in which K-d stands for the dissociation constant between Zn(II) and IMP-1. The dissociation constants, K-d, vary with pH; K-d=840 x 10(-6) M at pH 4.3 and K-d=0.19 x 10(-6) m at pH 6.0. The plot of -log K-d against pH showed a straight line having a slope of 4.0 below pH 5.0, showing the existence of four functional groups which may be protonated upon dissociation of Zn(II) ion(s). The k(cat), K-m, and k(cat)/K-m of hydrolysis of imipenem and cephalothin in the presence of sufficient concentration of Zn(NO3)(2) for saturation of IMP-1 with Zn(II) showed similar dependency to each other on pH between pH 6.0 and 9.0.
  • K Shibayama, K Kamachi, N Nagata, T Yagi, T Nada, YH Doi, N Shibata, K Yokoyama, K Yamane, H Kato, Y Iinuma, Y Arakawa
    MOLECULAR MICROBIOLOGY 47(2) 443-451 2003年1月  
    Helicobacter pylori infection induces apoptosis in gastric epithelial cells. Here, we report a novel apoptosis-inducing protein that functions as a leading factor in H. pylori-mediated apoptosis induction. We purified the protein from H. pylori by separating fractions that showed apoptosis-inducing activity. This protein induced apoptosis of AGS cells in a dose-dependent manner. The purified protein consisted of two protein fragments with molecular masses of about 40 and 22 kDa, which combined to constitute a single complex in their natural form. N-terminal sequencing indicated that both these protein fragments were encoded by the HP1118 gene. The purified protein exhibited gamma-glutamyl transpeptidase activity, the inhibition of which by 6-diazo-5-oxo-L-norleucine resulted in a complete loss of apoptosis-inducing activity. To the best of our knowledge, the apoptosis-inducing function is a newly identified physiological role for bacterial gamma-glutamyl transpeptidase. The apoptosis-inducing activity of the isogenic mutant gamma- glutamyl transpeptidase-deficient strain was significantly lower compared with that of the parent strain, demonstrating that gamma-glutamyl transpeptidase plays a significant role in H. pylori-mediated apoptosis. Our findings provide new insights into H. pylori pathogenicity and reveal a novel aspect of the bacterial gamma-glutamyl transpeptidase function.
  • Kurosaki H, Yasuzawa H, Yamaguchi Y, Jin W, Arakawa Y, Goto M
    Org Biomol Chem 1(1) 17-20 2003年1月  
  • Shibayama K, Kamachi K, Yagi T, Yamane K, Doi Y, Shibata N, Kato H, Arakawa, Y
    Helicobacter 8(4) 354 2003年  
  • Y Doi, N Shibata, K Shibayama, K Kamachi, H Kurokawa, K Yokoyama, T Yagi, Y Arakawa
    ANTIMICROBIAL AGENTS AND CHEMOTHERAPY 46(8) 2427-2434 2002年8月  
    An Escherichia coli strain, HKYM68, which showed resistance to broad-spectrum cephalosporins was isolated from a sputum specimen in Japan. The high-level resistance of the strain to ceftazidime, cefpirome, and moxalactam was carried by a self-transferable plasmid. The beta-lactamase gene responsible for the resistance was cloned and sequenced. The deduced amino acid sequence of this gene product, CMY-9, had a single amino acid substitution (E85D), the residue reported to be part of the recognition site for the R1 side chain of beta-lactams, compared with the amino acid sequence of CMY-8 and also had 78% identity with the amino acid sequence of CepH, a chromosomal cephalosporinase of Aeromonas hydrophila. A sul1-type class 1 integron