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未契約
書籍名 期待される チアゾリジン薬
出版社 フジメディカル出版
発行日 2007-01-10
著者
  • 門脇孝(編集)
ISBN 9784939048678
ページ数 229
版刷巻号 初版第1刷
分野
閲覧制限 未契約

チアゾリジン薬はわが国で開発されたインスリン抵抗性改善薬であり、インスリン抵抗性を主徴した糖尿病の血統コントロールに有用な経口血糖降下薬である。しかし、チアゾリジン薬には、血糖コントロール以外の多面的な病態改善効果のあることがこの数年間の国内外の研究から明らかになってきた。本書は、チアゾリジン薬に関する基礎的・臨床的知見をまとめたタイムリーな内容となっている。

目次

  • 表紙
  • カラー図譜
  • 執筆者一覧
  • 目次
    P.10閲覧
  • 1. 糖尿病におけるインスリン抵抗性と薬物療法
    P.12閲覧
    • 1) インスリン抵抗性改善薬の作用機序
    • 2) 経口糖尿病治療薬の種類と特性
  • 2. 各種疾患におけるインスリン抵抗性
    P.41閲覧
    • 1) 2型糖尿病におけるインスリン抵抗性
    • 2) 循環器疾患におけるインスリン抵抗性
    • 3) 脂質代謝とインスリン抵抗性
  • 3. チアゾリジン薬が期待される理由
    P.62閲覧
    • 1) 血糖改善作用 (長期の血糖管理)
    • 2) 脂質代謝異常改善作用
    • 3) 膵保護作用
    • 4) 糖尿病発症抑制
    • 5) 腎保護作用
    • 6) 抗動脈硬化作用
      • ―基礎編
      • ―臨床編
    • 7) アディポネクチンに対する作用
    • 8) 脂肪肝に対する作用
    • 9) 脂肪分布およびアディポサイトカインへの影響
  • 4. チアゾリジンのわが国における臨床研究
    P.138閲覧
    • 1) 炎症および酸化ストレス軽減作用
    • 2) 凝固・線溶系への影響
    • 3) 血糖低下に依存しない抗動脈硬化作用
    • 4) IMTの降下作用
    • 5) 冠動脈疾患病態改善作用
    • 6) 微量アルブミン尿への影響
  • 5. 糖尿病の大規模試験から
    P.160閲覧
    • 1) PRACTICAL
    • 2) PROactive Studyの結果とその解釈
    • 3) 循環器専門医から見たPROactive Study
  • 6. チアゾリジンの副作用とその対応 - 浮腫をめぐる新しい分子メカニズムを中心に
    P.182閲覧
  • 7. チアゾリジン薬の使い方
    P.188閲覧
    • 1) 単独投与と他剤との併用
    • 2) メタボリックシンドロームの症例
    • 3) 心疾患合併例 (冠動脈インターベンション後)
  • 8. PPAR標的薬の開発動向
    P.211閲覧
  • トピックス. 糖尿病合併症予防のための戦略研究 (J-DOIT3)
    P.216閲覧
  • 索引
    P.222閲覧
  • 奥付

参考文献

1. 糖尿病におけるインスリン抵抗性と薬物療法

P.32 掲載の参考文献

  • 5) 小坂樹徳ほか:新しい経口血糖降下薬CS-045のインスリン非依存糖尿病患者に対する単独投与における臨床評価-プラセポを対照薬とした二重盲検比較試験-. 臨床医薬 9(Suppl 3):61-93, 1993
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  • 8) Ryysy L et al:Hepatic fat content and insulin action on free fatty acids and glucose metabolism rather than insulin absorption are associated with insulin requirements during insulin therapy in type 2 diabetic patients. Diabetes 49:749-758.
  • 14) Yamauchi T et al:The mechanisms by which both heterozygous peroxisome proliferator-activated receptor γ(PPARγ) deficiency and PPARγ agonist improve insulin resistance. J Biol Chem 276(44):41245-41254, 2001
  • 15) Kubota N et al:PPAR gamma mediates high-fat diet-induced adipocyte hypertrophy and insulin resistance. Mol Cell 4(4):597-609, 1999
  • 18) Xu H et al:Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest 112:1821-1830, 2003
  • 19) Stuart P et al:Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796-1808, 2003
  • 38) Tsuchida A et al:Peroxisome Proliferator-Activated Receptor (PPAR) α Activation Increases Adiponectin Receptors and Reduces Obesity-Related Inflammation in Adipose Tissue:Comparison of Activation of PPARα, PPARγ, and Their Combination. Diabetes 54:3358-3370, 2005
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  • 68) Guan Y et al:Thiazolidinediones expand body fluid volume through PPARγ stimulation of ENaC-mediated renal salt absorption. Nat Med 11:861-866, 2005

