基本情報
- 所属
- 藤田医科大学 医学部微生物学/医療科学部 客員教授金城学院大学 薬学部 客員教授厚生労働省 国立感染症研究所 元部長 名誉所員東海国立大学機構 名古屋大学 名誉教授(兼任)医学部/大学院医学系研究科 招へい教員(非常勤講師)
- 学位
- 医学博士(1989年3月 名古屋大学)
- 研究者番号
- 10212622
- J-GLOBAL ID
- 201101032201306103
- Researcher ID
- P-5997-2015
- researchmap会員ID
- 6000030043
In the 1980s, I initiated the analyses of a chromosomal genetic region (cps cluster) that is responsible for biosynthesis of K2 capsular polysaccharide in Klebsiella pneumoniae strain Chedid, as well as the characterization of chromosomally encoded β‐lactamase LEN-1 of K. pneumoniae strain LEN-1. My collaborators and I firstly succeeded in the expression of K2 capsular polysaccharide of strain Chedis in an Escherichia coli K12 by introduction of an about 24-kb chromosomal DNA fragment of Chedid. We also found that several regulatory proteins, chromosomal RcsA and RcsB, as well as plasmid mediated RmpA2, were involved in the expression of the cps clusters of K. pneumoniae Chedid.
As for the characterization of β‐lactamase LEN-1 produced by K. pneumoniae strain LEN-1, we found that the amino acid sequence of LEN-1 showed a very high similarity to the R‐plasmid‐mediated penicillinase TEM‐1 on the amino acid sequence level, and this strongly suggested the origination of TEM‐1 from the chromosomal penicillinases of K. pneumoniae or related bacteria.
Moreover, the chromosomal KOXY β‐lactamase (or K1 β‐lactamase) of Klebsiella oxytoca was found to belong to the class A β‐lactamases that include LEN‐1 and TEM‐1, although KOXY can effectively hydrolyze cefoperazone (CPZ) like the chromosomal AmpC type cephalosporinases of various Enterobacteriaceae that can hydrolyze several cephalosporins including CPZ.
Furthermore, my collaborators and I found plural novel serine‐type β‐lactamases, such as MOX‐1, SHV‐24, TEM‐91, CTX‐M‐64, CMY‐9, CMY‐19, GES‐3, GES‐4, and TLA‐3, mediated by plasmids. Besides these serine‐type β‐lactamases, we also first identified exogenously acquired metallo‐β‐lactamases (MBLs), IMP‐1 and SMB‐1, in imipenem‐resistant Serratia marcescens, and the IMP‐1‐producing S. marcescens TN9106 became the index case for carbapenemase‐producing Enterobacteriaceae (CPE). I developed the sodium mercaptoacetic acid (SMA)‐disk test for the simple identification of MBL‐producing bacteria. We were also the first to identify a variety of plasmid‐mediated 16S ribosomal RNA methyltransferases, RmtA, RmtB, RmtC, and NpmA, from various Gram‐negative bacteria that showed very high levels of resistance to a wide range of aminoglycosides. Furthermore, we first found plasmid‐mediated quinolone efflux pump (QepA) and fosfomycin‐inactivating enzymes, e.g., plasmid-mediated FosA3 of E. coli and chromosomally-encoded FosK in Acinetobacter soli.
We also characterized the penicillin-reduced susceptible Streptococcus agalactiae (PRGBS) for the first time, together with macrolide‐resistant Mycoplasma pneumoniae, Campylobacter jejuni, and Helicobacter pylori, as well as carbapenem‐resistant Haemophilus influenzae.
At present, my research group is involved with the researches and developments of inhibitors for MBLs and serine-type carbapenemases to overcome the urgent AMR issues by the support of AMED (Japan Agency for Medical Research and Development).
The carbapenemase-inhibitor candidates that we have developed demonstrate some of the strongest inhibitory activity of any known carbapenemase inhibitors. They also have a distinctive chemical structure that differs totally from that of avibactam, taniborbactam and xeruborbactam. Our project has now reached the corporate transfer stage.
