研究者業績
基本情報
- 所属
- 熊本大学 大学院生命科学研究部神経精神医学講座 教授藤田医科大学 精神・神経病態解明センター 変革融合精神医学部門 教授
- 学位
- 医学博士
- J-GLOBAL ID
- 201901004813743885
- researchmap会員ID
- B000370617
研究分野
1経歴
14-
2025年10月 - 現在
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2025年1月 - 現在
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2025年1月 - 現在
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2024年4月 - 2024年12月
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2020年4月 - 2024年3月
学歴
1-
- 2001年3月
論文
172-
Brain : a journal of neurology 2026年3月20日Oxytocin has been implicated in regulating social behaviour and emotional responses; however, the underlying neural circuits remain incompletely understood. Neurons expressing oxytocin receptors (OTRs) in the paraventricular thalamus (PVT) are emerging as a potential modulator of these processes. In this study, we investigated the specific role of OTR-expressing PVT neurons in sociability and fear-related behaviours. Using chemogenetic approaches, we found that bidirectional manipulation of these neurons significantly modulated social behaviour and fear extinction in mice. Inhibition of OTR-expressing PVT neurons impaired sociability and fear extinction, whereas activation selectively enhanced early extinction learning without affecting sociability. Electrophysiological analyses revealed that oxytocin increases tonic firing in PVT neurons, suggesting a mechanism for heightened excitability. In contrast, manipulation of OTR-expressing neurons in the medial prefrontal cortex had no effect on sociability. In a complementary human dataset, salivary oxytocin levels were modestly associated with thalamic microstructure and autism spectrum disorder trait severity. Although the experimental paradigms differed across species, these findings collectively suggest that OTR-expressing PVT neurons may contribute to social and emotional behaviours through circuit-specific mechanisms. These findings may have implications for psychiatric conditions such as autism spectrum disorder and anxiety. Future translational studies should explore the therapeutic potential of targeting oxytocin-related PVT function to treat social and fear-related deficits. Overall, these findings advance our understanding of the role of oxytocin in brain function and its relevance to mental health.
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Frontiers in psychiatry 17 1747061-1747061 2026年BACKGROUND: Self-esteem is a critical factor in the psychological adjustment of children and adolescents, yet little is known about how autistic traits and parenting styles interact to relate self-worth in individuals with autism spectrum disorder (ASD). Understanding these relationships may provide important insights for family-based interventions. METHODS: We conducted a cross-sectional study of 76 participants (ASD: n = 40; typically developing [TD]: n = 36). Autistic traits were assessed using the Japanese version of the Autism-Spectrum Quotient (AQ-J), parenting attitudes were evaluated with the Parental Nurturance and Parenting Scale (PNPS), and self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES). In the ASD group, clinician-rated autism symptom severity was additionally assessed using the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2). Associations among autistic traits, parenting attitudes, and self-esteem were examined using multiple linear regression and partial correlation analyses. RESULTS: Children and adolescents with ASD exhibited significantly lower self-esteem than their TD peers (RSES: ASD < TD, p < 0.01). In the combined sample, higher AQ-J scores were independently associated with lower self-esteem (β ≈ -0.48, p < 0.01). Within the ASD group, negative parenting attitudes were linked to lower self-esteem (β = -0.36, p = 0.02), whereas positive parenting attitudes showed a non-significant trend toward higher self-esteem (β = 0.20, p = 0.17). Conversely, clinician-rated autism symptom severity assessed by the ADOS-2 was not associated with self-esteem (β = 0.06, p = 0.72). Overall, parenting attitudes were more closely related to self-esteem than clinician-rated symptom severity in the ASD group. CONCLUSION: These findings underscore the relevance of parenting contexts in relation to self-esteem among youth with ASD. Although autistic traits were associated with greater vulnerability in self-esteem, supportive parenting attitudes were associated with more favorable self-esteem outcomes. Together, the results suggest that parenting-related factors may be important considerations when addressing psychological well-being in autistic children and adolescents.