P.40 掲載の参考文献

  • 4) Diabetes Prevention Program Research Group:Effects of withdrawal from metformin on the development of diabetes in the diabetes prevention program. Diabetes Care 26:977-980, 2003
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2. 各種疾患におけるインスリン抵抗性

P.47 掲載の参考文献

  • 11) Banerlee RR et al:Regulation of fasted blood glucose by resistin. Science 303:119-1198, 2004

P.54 掲載の参考文献

  • 1) 伊藤千賀子:OGTTの経年観察結果と2型糖尿病. 日本臨牀 60(suppl 8):111-118, 2002
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  • 6) 神出 計ほか:高血圧. 日本臨牀 62:1104-1107, 2004
  • 10) 日本動脈硬化学会:動脈硬化性疾患治療ガイドライン2002年版

P.61 掲載の参考文献

3. チアゾリジン薬が期待される理由

P.67 掲載の参考文献

  • 5) Knowler WC et al:Diabetes Prevention Program Research Group:Prevention of type 2 diabetes with troglitazone in the Diabetes Prevention Program. Diabetes 54:1150-1156, 2005

P.74 掲載の参考文献

P.81 掲載の参考文献

  • 2) El-Assaad W et al:Saturated fatty acids synergize with elevated glucose to cause pancreatic β-cell death. Endocrinology 144:4154-4163, 2003
  • 3) Patane G et al:Role of ATP production and uncoupling protein-2 in the insulin secretory defect induced by chronic exposure to high glucose or free fatty acids and effects of peroxisome proliferator-acitivated receptor-γ inhibition. Diabetes 51:2749-2756, 2002
  • 6) Ihara Y et al:Hyperglycemia causes oxidative stress in pancreatic β-cells of GK rats, a model of type 2 diabetes. Diabetes 48:927-932, 1999
  • 7) Ishida H et al:Pioglitazone improves insulin secretory capacity and prevents the loss of β-cell mass in obese diabetic db/db mice:possible protection of βcells from oxidative stress. Metabolism 53:488-494, 2004

P.87 掲載の参考文献

  • 3) http://www.mhlw.go.jp/shingi/2003/08/s0806-4.html
  • 6) Knowler WC et al:Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393-403, 2002
  • 7) Knowler WC et al:Diabetes Prevention Program Research Group. Prevention of type 2 diabetes with troglitazone in the Diabetes Prevention Program. Diabetes 54:1150-1156, 2005

P.94 掲載の参考文献

  • 6) Czoski-Murray C et al:Clinical effectiveness and cost-effectiveness of pioglitazone and rosiglitazone in the treatment of type 2 diabetes:a systematic review and economic evaluation. Health Technol Assess 8:iii, ix-x, 1-91, 2004

P.100 掲載の参考文献

P.107 掲載の参考文献

  • 1) メタボリックシンドローム診断基準検討委員会:メタボリックシンドロームの定義と診断基準. 日内誌 94. 794-809, 2005
  • 4) Shanmugan N et al:High glucose-induced expression of proinflammatory cytokine and chemokine genes in monocytic cells. Diabetes 52:1256-1264, 2003
  • 9) Olefsky JM:Treatment of insulin resistance with peroxisome proliferator-activated receptor γ agonists. J Clin Invest 106:467-472, 2000
  • 10) 石田俊彦:インスリン抵抗性と肝細胞機能. 日本臨牀 58:348-356, 2000
  • 11) Murase K et al:Pioglitazone time-dependently reduces tumor necrosis factor α level in muscle and improves metabolic abnormalities in Wistar fatty rats. Diabetologia 41:257-264, 1998

