Updated on 2025/02/27

写真a

 
IWATA Kuniyuki
 
Organization
Nagoya University Hospital Psychiatry for Parents and Children Assistant Professor
Title
Assistant Professor
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Degree 2

  1. 学士(医学) ( 2010.3   名古屋大学 ) 

  2. Doctor (Medicine) ( 2019.3   Nagoya University ) 

Research Interests 1

  1. 老年精神、認知症、神経心理学

Research History 3

  1. Nagoya University   Nagoya University Hospital Psychiatry for Parents and Children   Assistant Professor

    2024.11

  2. Nagoya University   Nagoya University Hospital Psychiatry   Assistant professor of hospital

    2024.4 - 2024.10

  3. Nagoya University   Nagoya University Hospital Clinical Oncology and Chemotherapy   Assistant professor of hospital

    2023.10 - 2024.3

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Education 2

  1. Nagoya University

    2015.4 - 2019.3

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    Country: Japan

  2. Nagoya University

    2015.4 - 2019.3

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    Country: Japan

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Papers 13

  1. Late-onset delusional disorder as psychiatric-onset dementia with Lewy bodies: a longitudinal follow-up study

    Suzuki, K; Iwata-Endo, K; Suzuki, K; Fujishiro, H

    ASIAN JOURNAL OF PSYCHIATRY   Vol. 102   page: 104274   2024.12

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    Language:English   Publisher:Asian Journal of Psychiatry  

    DOI: 10.1016/j.ajp.2024.104274

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  2. Clinical presentations and diagnostic application of proposed biomarkers in psychiatric-onset prodromal dementia with Lewy bodies Reviewed

    Kobayashi, R; Iwata-Endo, K; Fujishiro, H

    PSYCHOGERIATRICS   Vol. 24 ( 4 ) page: 1004 - 1022   2024.7

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

    Research criteria for the diagnosis of prodromal dementia with Lewy bodies (DLB) include three clinical subtypes: mild cognitive impairment with Lewy bodies (MCI-LB), delirium-onset prodromal DLB, and psychiatric-onset prodromal DLB. Late-onset psychiatric manifestations are at a higher risk of developing dementia, but its relation to prodromal DLB remains unclear. In addition to the risk of severe antipsychotic hypersensitivity reactions, accurate discrimination from non-DLB cases is important due to the potential differences in management and prognosis. This article aims to review a rapidly evolving psychiatric topic and outline clinical pictures of psychiatric-onset prodromal DLB, including the proposed biomarker findings of MCI-LB: polysomnography-confirmed rapid eye movement sleep behaviour disorder, cardiac [123I]metaiodobenzylguanidine scintigraphy, and striatal dopamine transporter imaging. We first reviewed clinical pictures of patients with autopsy-confirmed DLB. Regarding clinical reports, we focused on the patients who predominantly presented with psychiatric manifestations and subsequently developed DLB. Thereafter, we reviewed clinical studies regarding the diagnostic applications of the proposed biomarkers to patients with late-onset psychiatric disorders. Clinical presentations were mainly late-onset depression and psychosis; however, other clinical manifestations were also reported. Psychotropic medications before a DLB diagnosis may cause extrapyramidal signs, and potentially influences the proposed biomarker findings. These risks complicate clinical manifestation interpretation during the management of psychiatric symptoms. Longitudinal follow-up studies with standardised evaluations until conversion to DLB are needed to investigate the temporal trajectories of core features and proposed biomarker findings. In patients with late-onset psychiatric disorders, identification of patients with psychiatric-onset prodromal DLB provides the opportunity to better understanding the distinct prognostic subgroup that is at great risk of incident dementia. Advances in the establishment of direct biomarkers for the detection of pathological α-synuclein may encourage reorganising the phenotypic variability of prodromal DLB.

