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

  • 【糖尿病性腎症研究の最前線】SGLT2阻害薬の新たな知見 サーチュインの活性化を介した腎保護効果

    西岡 謙, 山口 慎太郎, 林 香

    腎と透析 ((株)東京医学社)  96 ( 2 ) 209 - 213 2024.02

    ISSN  0385-2156

     View Summary

    <文献概要>はじめに ナトリウム(Na)・グルコース共役輸送体2(sodium glucose cotransporter 2:SGLT2)阻害薬は,2型糖尿病患者を対象としたCREDENCE試験,非糖尿病患者を対象に取り入れたDAPA-CKD試験,EMPA-KIDNEY試験により,糖尿病合併の有無によらない慢性腎臓病(chronic kidney disease:CKD)に対する腎保護作用が示された。包括的CKD臨床効果情報縦断データベースを活用した解析から,SGLT2阻害薬の腎保護作用は,血糖改善に依存せず,蛋白尿やレニン・アンジオテンシン系(renin-angiotensin system:RAS)阻害薬の有無にも影響されないことも判明している。本稿では,SGLT2阻害薬が腎保護効果をもたらす機序について,主に基礎研究の観点から概説する。

  • 【SGLT2阻害薬から見えてくる新たな生体システムの姿】SGLT2阻害薬によるNAD+合成系-サーチュインの活性化を介した腎保護効果

    山口 慎太郎, 伊藤 裕

    細胞 ((株)ニュー・サイエンス社)  55 ( 4 ) 216 - 219 2023.04

    ISSN  1346-7557

     View Summary

    SGLT2阻害薬の腎保護効果が複数の大規模臨床研究で明らかとなり,SGLT2阻害薬は,糖尿病・非糖尿病性腎臓病の進展抑制薬として実臨床で欠かせない薬剤となった。腎機能低下の危険因子である,糖尿病は,近位尿細管でNicotinamide Adenine Dinucleotide(NAD+)合成系を抑制し,NAD+依存性脱アセチル化酵素サーチュインの活性を減弱する。一方で,SGLT2阻害薬は,近位尿細管にカロリー制限環境を生み出し,NAD+合成系-サーチュインを活性化することで,尿細管機能を改善し,さらには尿細管と糸球体連関のメディエーターを回復することにより糸球体保護効果を発揮する。SGLT2阻害薬は,尿細管のカロリー制限により,尿細管・糸球体両者の保護作用を有する慢性腎臓病進展抑制薬としての立ち位置を超え,健康長寿を達成するkey drugとなる可能性が期待されている。(著者抄録)

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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