P.118 掲載の参考文献

  • 1) Yuan M et al:Reversal of obesity- and diet-induced insulin resistance with salicylates or targeted disruption of Ikkβ. Science 293:1673-1677, 2001
  • 2) Kamon J et al:A novel IKKβ inhibitor stimulates adiponectin levels and ameliorates obesity-linked insulin resistance. Biochem Biophys Res Commun 323:242-248, 2004
  • 8) Kubota N et al:PPARγ mediates high-fat diet-induced adipocyte hypertrophy and insulin resistance. Mol Cell 4:597-609, 1999
  • 9) Yamauchi T et al:The mechanisms by which both heterozygous peroxisome proliferator-activated receptorγ(PPARγ) deficiency and PPARγ agonist improve insulin resistance. J Biol Chem 276:41245-41254, 2001
  • 10) Hara K et al:The Pro12Ala polymorphism in PPAR γ2 may confer resistance to type 2 diabetes. Biochem Biophys Res Commun 271:212-216, 2000
  • 11) Yamauchi T et al:Inhibition of RXR and PPARγ ameliorates diet-induced obesity and type 2 diabetes. J Clin Invest 108:1001-1013, 2001
  • 20) Tsuchida A et al:Peroxisome Proliferator-Activated Receptor (PPAR) α Activation Increases Adiponectin Receptors and Reduces Obesity-Related Inflammation in Adipose Tissue:Comparison of Activation of PPARα, PPARγ, and Their Combination. Diabetes 54:3358-3370, 2005
  • 22) Chawla A et al:A PPAR γ-LXR-ABCA1 pathway in macrophages is involved in cholesterol efflux and atherogenesis. Mol Cell7:161-171, 2001
  • 24) Suzawa M et al:Cytokines suppress adipogenesis and PPAR-γ function through the TAK1/TAB1/NIK cascade. Nat Cell Biol 5:224-230, 2003
  • 25) Pascual G et al:A SUMOylation-dependent pathway mediates transrepression of inflammatory response genes by PPAR-γ. Nature 437(7059):759-763, 2005
  • 27) Schupp M et al:Angiotensin type 1 receptor blockers induce peroxisome proliferator-activated receptor-γ activity. Circulation 109:2054-2057, 2004
  • 28) Benson SC et al:Identification of telmisartan as a unique angiotensin II receptor antagonist with selective PPAR γ-modulating activity. Hypertension 43:993-1002, 2004

P.126 掲載の参考文献

  • 2) Ludwig J et al:Nonalcoholic steatohepatitis:Mayo Clinic experience with an hitherto unnamed disease. Mayo Clin Proc 55:434-438, 1980
  • 5) 石井裕正, 奥山哲二:非アルコール性脂肪性肝炎. 日本臨床 8:28-31, 1995
  • 6) 石井裕正, 横山顕:アルコール性肝障害. 治療 78(臨時増刊号):636-638, 1995
  • 9) Fatty Liver Disease:NASH and Related Disorders. Farrell GC et al eds. Malden, MA, Blackwell Publishing, 2005, pp1-319.
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  • 17) Bacon BR et al:Nonalcoholic steatohepatitis:an expanded clinical entity. Gastroenterology 107:1103-1109, 1994
  • 33) Effect of fenofibrate on progression of coronary-artery disease in type 2 diabetes:the Diabetes Atherosclerosis Intervention Study, a randomised study. Lancet 357:905-910, 2001, [Erratum, Lancet 357:1890, 2001]