研究分野
3主要な経歴
30-
2020年4月 - 現在
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2020年4月 - 現在
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2020年4月 - 2024年3月
学歴
3-
1985年4月 - 1989年3月
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1984年11月 - 1985年3月
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1975年4月 - 1983年9月
委員歴
29-
2023年10月 - 現在
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2012年7月 - 現在
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2011年4月 - 現在
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2005年4月 - 現在
受賞
3論文
299-
Journal of Microbiological Methods 237 107235-107235 2025年10月 査読有り
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PloS one 20(8) e0329635 2025年INTRODUCTION: Antimicrobial resistance in Pseudomonas aeruginosa is one of the global health concerns. Like many countries, Japan monitors multidrug-resistant P. aeruginosa (MDRP) infections through a national sentinel surveillance system, which has shown a recent decline in MDRP reports. We evaluated this surveillance system to verify the validity of this trend and explore future directions. METHODS: We conducted a cross-sectional mixed-method study based mainly on the guidelines published by the United States Centers for Disease Control and Prevention in 2001. As a quantitative method, we analyzed characteristics of reports on MDRP infections from designated sentinel sites (DSSs) between 2013-2022. A questionnaire was sent to identifiable DSSs (target DSSs) requesting data on accurate numbers of MDRP infections between 2018-2022 to assess attributes such as geographical representativeness. Additionally, we conducted as a qualitative method face-to-face, semi-structured key informant interviews with surveillance system stakeholders to assess its usefulness and challenges. RESULTS: From 2013 to 2022, 1,666 cases of MDRP infections were reported by 463 target DSSs, which were scattered across the county. We obtained valid responses to the questionnaire survey from 231 target DSSs (49.9%). From 2018 to 2022, these sites reported 277 cases as MDRP infections, while 184 cases were accurate cases of MDRP infection, with both numbers declining over time. False reporting and underreporting of MDRP infections were common, resulting in a positive predictive value of 0.45 and a sensitivity of 0.65 for the reports of MDRP infections to the surveillance system. The interviews highlighted the difficulties in timely detection, accurate reporting, and international data comparison. CONCLUSION: Our evaluation indicated that the current sentinel surveillance system for MDRP infections partially captured the true decreasing trend in Japan. However, as the epidemiology of drug-resistant P. aeruginosa is changing, national policy and surveillance strategies would need to address changing public health needs.
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Antimicrobial Agents and Chemotherapy 68(4) e0117923 2024年4月3日 査読有りABSTRACT Streptococcus mitis/oralis group isolates with reduced carbapenem susceptibility have been reported, but its isolation rate in Japan is unknown. We collected 356 clinical α-hemolytic streptococcal isolates and identified 142 of them as S. mitis/oralis using partial sodA sequencing. The rate of meropenem non-susceptibility was 17.6% (25/142). All 25 carbapenem-non-susceptible isolates harbored amino acid substitutions in/near the conserved motifs in PBP1A, PBP2B, and PBP2X. Carbapenem non-susceptibility is common among S. mitis/oralis group isolates in Japan.
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Microbiology Spectrum 12(3) e0234423 2024年2月5日The number and type of metallo-β-lactamase (MΒL) are increasing over time. Carbapenem resistance conferred by MΒL is a significant threat to our antibiotic regimen, and the development of MΒL inhibitors is urgently required to restore carbapenem efficacy. Microbial natural products have served as important sources for developing antimicrobial agents targeting pathogenic bacteria since the discovery of antibiotics in the mid-20th century. MΒL inhibitors derived from microbial natural products are still rare compared to those derived from chemical compound libraries. Hydroxyhexylitaconic acids (HHIAs) produced by members of the genus Aspergillus have potent inhibitory activity against clinically relevant IMP-type MBL. HHIAs may be good lead compounds for the development of MBL inhibitors applicable for controlling carbapenem resistance in IMP-type MBL-producing Enterobacterales .