    DOI: 10.1111/psyg.13147

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  3. Stress-impaired reward pathway promotes distinct feeding behavior patterns

    Fujioka, Y; Kawai, K; Endo, K; Ishibashi, M; Iwade, N; Tuerde, D; Kaibuchi, K; Yamashita, T; Yamanaka, A; Katsuno, M; Watanabe, H; Sobue, G; Ishigaki, S

    FRONTIERS IN NEUROSCIENCE   Vol. 18   page: 1349366   2024.5

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    Language:English   Publisher:Frontiers in Neuroscience  

    Although dietary behaviors are affected by neuropsychiatric disorders, various environmental conditions can have strong effects as well. We found that mice under multiple stresses, including social isolation, intermittent high-fat diet, and physical restraint, developed feeding behavior patterns characterized by a deviated bait approach (fixated feeding). All the tested stressors affected dopamine release at the nucleus accumbens (NAcc) shell and dopamine normalization reversed the feeding defects. Moreover, inhibition of dopaminergic activity in the ventral tegmental area that projects into the NAcc shell caused similar feeding pattern aberrations. Given that the deviations were not consistently accompanied by changes in the amount consumed or metabolic factors, the alterations in feeding behaviors likely reflect perturbations to a critical stress-associated pathway in the mesolimbic dopamine system. Thus, deviations in feeding behavior patterns that reflect reward system abnormalities can be sensitive biomarkers of psychosocial and physical stress.

    DOI: 10.3389/fnins.2024.1349366

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  4. レビー小体型認知症の前駆症状 Invited

    岩田(遠藤)邦幸, 藤城弘樹

    老年精神医学雑誌   Vol. 33 ( 5 ) page: 419 - 428   2022.5

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    Authorship:Lead author   Language:Japanese   Publishing type:Research paper (scientific journal)  

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  5. Aberrant interaction between FUS and SFPQ in neurons in a wide range of FTLD spectrum diseases

    Ishigaki, S; Riku, Y; Fujioka, Y; Endo, K; Iwade, N; Kawai, K; Ishibashi, M; Yokoi, S; Katsuno, M; Watanabe, H; Mori, K; Akagi, A; Yokota, O; Terada, S; Kawakami, I; Suzuki, N; Warita, H; Aoki, M; Yoshida, M; Sobue, G

    BRAIN   Vol. 143 ( 8 ) page: 2398 - 2405   2020.8

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    Language:English   Publisher:Brain  

    Fused in sarcoma (FUS) is genetically and clinicopathologically linked to frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS). We have previously reported that intranuclear interactions of FUS and splicing factor, proline- and glutamine-rich (SFPQ) contribute to neuronal homeostasis. Disruption of the FUS-SFPQ interaction leads to an increase in the ratio of 4-repeat tau (4R-tau)/3-repeat tau (3R-tau), which manifests in FTLD-like phenotypes in mice. Here, we examined FUS-SFPQ interactions in 142 autopsied individuals with FUS-related ALS/FTLD (ALS/FTLD-FUS), TDP-43-related ALS/FTLD (ALS/FTLD-TDP), progressive supranuclear palsy, corticobasal degeneration, Alzheimer's disease, or Pick's disease as well as controls. Immunofluorescent imaging showed impaired intranuclear co-localization of FUS and SFPQ in neurons of ALS/FTLD-FUS, ALS/ FTLD-TDP, progressive supranuclear palsy and corticobasal degeneration cases, but not in Alzheimer's disease or Pick's disease cases. Immunoprecipitation analyses of FUS and SFPQ revealed reduced interactions between the two proteins in ALS/FTLD-TDP and progressive supranuclear palsy cases, but not in those with Alzheimer disease. Furthermore, the ratio of 4R/3R-tau was elevated in cases with ALS/FTLD-TDP and progressive supranuclear palsy, but was largely unaffected in cases with Alzheimer disease. We concluded that impaired interactions between intranuclear FUS and SFPQ and the subsequent increase in the ratio of 4R/ 3R-tau constitute a common pathogenesis pathway in FTLD spectrum diseases.

