Yamaguchi, Shintaro

写真a

Affiliation

School of Medicine, Medical Education Center (Shinanomachi)

Position

Associate Professor (Non-tenured)

Career 【 Display / hide

  • 1999.04
    -
    2005.03

    Keio university school of medicine

  • 2009.04
    -
    2013.03

    Keio university school of medicine

  • 2014.10
    -
    2017.03

    Washington university school of medicine

Academic Background 【 Display / hide

  • 2005.03

    慶應義塾大学, 医学部

    Graduated

  • 2013.03

    慶應義塾大学, 医学研究科大学院博士課程

    Graduated

Academic Degrees 【 Display / hide

  • 医学博士, 慶應義塾大学, 2013.03

Licenses and Qualifications 【 Display / hide

  • 日本内科学会総合内科専門医・指導医, 2008

  • 日本腎臓学会専門医・指導医, 2013

  • 日本内分泌学会専門医, 2017

  • 日本透析医学会専門医

  • 日本糖尿病学会専門医, 2023.12

 

Research Areas 【 Display / hide

  • Life Science / Metabolism and endocrinology (インスリン抵抗性、NAD合成系)

 

Papers 【 Display / hide

  • Adipose tissue NAD+ biosynthesis is required for regulating adaptive thermogenesis and whole-body energy homeostasis in mice.

    Yamaguchi S, Franczyk MP, Chondronikola M, Qi N, Gunawardana SC, Stromsdorfer KL, Porter LC, Wozniak DF, Sasaki Y, Rensing N, Wong M, Piston DW, Klein S, Yoshino J.

    Proc Natl Acad Sci U S A. (Proceedings of the National Academy of Sciences of the United States of America)  116 ( 47 ) 23822 - 23828 2019.11

    Research paper (scientific journal), Joint Work, Lead author, Accepted,  ISSN  00278424

     View Summary

    © 2019 National Academy of Sciences. All rights reserved. Nicotinamide adenine dinucleotide (NAD+) is a critical coenzyme for cellular energy metabolism. The aim of the present study was to determine the importance of brown and white adipose tissue (BAT and WAT) NAD+ metabolism in regulating whole-body thermogenesis and energy metabolism. Accordingly, we generated and analyzed adipocyte-specific nicotinamide phosphoribosyltransferase (Nampt) knockout (ANKO) and brown adipocyte-specific Nampt knockout (BANKO) mice because NAMPT is the rate-limiting NAD+ biosynthetic enzyme. We found ANKO mice, which lack NAMPT in both BAT and WAT, had impaired gene programs involved in thermogenesis and mitochondrial function in BAT and a blunted thermogenic (rectal temperature, BAT temperature, and whole-body oxygen consumption) response to acute cold exposure, prolonged fasting, and administration of β-adrenergic agonists (norepinephrine and CL-316243). In addition, the absence of NAMPT in WAT markedly reduced adrenergic-mediated lipolytic activity, likely through inactivation of the NAD+–SIRT1–caveolin-1 axis, which limits an important fuel source fatty acid for BAT thermogenesis. These metabolic abnormalities were rescued by treatment with nicotinamide mononucleotide (NMN), which bypasses the block in NAD+ synthesis induced by NAMPT deficiency. Although BANKO mice, which lack NAMPT in BAT only, had BAT cellular alterations similar to the ANKO mice, BANKO mice had normal thermogenic and lipolytic responses. We also found NAMPT expression in supraclavicular adipose tissue (where human BAT is localized) obtained from human subjects increased during cold exposure, suggesting our finding in rodents could apply to people. These results demonstrate that adipose NAMPT-mediated NAD+ biosynthesis is essential for regulating adaptive thermogenesis, lipolysis, and whole-body energy metabolism.

  • Intestinal epithelial NAD + biosynthesis regulates GLP-1 production and postprandial glucose metabolism in mice.

    Nagahisa T, Yamaguchi S, Kosugi S, Homma K, Miyashita K, Irie J, Yoshino J, Itoh H

    Endocrinology  2022.02

    Corresponding author, Accepted,  ISSN  0013-7227

  • Diurnal variation in PDK4 expression is associated with plasma free fatty acid availability in people.

    Shintaro Yamaguchi, Anna C Moseley, Paloma Almeda-Valdes Kelly L Stromsdorfer, Michael P Franczyk, Adewole L Okunade,Bruce W Patterson, Samuel Klein, Jun Yoshino

    J Clin Endocrinol Metab. (Journal of Clinical Endocrinology and Metabolism)  103 ( 3 ) 1068 - 1076 2018.03

    Research paper (scientific journal), Joint Work, Lead author, Accepted,  ISSN  0021972X

