2024/12/02 更新

写真a

イワタ クニユキ
岩田 邦幸
IWATA Kuniyuki
所属
医学部附属病院 親と子どもの心療科 助教
職名
助教
外部リンク

学位 2

  1. 学士(医学) ( 2010年3月   名古屋大学 ) 

  2. 博士(医学) ( 2019年3月   名古屋大学 ) 

研究キーワード 1

  1. 老年精神、認知症、神経心理学

経歴 2

  1. 名古屋大学   医学部附属病院 精神科   病院助教

    2024年4月 - 現在

  2. 名古屋大学   医学部附属病院 化学療法部   病院助教

    2023年10月 - 2024年3月

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学歴 2

  1. 名古屋大学   医学系研究科   総合医学専攻脳神経病態学神経内科学

    2015年4月 - 2019年3月

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    国名: 日本国

  2. 名古屋大学   医学系研究科   総合医学専攻脳神経病態学神経内科学

    2015年4月 - 2019年3月

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    国名: 日本国

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論文 11

  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   102 巻   頁: 104274   2024年12月

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    記述言語:英語   出版者・発行元: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 査読有り

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

    PSYCHOGERIATRICS   24 巻 ( 4 ) 頁: 1004 - 1022   2024年7月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元: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   18 巻   頁: 1349366   2024年5月

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    記述言語:英語   出版者・発行元: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 招待有り

    岩田(遠藤)邦幸, 藤城弘樹

    老年精神医学雑誌   33 巻 ( 5 ) 頁: 419 - 428   2022年5月

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    担当区分:筆頭著者   記述言語:日本語   掲載種別:研究論文(学術雑誌)  

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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   143 巻 ( 8 ) 頁: 2398 - 2405   2020年8月

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    記述言語:英語   出版者・発行元: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 <i>(Callithrix jacchus) </i>brain via stereotaxic injection of an adeno-associated virus encoding shRNA 招待有り 査読有り

    Endo, K; Ishigaki, S; Masamizu, Y; Fujioka, Y; Watakabe, A; Yamamori, T; Hatanaka, N; Nambu, A; Okado, H; Katsuno, M; Watanabe, H; Matsuzaki, M; Sobue, G

    NEUROSCIENCE RESEARCH   130 巻   頁: 56 - 64   2018年5月

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    担当区分:筆頭著者   記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:Neuroscience Research  

    Fused in sarcoma (FUS) is an RNA binding protein that is involved in frontotemporal lobar degeneration (FTLD) and amyotrophic lateral sclerosis (ALS). To establish the common marmoset (Callithrix jacchus) as a model for FTLD, we generated a stereotaxic injection-based marmoset model of FUS-silencing. We designed shRNAs against the marmoset FUS gene and generated an AAV9 virus encoding the most effective shRNA against FUS (shFUS). The AAV encoding shFUS (AAV-shFUS) was introduced into the frontal cortex of young adult marmosets, whereas AAV encoding a control shRNA was injected into the contralateral side. We obtained approximately 70–80% silencing of FUS following AAV-shFUS injection. Interestingly, FUS-silencing provoked a proliferation of astrocytes and microglias. Since FTLD is characterized by various emotional deficits, it would be helpful to establish a marmoset model of FUS-silencing in various brain tissues for investigating the pathomechanism of higher cognitive and behavioral dysfunction.

    DOI: 10.1016/j.neures.2017.08.006

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  7. 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   381 巻   頁: 324 - 324   2017年10月

  8. 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

    CELL REPORTS   18 巻 ( 5 ) 頁: 1118 - 1131   2017年1月

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    記述言語:英語   出版者・発行元: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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  9. 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   78 巻 ( 4 ) 頁: 455 - 463   2016年11月

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    記述言語:英語   出版者・発行元: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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  10. 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   13 巻 ( 1 )   2013年12月

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    出版者・発行元: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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  11. 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   81 巻 ( 1 ) 頁: 155 - 159   2013年1月

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    記述言語:英語   出版者・発行元: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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▼全件表示

講演・口頭発表等 5

  1. 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年10月13日  布村明彦

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    開催年月日: 2023年10月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    開催地:東京   国名:日本国  

  2. 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年6月17日  川嵜弘詔

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    開催年月日: 2022年6月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    開催地:福岡   国名:日本国  

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  3. 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年6月17日  川嵜弘詔

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    開催年月日: 2022年6月

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(公募)  

    開催地:福岡   国名:日本国  

  4. 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年1月17日 

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    開催年月日: 2021年1月

    記述言語:日本語   会議種別:口頭発表(一般)  

    国名:日本国  

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  5. 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年1月17日 

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    開催年月日: 2021年1月

    記述言語:日本語   会議種別:口頭発表(一般)  

    国名:日本国  

 

担当経験のある科目 (本学) 1

  1. がんを知る、がんを治す(臨床腫瘍学入門)

    2023

担当経験のある科目 (本学以外) 1

  1. がんを知る、がんを治す(臨床腫瘍学入門)

    2023年 名古屋大学)

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    科目区分:学部専門科目  国名:日本国

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