containing an aacA1-orfG gene cassette was identified upstream of bla(CMY-9) and ended with a truncated 3' conserved segment. The following 2.1 kb was almost identical to the common region of integrons In6 and In7 and the integron of pSAL-1, except that orf513 encoding a putative transposase was identified instead of orf341 due to addition of a single nucleotide. bla(CMY-9) was closely located downstream of the end of the common region. These observations are indicative of the exogenous derivation of bla(CMY-9) from some environmental microorganisms such as aeromonads.
  • Ohkawa T, Yoshinaga M, Ikarimoto N, Miyanohara H, Miyata K, Doi Y, Shibata N, Arakawa Y
    Pediatr Infect Dis J 21(3) 260-262 2002年3月  
  • Ozawa Y, Tanimoto K, Nomura T, Yoshinaga M, Arakawa Y, Ike Y
    Appl Environ Microbiol 68(12) 6457-6461-6,461 2002年  
  • Horiuchi Y, Takahashi M, Konda T, Ochiai M, Yamamoto A, Kataoka M, Toyoizumi H, Arakawa Y
    Japanese Journal of Infectious Diseases 54(5) 167-180-180 2001年  
  • Katsuno S, Takashi M, Ohshima S, Ohta M, Kato N, Kurokawa H, Arakawa Y
    Int J Urol 8(3) 110-117 2001年  
  • Okazaki N, Narita M, Yamada S, Izumikawa K, Umetsu M, Kenri T, Sasaki Y, Arakawa Y, Sasaki T
    Microbiol Immunol 45(8) 617-620-620 2001年  
  • Shibayama K, Doi Y, Shibata N, Yagi T, Nada T, Iinuma Y, Arakawa Y
    Infect Immun 69(5) 3181-3189-3189 2001年  
  • Yang Z, Kitano Y, Chiba K, Shibata N, Kurokawa H, Doi Y, Arakawa Y, Tada M
    Bioorg Med Chem 9(2) 347-356 2001年  
  • Y Arakawa, Y Ike, M Nagasawa, N Shibata, Y Doi, K Shibayama, T Yagi, T Kurata
    EMERGING INFECTIOUS DISEASES 6(6) 572-575 2000年11月  
    Multidrug resistance in gram-positive bacteria has become common worldwide. In Japan until recently, gram-negative bacteria such as Pseudomonas aeruginosa, Klebsiella pneumoniae, and Serratia marcescens were controlled by carbapenems, fluoroquinolones, and aminoglycosides. However, several of these microorganisms have recently developed resistance against many antimicrobial drugs.
  • T Komiya, N Shibata, M Ito, M Takahashi, Y Arakawa
    JOURNAL OF CLINICAL MICROBIOLOGY 38(6) 2400-2402 2000年6月  
    The tox gene of Corynebacterium diphtheriae was detected in a formaldehyde-fixed throat swab taken from a 68-year-old man who was reported to have died of suffocation due to a pharyngeal tumor. DNA templates prepared from bacterial cells fixed with 10% formaldehyde were subjected to a PCR analysis with tox gene-specific PCR primers. The resultant 112-nucleotide-long PCR product was sequenced using a dye terminator method, and an expected 57-nucleotide-long internal sequence of the tox gene was detected. This method is applicable for retrospective diagnosis in diphtheria cases in which only a formaldehyde-fixed clinical sample is available.
  • Kurokawa H, Yagi T, Shibata N, Shibayama K, Kamachi K, Arakawa Y
    Antimicrob Agents Chemother 44(6) 1725-1727 2000年6月  
  • N Kato, T Sugiyama, S Naito, Y Arakawa, H Ito, N Kido, M Ohta, K Sasaki
    MOLECULAR MICROBIOLOGY 36(4) 796-805 2000年5月  