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Psychiatry and clinical neurosciences 2025年12月27日Neuropsychiatric disorders pose profound challenges to both research and treatment, largely due to their clinical heterogeneity and the limited understanding of their underlying biological mechanisms. While bulk RNA sequencing (bulk RNA-seq) has been widely used to study gene expression, it cannot resolve cell-type-specific signals or detect rare cellular subpopulations. In contrast, single-cell RNA sequencing (scRNA-seq) and single-nucleus RNA sequencing (snRNA-seq) have emerged as transformative technologies, enabling transcriptomic profiling at single-cell resolution. These approaches have revealed immunological alterations across a wide range of disorders. This review introduces recent findings from sc/snRNA-seq studies of immune-related mechanisms in psychiatric disorders-including schizophrenia, bipolar disorder, major depressive disorder, autism spectrum disorder, and attention-deficit/hyperactivity disorder-as well as in neurological conditions such as Alzheimer's disease, Parkinson's disease, dementia with Lewy bodies, multiple sclerosis, and anti-NMDA receptor encephalitis. While sc/snRNA-seq overcome averaging effects of bulk RNA-seq by resolving cell types, these methods still face challenges. We outline a roadmap that integrates bulk RNA-seq and sc/snRNA-seq to mitigate the remaining gaps.
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Neuropsychopharmacology reports 45(4) e70047 2025年12月AIM: This study aimed to explore the relationship between self-esteem and tumor necrotic factor-alpha (TNF-α) expression in individuals with autism spectrum disorder (ASD). Self-esteem was assessed using the Contingencies of Self-Worth (CSW) scale, with a focus on external and internal contingencies, and TNF-α expression was measured, given its association with both ASD pathophysiology and self-esteem in prior studies. METHODS: We enrolled 51 high-functioning individuals with ASD and 34 typically developed (TD) individuals. Self-esteem was assessed using the Japanese version of the CSW scale, which evaluates seven domains, and the Personal Sense of Power. TNF-α expression in plasma was quantified via ELISA. Correlations of CSW scores and the Personal Sense of Power with TNF-α levels were analyzed using multiple regression models adjusted for confounding factors such as age, sex, education level, and autistic symptoms. RESULTS: In ASD individuals, TNF-α expression was significantly negatively correlated with the external CSW domain of others' approval and showed a trend toward negative correlations with appearance and relationship harmony. These correlations were not observed in the TD individuals. Likewise, the Personal Sense of Power within family settings showed a trend toward positive correlations with TNF-α expression in ASD individuals, but not in TD individuals. DISCUSSION: This study highlights the implication of TNF-α levels in the self-esteem of ASD individuals, particularly in interpersonal relationships. Lower TNF-α expression was associated with higher self-esteem in social contexts, independent of the severity of autistic symptoms. These findings suggest a biological link between inflammatory pathways and self-esteem in ASD, contributing to a deeper understanding of the interplay between immune function and psychological well-being in this population.
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Molecular psychiatry 31(4) 1871-1879 2025年11月5日Sensory issues are common in autism spectrum disorders (ASD) and can significantly affect daily living. The phenomena of gating and habituation of event-related potentials (ERPs) to repetitive stimuli have been suggested as potential biomarkers reflecting atypical sensory processing in ASD. Sensory hypersensitivity and anxiety are closely related in ASD, and habituation to emotionally evocative stimuli may serve as a more sensitive biomarker for sensory hypersensitivity symptoms. However, previous studies have primarily used tonal stimuli, and there has been little investigation into whether habituation to emotionally evocative sounds is impaired in ASD patients. In this study, we compared the degree of habituation of the P1-N1 peak-to-peak amplitude in response to repeated tones and fearful vocalizations between control and ASD groups. Contrary to expectations, no significant difference was observed for fearful vocalizations between the groups, while ASD patients showed significantly reduced habituation to tonal sounds in the left parieto-occipital region. Furthermore, we found a significant correlation between the degree of habituation to tonal sounds in the left parieto-occipital region and sensory hypersensitivity symptoms in ASD patients, and similar abnormalities in BTBR mice, an animal model of ASD. These results suggest that habituation to tonal sounds, rather than emotionally evocative stimuli, may serve as a translational biomarker reflecting sensory hypersensitivity symptoms.