     View Summary

    Copyright © 2018 Endocrine Society. Context: Many biological pathways involved in regulating substrate metabolism display rhythmic oscillation patterns. In rodents, clock genes regulate circadian rhythms of metabolic genes and substrate metabolism. However, the interrelationships among substrate metabolism, metabolic genes, and clock genes have not been fully explored in people. Objective: We tested the hypothesis that the diurnal expression pattern of pyruvate dehydrogenase kinase 4 (PDK4), a key metabolic enzyme involved in fuel switching between glucose and free fatty acids (FFAs), is associated with plasma FFA concentration and clock genes. Design and Methods: We analyzed peripheral blood mononuclear cells (PBMCs), subcutaneous adipose tissue, and plasma samples obtained serially during 24 hours from metabolically healthy women (n = 10) and evaluated the interrelationships among PDK4, plasma FFA, and clock genes. We also determined the potential mechanisms responsible for PDK4 transcriptional regulation by using primary human PBMCs and adipocytes. Results: We found that PDK4 diurnal expression patterns were similar in PBMCs and adipose tissue (r = 0.84, P, 0.001). The diurnal variation in PBMC PDK4 expression correlated more strongly with plasma FFA and insulin (r 5 0.86 and 0.63, respectively, both P, 0.001) concentrations than clock genes. Data obtained from primary culture experiments demonstrated that FFAs directly induced PDK4 gene expression, at least in part through activation of peroxisome proliferator-activated receptor a. Conclusions: Our results suggest that plasma FFA availability is an important regulator of diurnal expression patterns of PDK4, and we identify a novel interaction between plasma FFA and cellular diurnal rhythms in regulating substrate metabolism.

  • Adipose tissue NAD(+) biology in obesity and insulin resistance: From mechanism to therapy

    Shintaro Yamaguchi, Jun Yoshino

    BIOESSAYS 39 ( 5 )  2017.05

    Research paper (scientific journal), Joint Work, Lead author,  ISSN  0265-9247

  • NAMPT-Mediated NAD(+) Biosynthesis in Adipocytes Regulates Adipose Tissue Function and Multi-organ Insulin Sensitivity in Mice

    Stromsdorfer, Kelly L., Yamaguchi, Shintaro*(*Co-first author), Yoon, Myeong Jin, Moseley, Anna C., Franczyk, Michael P., Kelly, Shannon C., Qi, Nathan, Imai, Shin-ichiro, Yoshino, Jun

    CELL REPORTS 16 ( 7 ) 1851 - 1860 2016.08

    Research paper (scientific journal), Joint Work, Lead author,  ISSN  2211-1247

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Papers, etc., Registered in KOARA 【 Display / hide

Reviews, Commentaries, etc. 【 Display / hide

  • 老化関連疾患における NAD⁺合成系・ミトコン ドリアサーチュン SIRT3 の生理学的重要性と治療標的としての可能性.

    山口慎太郎、吉野純

    日本臨床  2016

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

  • ヒトにおける概日リズムとインスリン感受性制 御機構のクロストーク.

    山口慎太郎、吉野純

     2016

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

  • 老化関連疾患におけるNAD+合成系の役割と創薬標的としての可能性

    山口 慎太郎,吉野 純

    生化学  2015

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

  • 超高齢社会日本におけるNAD+生物学トランスレーショナル研究の意義と可能性

    山口 慎太郎, 伊藤 裕, 吉野 純

    日本老年医学会雑誌 ((一社)日本老年医学会)  57 ( 3 ) 213 - 223 2020.07

    ISSN  0300-9173

     View Summary

    老化・加齢は癌,糖尿病,アルツハイマー病などの種々の疾患の最も重要な危険因子として知られている.未曾有の超高齢社会にある我が国において,高齢者の健康寿命の延伸を図る新しい方法論の開発は喫緊の課題であると言える.Nicotinamide adenine dinucleotide NAD+は,約110年前に発見された古典的な補酵素として知られている.言わばルネッサンスを迎えた近年のNAD+生物学研究の爆発的な展開により,ヒトを含めた哺乳動物において,老化に伴うNicotinamide phosphoribosyltransferase(NAMPT)を含むNAD+生合成酵素活性の低下,あるいはCD38に代表されるNAD+分解酵素活性の亢進により,全身性に臓器NAD+量が減少することが明らかとなった.そして,遺伝子改変動物モデルを駆使した解析により,このNAD+量の減少が老化に伴う機能障害,老化関連疾患の病態形成に重要な役割を果たすことが解明されつつある.さらに,数々の疾患モデル動物,老化マウスを用いた検討により,nicotinamide mononucleotide(NMN),nicotinamide riboside(NR)に代表されるNAD+中間代謝産物が,健康増進作用,抗老化作用を発揮することも続々と報告されている.これらの結果は,NAD+生物学研究の臨床応用,社会実装への機運を高め,現在,ヒトにおけるNAD+中間代謝産物の安全性,効能を検討する臨床研究が世界的に展開されている.本総説では,目紛しいほどの進化を遂げるこれらNAD+生物学研究トランスレーショナル研究の進捗を最新の知見を交え紹介し,超高齢社会日本におけるその研究の意義,可能性を考察したいと思う.(著者抄録)

Research Projects of Competitive Funds, etc. 【 Display / hide

  • 脂肪組織血管新生能を標的とした血管内皮NAD賦活化による肥満2型糖尿病発症予防

    2021.04
    -
    2025.03

    MEXT,JSPS, Grant-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Principal investigator

  • 腸管NAMPT-NAD合成系を標的としたNMNによるインスリン抵抗性予防法の開発

    2018.04
    -
    2021.03

    MEXT,JSPS, Grant-in-Aid for Scientific Research, Grant-in-Aid for Early-Career Scientists , Principal investigator