    Analyses of crystals of Escherichia coli Re lipopolysaccharide (LPS) formed after storage in 1% triethylamine indicate that the LPS molecules are assembled to form a monolayered structure consisting of a novel heterogeneous lattice structure, the greater part of which is occupied by one kind of lattice (lattice I), corresponding to the acyl chain portion of lipid A, and the remainder is occupied by the other kind of lattice (lattice II), corresponding to the 3-deoxy-D-manno-octulosonic acid (dOclA) dimer and the N-acetylglucosamine disaccharide of lipid A. X-ray diffraction reveals that the type of cell is monoclinic (a = 5.53 Angstrom, b = 27.2 Angstrom, c = 6.47 Angstrom, alpha = 90 degrees, beta = 125,8 degrees, gamma = 90 degrees), Atomic force microscopy shows that crystals consist of multiple layers; the thickness of a layer corresponds to the b-axis value, and two types of surface topographies are visualized. One, regarded as the view onto the acyl chain ends, is two-dimensional arrays of oval bodies that constitute the lattice, with the lattice constants corresponding to the a and c-axes and the angle of beta (lattice I). The other, regarded as the view onto the dOclA dimers, is two-dimensional arrays of dromedary-back-like bodies that constitute the lattice with axes of 9.0 and 10.7 Angstrom and the angle of 65 degrees formed by both axes (lattice II). Based on these results, we present the molecular model of E. coli Re LPS.
  • Yagi T, Kurokawa H, Shibata N, Shibayama K, Arakawa Y
    FEMS Microbiol Lett 184(1) 53-56 2000年3月  
  • Nakamura T, Uchida S, Heijyo H, Masuda M, Takahashi H, Komatsu M, Aihara M, Kurokawa H, Shibata N, Yagi T, Arakawa Y
    Kansenshogaku Zasshi 74(2) 112-119 2000年2月  査読有り
    62歳女性の直腸腫瘍術後に細菌感染症を続発した. CTM, CZOPなどの投与にもかかわらず感染症状は改善されず, 術創部膿瘍が発生し腹膜炎も併発した. ドレナージと膿瘍の洗浄を併用する中で, 感染症状は軽快した. その後, 人工肛門造設術が施行された際に一過性に感染症を疑わせる兆候が見られたためCZOPが再度投与されたが, 明らかな感染症は出現せず, やがて, 病状も改善したので退院し, 現在は外来で経過観察中である. 膿瘍の膿培養にて, CAZに耐性 (MIC: >16μg/ml) を示す大腸菌が分離された. 本分離菌では, クラブラン酸によりCAZに対する耐性度が低下 (CVA添加によりCAZのMICが64μg/mlから≦0.13μg/mlに低下) する現象が観察されたため, 初期の段階でextended spectrum β-lactamase産生菌が疑われた. 便からも同様の耐性を示す大腸菌が分離されたため, 院内感染対策が直ちにを講じられ, ESBL産生菌の施設内拡散を阻止することができた. その後, PCR解析と遺伝子の塩基配列の決定により, このCAZ-耐性大腸菌は, ESBL (SHV-5-2a=SHV-12) 産生菌である事が確定した. 本報告は, 国内におけるSHV-型ESBL産生大腸菌による感染症例の最初の報告である. 欧米でのTEM-, SHV-型ESBL産生菌の増加や院内感染などの状況を考えた場合, 今後, 国内でもこの種の耐性菌の増加が懸念される. 緻密な感染症対策と慎重な抗菌薬療法を実施する上で, 臨床分離菌がどのような種類のβ-ラクタマーゼを産生しているかを識別することが益々重要となっている.
  • Arakawa Y, Shibata N, Shibayama K, Kurokawa H, Yagi T, Fujiwara H, Goto M
    Journal of Clinical Microbiology 38(1) 40-43 2000年1月  
  • K Kawamura-Sato, K Shibayama, T Horii, Y Iimuma, Y Arakawa, M Ohta
    FEMS MICROBIOLOGY LETTERS 179(2) 345-352 1999年10月  
    Escherichia coli chromosome encodes several multidrug transporters. Despite their protective function against antibacterial agents, the specific physiological actions of these transporters are not fully understood. E. coli produces indole, a metabolite of tryptophan, under physiological conditions. Defined inactivation of the acrEF gene, the product of which is known as an energy-dependent multiple drug efflux pump, decreased indole excretion while reintroduction of the acrEF gene restored it. A Delta acrEF mutant accumulated more intracellular indole than the parent. This mutant was more susceptible to the growth-inhibitory effect of indole than the parent. These results indicate that the AcrEF system plays a significant role in indole efflux. (C) 1999 Federation of European Microbiological Societies. Published by Elsevier Science B.V. All rights reserved.