MISC
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JOURNAL OF NEUROCHEMISTRY 125 164-164 2013年5月
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神経化学 49(2-3) 673-673 2010年8月
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精神科 14(3) 259-266 2009年3月1ヵ月以上入院治療を行った統合失調症患者48例を対象に検討した。入院期間は、年齢、性別、入院形態、罹病期間等の患者背景、BPRS合計スコア、PANSS agitation subscaleとの間に相関を認めず、BPRS敵意-疑惑スコアのみが入院期間と正の相関を示した。薬物療法との関係において、単剤療法群の方が入院期間が短い傾向を示した。使用薬剤に関して、使用頻度の高いリスペリドンとオランザピンの2剤について検討した結果、オランザピン服用群は有意に高い3ヵ月以内の退院者数割合、敵意-疑惑スコアの改善、有効容量決定までに要した期間の短さを示した。以上より、入院期間短縮には患者の敵意や猜疑心といった症状に有効な治療的アプローチが必要であること、個々の患者の状態に合わせた薬剤の至適容量を速やかに決定することが必要であると考えられた。
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精神科 11(6) 489-492 2007年12月アリピプラゾールをスイッチングにより単剤投与した60歳以上の高齢統合失調症患者7名(男性4名、女性3名)についてその経過を報告した。診断は統合失調症妄想型5名、残遺型2名であった。アリピプラゾールは、ドパミンパーシャルアゴニストという今までの抗精神病薬にはない作用を有する薬剤であり、副作用が少なく忍容性が高いのが特徴である。海外では高齢者の精神病象を呈する疾患においても有用であることが報告されており、統合失調症のみならず、認知症に伴う精神症状などにも安全に使用できる可能性がある。
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日本神経精神薬理学雑誌 27(2) 77-83 2007年4月統合失調症やアルツハイマー病の発症に性差がみられることから、エストロゲンの低下が精神症状に影響していると考えられている。また、DNA損傷を修復するヌクレオチド除去修復(NER)に欠損がある色素性乾皮症では、その臨床症状として精神遅滞などを呈することがある。NERの異常が精神疾患の病態に関与しており、エストロゲンにその保護作用があると考え、モデル実験を行った。実験には神経芽細胞腫由来N2a細胞株を用い、エストロゲンのDNA損傷に対する保護作用及びNERに対する修復促進作用を検討した。DNA損傷は紫外線照射により誘発し、細胞毒性のない濃度であるエストラジオールを添加した。その結果、エストロゲンが直接NERへ影響する可能性は低いことが明らかになった。
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Journal of Nara Medical Association 57(2-3) 57-66 2006年6月奈良県立医科大学附属病院精神科にて時間外電話相談,時間外受診した患者の実態を調査し,奈良県内の総合病院精神科における時間外患者の臨床的な特徴を検討した.電話のみで対応が可能であった例が大半を占め,軽度の精神症状の悪化が最も多かった.実入数では神経症圏の患者が多かった.救命救急センターを含む他の診療科からの診察依頼が全体の20.7%を占めた.過量服薬と自傷行為を合わせた自殺企図例は全体の11.7%を占めた.輪番病院への5件の入院依頼を含む入院の必要な患者が,48件(5.7%)みられた
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Journal of Nara Medical Association 53(4) 201-205 2002年8月1999年4月1日から2000年3月31日の間に新たに受診した患者と入院となった患者を対象として,初診日,年齢,性別,紹介元,診断について調査し臨床統計を出した.診断には,ICD-10を用い,主診断により分類した.新規外来患者数は967名(男459,女508),入院患者数は232名(男105,女127)であった.年齢では,外来は20代が173名(18%),50代が121名(13%),入院は20代が56名(25%),50代が40名(17%)と二峰性を示した.外来患者では,神経症性障害,ストレス関連障害及び身体表現性障害が255名(27%),気分(感情)障害が221名(23%),症状性を含む器質性精神障害が135名(14%)を占めた.入院では精神分裂病,分裂病型障害及び妄想性障害が69名(30%),神経症性障害,ストレス関連障害及び身体表現性障害が51名(22%),気分(感情)障害が38名(16%)であった.内科からの紹介が44名,救急科からの紹介が23名,神経内科からの紹介が23名であった
共同研究・競争的資金等の研究課題
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日本医療研究開発機構(AMED) 革新的先端研究開発支援事業 (AMED-CREST) 2023年10月 - 2029年3月
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日本医療研究開発機構 (AMED) 革新的先端研究開発支援事業 (AMED-CREST) 2022年10月 - 2028年3月
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日本学術振興会 科学研究費助成事業 2023年4月 - 2027年3月
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日本学術振興会 科学研究費助成事業 2023年4月 - 2027年3月
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日本学術振興会 科学研究費助成事業 2024年4月 - 2027年3月