    DOI: 10.1093/brain/awaa196

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  6. Silencing of FUS in the common marmoset (Callithrix jacchus) brain via stereotaxic injection of an adeno-associated virus encoding shRNA Invited Reviewed

    Kuniyuki Endo, Shinsuke Ishigaki, Yoshito Masamizu, Yusuke Fujioka, Akiya Watakabe, Tetsuo Yamamori, Nobuhiko Hatanaka, Atsushi Nambu, Haruo Okado, Masahisa Katsuno, Hirohisa Watanabe, Masanori Matsuzaki, Gen Sobue

    Neurosci Res   Vol. 130   page: 56 - 64   2018.5

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    Authorship:Lead author   Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1016/j.neures.2017.08.006

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  7. 体位性頻脈症候群を呈し、右延髄背側病変が責任病巣と考えられた一次性進行型多発性硬化症の1例 Reviewed

    遠藤邦幸, 長谷川康博, 安井敬三, 勝野雅央, 高橋昭

    自律神経   Vol. 55 ( 1 ) page: 53 - 58   2018.3

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    Authorship:Lead author   Language:Japanese   Publishing type:Research paper (scientific journal)  

  8. Silencing of FUS in the brain of non-human primates via stereotaxic injection of an adeno-associated virus encoding shRNA

    Endo, K; Ishigaki, S; Fujioka, Y; Watanabe, H; Masahisa, K; Sobue, G

    JOURNAL OF THE NEUROLOGICAL SCIENCES   Vol. 381   page: 324 - 324   2017.10

  9. Altered Tau Isoform Ratio Caused by Loss of FUS and SFPQ Function Leads to FTLD-like Phenotypes

    Ishigaki, S; Fujioka, Y; Okada, Y; Riku, Y; Udagawa, T; Honda, D; Yokoi, S; Endo, K; Ikenaka, K; Takagi, S; Iguchi, Y; Sahara, N; Takashima, A; Okano, H; Yoshida, M; Warita, H; Aoki, M; Watanabe, H; Okado, H; Katsuno, M; Sobue, G

      Vol. 18 ( 5 ) page: 1118 - 1131   2017.1

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    Language:English   Publisher:Cell Reports  

    Fused in sarcoma (FUS) and splicing factor, proline- and glutamine-rich (SFPQ) are RNA binding proteins that regulate RNA metabolism. We found that alternative splicing of the Mapt gene at exon 10, which generates 4-repeat tau (4R-T) and 3-repeat tau (3R-T), is regulated by interactions between FUS and SFPQ in the nuclei of neurons. Hippocampus-specific FUS- or SFPQ-knockdown mice exhibit frontotemporal lobar degeneration (FTLD)-like behaviors, reduced adult neurogenesis, accumulation of phosphorylated tau, and hippocampal atrophy with neuronal loss through an increased 4R-T/3R-T ratio. Normalization of this increased ratio by 4R-T-specific silencing results in recovery of the normal phenotype. These findings suggest a biological link among FUS/SFPQ, tau isoform alteration, and phenotypic expression, which may function in the early pathomechanism of FTLD.

    DOI: 10.1016/j.celrep.2017.01.013

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  10. Active brain changes after initiating fingolimod therapy in multiple sclerosis patients using individual voxel-based analyses for diffusion tensor imaging

    Senda, J; Watanabe, H; Endo, K; Yasui, K; Hawsegawa, Y; Yoneyama, N; Tsuboi, T; Hara, K; Ito, M; Atsuta, N; Epifanio, B; Katsuno, M; Naganawa, S; Sobue, G

    Nagoya Journal of Medical Science   Vol. 78 ( 4 ) page: 455 - 463   2016.11

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Nagoya Journal of Medical Science  

    Voxel-based analysis (VBA) of diffusion tensor images (DTI) and voxel-based morphometry (VBM) in patients with multiple sclerosis (MS) can sensitively detect occult tissue damage that underlies pathological changes in the brain. In the present study, both at the start of fingolimod and post-four months clinical remission, we assessed four patients with MS who were evaluated with VBA of DTI, VBM, and fluid-attenuated inversion recovery (FLAIR). DTI images for all four patients showed widespread areas of increased mean diffusivity (MD) and decreased fractional anisotropy (FA) that were beyond the highintensity signal areas across images. After four months of continuous fingolimod therapy, DTI abnormalities progressed; in particular, MD was significantly increased, while brain volume and high-intensity signals were unchanged. These findings suggest that VBA of DTI (e.g., MD) may help assess MS demyelination as neuroinflammatory conditions, even though clinical manifestations of MS appear to be in complete remission during fingolimod.

