基本情報
- 所属
- 藤田医科大学 医学部微生物学/医療科学部 客員教授金城学院大学 薬学部 客員教授厚生労働省 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(兼任)医学部/大学院医学系研究科 招へい教員(非常勤講師)
- 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).
The carbapenemase-inhibitor candidates that we have developed demonstrate some of the strongest inhibitory activity of any known carbapenemase inhibitors. They also have a distinctive chemical structure that differs totally from that of avibactam, taniborbactam and xeruborbactam. Our project has now reached the corporate transfer stage.
研究分野
3経歴
30-
2025年4月 - 現在
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2024年4月 - 現在
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2024年4月 - 現在
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2020年4月 - 現在
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2020年4月 - 現在
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2011年4月 - 現在
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2020年4月 - 2024年3月
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2020年4月 - 2021年3月
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2014年4月 - 2021年3月
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2011年4月 - 2020年3月
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2020年2月 - 2020年2月
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2018年 - 2019年
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2017年10月 - 2017年10月
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2012年 - 2017年
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2009年 - 2016年
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2015年 - 2015年
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2014年2月 - 2014年2月
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2013年 - 2013年
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2002年4月 - 2011年3月
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2006年 - 2010年
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2006年 - 2008年
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2007年10月 - 2007年10月
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2000年 - 2007年
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1997年4月 - 2002年3月
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1996年9月 - 1997年3月
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1996年7月 - 1997年3月
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1994年6月 - 1996年6月
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1984年11月 - 1996年6月
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1989年4月 - 1994年6月
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1983年12月 - 1984年10月
学歴
3-
1985年4月 - 1989年3月
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1984年11月 - 1985年3月
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1975年4月 - 1983年9月
委員歴
29-
2023年10月 - 現在
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2012年7月 - 現在
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2011年4月 - 現在
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2005年4月 - 現在
受賞
3論文
300-
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 31(12) 102846-102846 2025年12月Several studies have reported clinical isolates of Streptococcus mitis, Streptococcus oralis, and their related species (S. mitis/oralis group) with reduced carbapenem susceptibility. However, to date, no simple and accurate methods of detecting S. mitis/oralis group isolates with reduced carbapenem susceptibility have been reported. The meropenem ETEST misinterpreted 3 of 25 (12 %) meropenem-non-susceptible S. mitis/oralis group isolates as susceptible to meropenem. Therefore, we screened 38 disks containing 38 different β-lactams to detect S. mitis/oralis group strains with reduced carbapenem susceptibility using the disk-diffusion method. Additionally, using the agar dilution method to determine susceptibility, we identified the optimal antibiotic concentrations in agar medium to enable selective culture of meropenem-non-susceptible S. mitis/oralis group by culturing 25 meropenem-non-susceptible (meropenem minimum inhibitory concentration [MIC] >0.5 μg/mL) and 24 meropenem-susceptible (meropenem MIC ≤0.5 μg/mL) S. mitis/oralis group isolates on agar containing different concentrations of six β-lactams. Meropenem-susceptible and non-susceptible S. mitis/oralis group isolates were successfully differentiated using oxacillin- and cefoxitin-containing disks. Moreover, cefdinir-, flomoxef-, meropenem-, and doripenem-containing disks showed clear differences in the growth inhibitory zone diameter between the meropenem-susceptible and meropenem-non-susceptible S. mitis/oralis group isolates. Media containing 2 μg/mL oxacillin, 4-16 μg/mL cefoxitin, 2 μg/mL cefdinir, 2-4 μg/mL flomoxef, 0.06-0.25 μg/mL meropenem, and 0.06-0.12 μg/mL doripenem allowed selective culture of meropenem-non-susceptible S. mitis/oralis group strains. The disk-diffusion method using six β-lactam-containing disks and selective culture agar medium are the first-reported simple and accurate methods of detecting meropenem-non-susceptible S. mitis/oralis group suitable for use in clinical microbiology laboratories.
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Journal of Microbiological Methods 237 107235-107235 2025年10月 査読有り
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PloS one 20(8) e0329635 2025年INTRODUCTION: Antimicrobial resistance in Pseudomonas aeruginosa is one of the global health concerns. Like many countries, Japan monitors multidrug-resistant P. aeruginosa (MDRP) infections through a national sentinel surveillance system, which has shown a recent decline in MDRP reports. We evaluated this surveillance system to verify the validity of this trend and explore future directions. METHODS: We conducted a cross-sectional mixed-method study based mainly on the guidelines published by the United States Centers for Disease Control and Prevention in 2001. As a quantitative method, we analyzed characteristics of reports on MDRP infections from designated sentinel sites (DSSs) between 2013-2022. A questionnaire was sent to identifiable DSSs (target DSSs) requesting data on accurate numbers of MDRP infections between 2018-2022 to assess attributes such as geographical representativeness. Additionally, we conducted as a qualitative method face-to-face, semi-structured key informant interviews with surveillance system stakeholders to assess its usefulness and challenges. RESULTS: From 2013 to 2022, 1,666 cases of MDRP infections were reported by 463 target DSSs, which were scattered across the county. We obtained valid responses to the questionnaire survey from 231 target DSSs (49.9%). From 2018 to 2022, these sites reported 277 cases as MDRP infections, while 184 cases were accurate cases of MDRP infection, with both numbers declining over time. False reporting and underreporting of MDRP infections were common, resulting in a positive predictive value of 0.45 and a sensitivity of 0.65 for the reports of MDRP infections to the surveillance system. The interviews highlighted the difficulties in timely detection, accurate reporting, and international data comparison. CONCLUSION: Our evaluation indicated that the current sentinel surveillance system for MDRP infections partially captured the true decreasing trend in Japan. However, as the epidemiology of drug-resistant P. aeruginosa is changing, national policy and surveillance strategies would need to address changing public health needs.
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Antimicrobial Agents and Chemotherapy 68(4) e0117923 2024年4月3日 査読有りABSTRACT Streptococcus mitis/oralis group isolates with reduced carbapenem susceptibility have been reported, but its isolation rate in Japan is unknown. We collected 356 clinical α-hemolytic streptococcal isolates and identified 142 of them as S. mitis/oralis using partial sodA sequencing. The rate of meropenem non-susceptibility was 17.6% (25/142). All 25 carbapenem-non-susceptible isolates harbored amino acid substitutions in/near the conserved motifs in PBP1A, PBP2B, and PBP2X. Carbapenem non-susceptibility is common among S. mitis/oralis group isolates in Japan.
MISC
1124-
医学検査 71(4) 748-753 2022年10月
書籍等出版物
27講演・口頭発表等
108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-
日本医療研究開発機構(AMED) 創薬支援推進事業・創薬総合支援事業 2022年4月 - 2025年3月
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日本医療研究開発機構(AMED) 創薬支援推進事業 2020年4月 - 2022年3月
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日本医療研究開発機構(AMED) 創薬総合支援事業 2017年1月 - 2019年12月
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日本医療研究開発機構(AMED) 感染症実用化研究事業 2016年4月 - 2019年3月
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日本医療研究開発機構(AMED) 感染症研究国際展開戦略プログラム(J-GRID) 2015年10月 - 2018年3月