MISC

 1124
  • 有馬 颯人, 山口 佳宏, 牛嶋 一豪, 松本 祥吾, 和知野 純一, 荒川 宜親, 黒崎 博雅
    日本生化学会大会プログラム・講演要旨集 96回 [1P-182] 2023年10月  
  • 和知野 純一, 法月 千尋, 荒川 宜親
    日本医学検査学会抄録集 72回 32-32 2023年5月  
  • 畑中 公基, 山田 景子, 武田 明, 木戸 裕勝, 佐川 美恵, 吉川 誠一, 小野 伸高, 荒川 宜親
    医学検査 71(4) 748-753 2022年10月  
    症例は60代女性。右下腿開放性骨折受傷後に脛骨慢性骨髄炎を発症した。各種抗菌薬の投与,病巣掻爬,抗菌薬含有人工骨やセメントビーズ留置が5回施行された。受傷4年6ヵ月後,慢性骨髄炎の根治目的に今回の入院となった。病巣掻爬術が施行され,嫌気性菌,ブドウ糖非発酵グラム陰性桿菌を検出。複数の抗菌薬投与の後,第45病日以降の骨周囲培養から,Staphylococcus capitis subspecies urealyticusが分離された。寒天平板希釈法および微量液体希釈法での薬剤感受性試験の結果,vancomycin(VCM),teicoplanin(TEIC),daptomycin(DAP)で高いMIC結果を得た(それぞれ4,64,2μg/mL)。DAP投与歴は無いがDAP非感性を示した。第76病日よりlinezolidの投与を開始後,解熱,白血球数低下と創部の肉眼的所見の改善が見られ,第79病日に骨周囲培養の陰性化を確認,第133病日に退院となった。本症例は受傷2年2ヵ月後にVCM含有人工骨留置を行っており,その際,高濃度のVCMに曝露されたことで細胞壁が肥厚し感受性が低下した株が選択された可能性が考えられる。本症例のように過去にVCMやTEICの局所投与歴があり,同薬に感受性が低下した菌が分離された際は,DAP投与歴が無くとも薬剤感受性試験を実施し,微生物学的有効性を推定して投薬を判断することが重要であると考えられた。(著者抄録)
  • 池田 翼, 鈴木 理史, 荒川 宜親, 木村 幸司, 金 万春, 和知野 純一
    感染症学雑誌 96(臨増) 134-134 2022年3月  
  • 荒川 宜親
    修文大学紀要 (13) 45-48 2022年3月  
    カルバペネム系抗菌薬に耐性を獲得した各種のグラム陰性菌が世界各地の医療現場で増加し,それらの多くは,カルバペネム系以外の広範囲の抗菌薬にも多剤耐性を示し,ガン患者や高度医療を受ける患者の生命予後を脅かす大きな問題になっている.そこで,多剤耐性菌感染症の治療に有用な新規化合物の開発を,AMED(日本医療研究開発機構)の支援を受けて推進している.(著者抄録)

書籍等出版物

 26

講演・口頭発表等

 107

担当経験のある科目(授業)

 1
  • 1989年 - 現在
    医学細菌学、病原細菌学、薬剤耐性菌等  (名古屋大学 [医、保健、工]、群馬大学 [医]、千葉大学 [薬]、東京薬科大学 [薬]、愛知学院大学 [歯・薬]、岐阜薬科大学 [薬]、愛知医科大学[医]、 他)

所属学協会

 6

共同研究・競争的資金等の研究課題

 32

産業財産権

 25

メディア報道

 1