医学部

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
  • Jayathilake Sarangi, Ayaka Ido, Masaya Ito, Chihiro Iinuma, Yo Doyama, Wanchun Jin, Jun-ichi Wachino, Masahiro Suzuki, Mitsutaka Iguchi, Tetsuya Yagi, Yoshichika Arakawa, Kouji Kimura
    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.
  • Jun-ichi Wachino, Wanchun Jin, Chihiro Norizuki, Kouji Kimura, Motonori Tsuji, Hiromasa Kurosaki, Yoshichika Arakawa
    Microbiology Spectrum 12(3) e0234423 2024年2月5日  
    The number and type of metallo-β-lactamase (MΒL) are increasing over time. Carbapenem resistance conferred by MΒL is a significant threat to our antibiotic regimen, and the development of MΒL inhibitors is urgently required to restore carbapenem efficacy. Microbial natural products have served as important sources for developing antimicrobial agents targeting pathogenic bacteria since the discovery of antibiotics in the mid-20th century. MΒL inhibitors derived from microbial natural products are still rare compared to those derived from chemical compound libraries. Hydroxyhexylitaconic acids (HHIAs) produced by members of the genus Aspergillus have potent inhibitory activity against clinically relevant IMP-type MBL. HHIAs may be good lead compounds for the development of MBL inhibitors applicable for controlling carbapenem resistance in IMP-type MBL-producing Enterobacterales .
  • Natsumi Nakashima, Wanchun Jin, Jun-ichi Wachino, Shinobu Koyama, Kiyoko Tamai, Yoshichika Arakawa, Kouji Kimura
    Japanese Journal of Infectious Diseases 2024年1月31日  
    All clinical isolates of Streptococcus dysgalactiae subsp. equisimilis (SDSE) are considered susceptible to β-lactams, the first-line drugs used for SDSE infections. However, penicillin-non-susceptible SDSE has been reported from Denmark. In this study, we attempted to detect β-lactam-non-susceptible clinical isolates of SDSE in Japan. One hundred and fifty clinical isolates of S. dysgalactiae were collected in 2018, and species identification was performed using Rapid ID Strep API. The minimum inhibitory concentrations (MIC) of six β-lactams (penicillin G, oxacillin, ceftizoxime, ceftibuten, cefoxitin, and cefaclor) were determined for 85 clinical isolates of SDSE using the agar dilution method standardized by the Clinical Laboratory Standards Institute. For the 85 isolates identified as SDSE, the MIC ranges of penicillin G, oxacillin, ceftizoxime, ceftibuten, cefoxitin, and cefaclor were 0.007-0.06, 0.03-0.12, 0.015-0.06, 0.25-2, 0.12-2, and 0.06-0.5 μg/mL, respectively. None of the clinical isolates were non-susceptible to penicillin G, indicating that all 85 clinical isolates of SDSE were susceptible to β-lactams. Our findings indicate that almost all clinical isolates of SDSE in several prefectures of Japan remain susceptible to β-lactams. Nevertheless, there remains a need for continuous and careful monitoring of drug susceptibility among clinical isolates of SDSE in Japan.
  • Rikuko Goto, Wanchun Jin, Jun-Ichi Wachino, Yoshichika Arakawa, Kouji Kimura
    Diagnostic microbiology and infectious disease 105(3) 115881-115881 2023年3月  
    We used 73 group B Streptococcus with reduced penicillin susceptibility (PRGBS) isolates and determined more rational cutoff values of previously developed disk diffusion method for detecting PRGBS using oxacillin, ceftizoxime, and ceftibuten disks. Using the novel cutoff values, the three disks showed high sensitivity and specificity, which were above 90.0%.
  • Yusuke Tsuda, Masahiro Suzuki, Jun-ichi Wachino, Kouji Kimura, Yoshichika Arakawa
    Journal of Microbiological Methods 204 106645-106645 2023年1月  

MISC

 1123
  • 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