    DOI: 10.18999/nagjms.78.4.455

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  11. Acute Ischemic Stroke Patients: An Effect of Mechanical Thrombectomy Reviewed

    Surg Cereb Stroke   Vol. 44 ( 1 ) page: 43 - 48   2016.1

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

    DOI: 10.2335/scs.44.43

  12. Content analysis of medical students' seminars: A unique method of analyzing clinical thinking

    Takata Y., Stein G.H., Endo K., Arai A., Kohsaka S., Kitano Y., Honda H., Kitazono H., Tokunaga H., Tokuda Y., Obika M., Miyoshi T., Kataoka H., Terasawa H.

    BMC Medical Education   Vol. 13 ( 1 )   2013.12

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    Publisher:BMC Medical Education  

    Background: The study of communication skills of Asian medical students during structured Problem-based Learning (PBL) seminars represented a unique opportunity to assess their critical thinking development. This study reports the first application of the health education technology, content analysis (CA), to a Japanese web-based seminar (webinar). Methods. The authors assigned twelve randomly selected medical students from two universities and two clinical instructors to two virtual classrooms for four PBL structured tutoring sessions that were audio-video captured for CA. Both of the instructors were US-trained physicians. This analysis consisted of coding the students' verbal comments into seven types, ranging from trivial to advanced knowledge integration comments that served as a proxy for clinical thinking. Results: The most basic level of verbal simple responses accounted for a majority (85%) of the total students' verbal comments. Only 15% of the students' comments represented more advanced types of critical thinking. The male students responded more than the female students; male students attending University 2 responded more than male students from University 1. The total mean students' verbal response time for the four sessions with the male instructor was 6.9%; total mean students' verbal response time for the four sessions with the female instructor was 19% (p < 0.05). Conclusions: This report is the first to describe the application of CA to a multi-university real time audio and video PBL medical student clinical training webinar in two Japanese medical schools. These results are preliminary, mostly limited by a small sample size (n = 12) and limited time frame (four sessions). CA technology has the potential to improve clinical thinking for medical students. This report may stimulate improvements for implementation. © 2013 Takata et al.; licensee BioMed Central Ltd.

    DOI: 10.1186/1472-6920-13-156

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  13. Effect of Tamsulosin on Bladder Microcirculation in Rat Model of Bladder Outlet Obstruction Using Pencil Lens Charge-coupled Device Microscopy System

    Mine, S; Yamamoto, T; Mizuno, H; Endo, K; Matsukawa, Y; Funahashi, Y; Kato, M; Hattori, R; Gotoh, M

    UROLOGY   Vol. 81 ( 1 ) page: 155 - 159   2013.1

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    Language:English   Publisher:Urology  

    Objective: To determine the effect of tamsulosin hydrochloride on blood flow in the submucosal capillaries of the bladder (SCB) in a rat model of bladder outlet obstruction (BOO) using a pencil lens charge-coupled device microscopy system. Materials and Methods: BOO was established in rats by partial ligature of the proximal urethra and was maintained for 2 weeks. Tamsulosin or saline (control) was subcutaneously administered using an osmotic pump for 2 weeks immediately after surgery. The pencil lens charge-coupled device microscopy system was used to visualize the bladder microcirculation and quantitatively assess the blood flow in the SCB by measuring the velocity of the blood flow at the base and dome of the bladder. The blood flow in the SCB of the sham-operated rats, control BOO rats, and tamsulosin-treated BOO rats was compared. Results: The blood flow in the SCB was significantly greater at the base than at the dome of the bladder. The reduction in blood flow through the SCB at the base and dome of the bladder was more significant in the BOO rats than in the sham-operated rats. However, after pretreatment with tamsulosin, the BOO rats showed a significant increase in blood flow through the SCB at the base and dome of the bladder compared with that of the control rats. The pencil lens charge-coupled device microscopy system image showed that the BOO rats had chronic ischemic capillary injury, which was ameliorated by tamsulosin. Conclusion: The results of the present study suggest that tamsulosin hydrochloride protects the SCB from ischemic injury after BOO. © 2013 Elsevier Inc. All Rights Reserved.