P.134 掲載の参考文献

  • 3) Seppala-Lindroos A et al:Fat accumulation in the liver is associated with defects in insulin suppression of glucose production and serum free fatty acids independent of obesity in normal men. J Clin Endocrinol Metab 87:3023-3028, 2002
  • 8) Ferranninin E et al:Effect of fatty acids on glucose production and utilization in man. J Clin Invest 72:1737-1747, 1983
  • 10) Rask-Madsen C et al:Tumor necrosis factor-α inhibits insulin's stimulating effect on glucose uptake and endothelium-dependent vasodilation in humans. Circulation 108:1815-1821, 2003
  • 11) Hotamisligil GS et al:Adipose expression of tumor necrosis factor-α:direct role in obesity-linked insulin resistance. Science 259:87-91, 1993
  • 17) Arita Y et al:Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochem Biophys Res Commun 257:79-83, 1999
  • 19) Persseghin G et al:Insulin resistance, intramyocellular lipid content, and plasma adiponectin in patients with diabetes. Am J Physiol 285:E1174-1181, 2003
  • 20) Coombs TP et al:Endogenous glucose production is inhibited by the adipose-derived protein Acrp30. J Clin Invest 108:1875-1881, 2001
  • 22) Auwerx J:PPARγ, the ultimate thrifty gene. Diabetologia 42:1033-1049, 1999
  • 23) Adams M et al:Activators of peroxisome proliferator-activated receptor γ have depot-specific effects on human preadipocyte differentiation. J Clin Invest 100:3149-3153, 1997
  • 28) Ye JM et al:Peroxisome proliferator-activated receptor (PPAR) -α activation lowers muscle lipids and improves insulin sensitivity in high fat-fed rats:comparison with PPAR-γactivation. Diabetes 50:411-417, 2001
  • 37) Kageyama H et al:Lipoprotein lipase mRNA in white adipose tissue but not in skeletal muscle is increased by pioglitazone through PPAR-γ. Biochem BiophysRes Commun 305:22-27, 2003
  • 45) Kawamori R et al:PRACTICAL(Prospective ACTos practical experience) Study;Updated Ethcacy and Safety in 23,000 Japanese Type 2 Diabetes Patients. Diabetes 54(suppl 1):A112, 2005

4. チアゾリジンのわが国における臨床研究

P.141 掲載の参考文献

  • 3) Kashiwagi A et al:Endothelium-specific activation of NAD8P oxidase in aortas of exogenously hyperinsulinemic rats. Am J Physiol 277:E976-983, 1999
  • 4) 芳野原ほか:ピオグリタゾンの2型糖尿病患者における尿中酸化ストレスマーカー及びhs-CRPに及ぼす効果について. Prog Med 23:1669-1673, 2003
  • 5) 久保木幸司ほか:2型糖尿病者における酸化ストレス及び高感度CRP(hs-CRP)への血糖降下作用を介さないピオグリタゾン(Pio)の効果. 糖尿 47:S273, 2004

P.144 掲載の参考文献

  • 1) Yudkin JS:Abnormalities of coagulation and fibrinolysis in insulin resistance. Diabetes Care 22:C25-C30, 1999
  • 2) Thogersen AM et al:High plasminogen activator inhibitor and tissue plasminogen activator levels in plasma precede a first acute myocardial infarction in both men and women. Circulation 98:2241-2247, 1998
  • 4) 久保敬二:2型糖尿病患者の血液線溶因子と血管内皮機能マーカーに及ぼすピオグリタゾンの効果. 糖尿病 44:687-692, 2001

P.148 掲載の参考文献

  • 6) Takagi T et al:Impact of troglitaozne on coronary stent implantation using small stents in patients with type 2 diabetes mellitus. Am J Cardiol 89:31-322, 2005

P.151 掲載の参考文献

P.154 掲載の参考文献

  • 1) Murakami T et al:Troglitazone restores endothelium-dependent vasomotion of resistance coronary artery. Circulation 98 (suppl. I):I-111, 1998
  • 2) Murakami T et al:Effects of troglitazone on frequency of coronary vasospastic-induced angina pectoris in patients with diabetes mellitus. Am J Cardiol 84:92-94, 1999
  • 3) Murakami T et al:Long-term treatment with thiazolidinedione improves vasomotion of resistance coronary arteries independent of improvements in clinical insulin resistance status. Circulation 110(suppl. III):III-180, 2004