MISC
1124-
感染と抗菌薬 3(Suppl.1) 37-46 2000年10月欧米では,CTXやCAZ等のオキシイミノ系β-ラクタム薬に耐性を獲得した肺炎桿菌や大腸菌が増加し問題となっている.それらは,ESBLsとよばれる変異型のクラスAβ-ラクタマーゼをプラスミド依存性に生産している.我が国では,この種の耐性菌の分離は未だ稀(おそらくは1%以下)と推定されるが,既に,SHV-12産生菌が各地から分離されている.一方,セフォタキシム耐性大腸菌からは,類似の表現形を示すCTX-M-2やCTX-M-3型β-ラクタマーゼ産生株も散発的に分離されるようになり,今後の分離動向を監視する必要がある
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化学療法の領域 16(11) 1860-1867 2000年10月我が国で認可されている細菌性ワクチンは,生物学的製剤基準でその製法,性状,品質,貯法などが規定されている.現在,製造し使用されているワクチンには,沈降精製百日せきジフテリア破傷風混合ワクチン,沈降ジフテリア破傷風混合トシソイド,成人用沈降ジフテリアトキソイド,沈降破傷風トキソイド,コレラワクチン,ワイル病秋やみ混合ワクチン,肺炎球菌ワクチン,乾燥BCGワクチン及びペストワクチンがある.これら細菌性ワクチンの製造と品質管理に関する諸問題について概説した
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感染症学雑誌 74(2) 112-119 2000年2月62歳女性の直腸腫瘍術後に細菌感染症を続発した.CTM,CZOP等の投与にも拘わらず感染症状は改善されず,術創部膿瘍が発生し腹膜炎も併発した.ドレナージと膿瘍の洗浄を併用する中で,感染症状は軽快した.膿瘍の膿培養にて,CAZに耐性(MIC:>16μg/ml)を示す大腸菌が分離された.本分離菌では,クラブラン酸によりCAZに対する耐性度が低下(CVA添加によりCAZのMICが64μg/mlから≦0.13μg/mlに低下)する現象が観察されたため,初期の段階でextended spectrum β-lactamase産生菌が疑われた.便からも同様の耐性を示す大腸菌が分離されたため,院内感染対策が直ちにを講じられ,ESBL産生菌の施設内拡散を阻止することができた.その後,PCR解析と遺伝子の塩基配列の決定により,このCAZ-耐性大腸菌は,ESBL(SHV-5-2a=SHV-12)産生菌であることが確定した
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臨床病理レビュー (111) 109-116 2000年1月
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日本臨床 57(増刊 広範囲血液・尿化学検査 免疫学的検査(3)) 157-160 1999年11月
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日本臨床 57(増刊 広範囲血液・尿化学検査 免疫学的検査(3)) 185-187 1999年11月
書籍等出版物
27講演・口頭発表等
108担当経験のある科目(授業)
1-
1989年 - 現在医学細菌学、病原細菌学、薬剤耐性菌等 (名古屋大学 [医、保健、工]、群馬大学 [医]、千葉大学 [薬]、東京薬科大学 [薬]、愛知学院大学 [歯・薬]、岐阜薬科大学 [薬]、愛知医科大学[医]、 他)
所属学協会
6共同研究・競争的資金等の研究課題
32-
日本医療研究開発機構(AMED) 創薬支援推進事業・創薬総合支援事業 2022年4月 - 2025年3月
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日本医療研究開発機構(AMED) 創薬支援推進事業 2020年4月 - 2022年3月
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日本医療研究開発機構(AMED) 創薬総合支援事業 2017年1月 - 2019年12月
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日本医療研究開発機構(AMED) 感染症実用化研究事業 2016年4月 - 2019年3月
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日本医療研究開発機構(AMED) 感染症研究国際展開戦略プログラム(J-GRID) 2015年10月 - 2018年3月