    DOI: 10.1016/j.urology.2012.09.008

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Presentations 8

  1. レカネマブ投与の適応確認に要する期間等についての調査と検討

    岩田邦幸, 吉田毅史,渡邉文武, 小川周二, 水野裕

    第43回日本認知症学会学術集会  2024.11.21  日本認知症学会

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    Event date: 2024.11

    Language:Japanese  

    Venue:郡山   Country:Japan  

  2. 遅発性妄想症の経過とDLBの指標的バイオマーカーの有用性

    岩田邦幸, 吉田 毅史, 中西健太, 藤城弘樹, 小川周二, 水野裕, 鈴木國文

    第43回日本認知症学会学術集会  2024.11.22  日本認知症学会

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    Event date: 2024.11

    Language:Japanese  

    Venue:郡山   Country:Japan  

  3. 精神症状を呈する神経疾患を通して精神科と脳神経内科の壁を考える

    岩田邦幸, 宮嶋真理, 藤城弘樹

    第120回日本精神神経学会  2024.6.21  日本精神神経学会

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    Event date: 2024.6

    Language:Japanese   Presentation type:Symposium, workshop panel (public)  

    Venue:札幌   Country:Japan  

  4. PDD/DLBからみた疾患スペクトラム

    岩田邦幸, 藤城弘樹

    第38回日本老年精神医学会秋季大会  2023.10.13  布村明彦

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    Event date: 2023.10

    Language:Japanese   Presentation type:Symposium, workshop panel (public)  

    Venue:東京   Country:Japan  

  5. Therapeutics for FTLD using antisense oligonucleotide targeting tau isoforms.

    Kuniyuki Endo, Kentaro Sahashi, Kaori Kawai, Yusuke Fujioka, Masahisa Katsuno, Gen Sobue, Shinsuke Ishigaki

    2022.11.26 

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    Event date: 2022.11

    Language:English   Presentation type:Poster presentation  

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  6. Identification of antisense oligonucleotides that regulate splicing of tau proteins and their potential therapeutic applications

    Kuniyuki Endo, Kentaro Sahashi, Kaori Kawai, Yusuke Fujioka, Masahisa Katsuno, Gen Sobue, Shinsuke Ishigaki

    NEURO2022  2022.6.30 

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    Event date: 2022.6 - 2022.7

    Language:English   Presentation type:Poster presentation  

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  7. 高齢者の軽微な行動変容をどう捉えるか~認知症前駆段階の多様性 Psychiatric onset prodromal DLBの観点から

    藤城 弘樹, 岩田 邦幸

    第118回日本精神神経学会  2022.6.17  川嵜弘詔

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    Event date: 2022.6

    Language:Japanese   Presentation type:Symposium, workshop panel (public)  

    Venue:福岡   Country:Japan  

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  8. 進行期レビー小体型認知症の難治性疼痛などの非運動症状に対して修正型電気けいれん療法が奏効した1例

    岩田 邦幸, 関口 裕孝, 近藤 怜苑, 西山 扶, 今枝 美穂, 藤城 弘樹, 尾崎 紀夫

    第179回東海精神神経学会  2021.1.17 

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    Event date: 2021.1

    Language:Japanese   Presentation type:Oral presentation (general)  

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Teaching Experience (On-campus) 1

  1. がんを知る、がんを治す(臨床腫瘍学入門)

    2023

Teaching Experience (Off-campus) 1

  1. がんを知る、がんを治す(臨床腫瘍学入門)

    2023 Nagoya University)

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    Level:Undergraduate (specialized)  Country:Japan

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