P.159 掲載の参考文献

  • 2) Erdmann E:Microalbuminuria as a marker of cardiovascular risk in patients with type 2 diabetes. Int J Cardiol Jun 21 [Epub ahead of print], 2005

5. 糖尿病の大規模試験から

P.169 掲載の参考文献

  • 1) Kawamori R et al:Interim analysis on PRACTICAL (Prospective Actos practical experiences) Study;Efficacy and safety in over 20,000 Japanese Type 2 Diabetes Patients. Presented at American Diabetes Association 64th Scientific Sessions. Diabetes 53 Suppl. A156, 2004
  • 2) Kawamori R et al:PRACTICAL (Prospective Actos practical experiences) Study; Updated efficacy and safety in 23,000 Japanese Type 2 Diabetes Patients. Presented at American Diabetes Association 65th Scientific Sessions, 2005
  • 4) Guan Y et al:Thiazolidinediones expand body fluid volume through PPARγ stimulation of ENaC-mediated renal salt absorption. Nat Med 11 (8):861-866, 2005

P.177 掲載の参考文献

  • 3) Kawamori R et al:Hepatic safety profile and glycemic control of pioglitazone in more than 20,000 patients with type 2 diabetes mellitus:Postmarketing surveillance study in Japan. Diabetes Res Clin Pract (in press)

P.181 掲載の参考文献

  • 2) Pasceri V et al:Modulation of vascular inflammation in vitro and in vivo by peroxisome proliferator-activated receptor-γ activators. Circulation 101:235-238, 2000
  • 4) Takano H et al:Peroxisome proliferator-activated receptor activators inhibit lipopolysaccharide-induced tumor necrosis factor-α expression in neonatal rat cardiac myocytes. Circ Res 87:596-602, 2000

6. チアゾリジンの副作用とその対応 - 浮腫をめぐる新しい分子メカニズムを中心に

P.187 掲載の参考文献

  • 1) Qin Y et al:Serum retinol binding protein 4 contributes to insulin resistance in obesity and type 2 diabetes. Natute 436:356-362, 2005
  • 7) Guan Y et al:Thiazolidinediones expand body fluid volume through PPAR γ stimulation of ENaC-mediated renal salt absorption. Nat Med 11:861-866, 2005
  • 8) Zhang H et al:Collecting duct-specific deletion of peroxisome proliferator-activated receptor γ blocks thiazolidinedione-induced fluid retention. Proc Natl Acad Sci USA 102:9406-9411, 2005
  • 9) Helledie T et al:The gene encoding the Acyl-CoA-binding protein is activated by peroxisome proliferator-activated receptor γ through an intronic response element functionally conserved between humans and rodents. J Biol Chem 277:26821-26830, 2002

7. チアゾリジン薬の使い方

P.193 掲載の参考文献

  • 1) 心不全の観点からのアクトス適正使用のコンセンサスステートメント(平成18年5月策定)
  • 2) Kubota N et al:PPAR gamma mediates high-fat diet-induced adipocyte hypertrophy and insulin resistance. Mol Cell 4:597-609, 1999

P.198 掲載の参考文献

  • 1) メタボリックシンドローム診断基準検討委員会:日本内科学会雑誌:94:794-809, 2005
  • 6) Dormandy J et al:Secondary prevention of macrovascular events in patients withtype 2 diabetes in the PROactive Study (PROspective pioglitAzone Clinical Trial In macroVascular Events):a randomised controlled trial. Lancet 366:1279-1289, 2005

P.209 掲載の参考文献

8. PPAR標的薬の開発動向

P.215 掲載の参考文献

  • 2) 村上浩二:PPAR標的薬の最近の動向. 分子糖尿病学の進歩2004 (矢崎義雄監修), 金原出版, 東京, 2004, pp123-129
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  • 5) Reginato MJ et al:A potent antidiabetic thiazolidinedione with unique peroxisome proliferator-activated receptorγ activating properties. J Biol Chem 273:32679-32684, 1998
  • 7) Wang YX et al:Peroxisome proliferators-activated receptorδ activates fat metabolism to prevent obesity. Cell 113:159-170, 2003
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トピックス. 糖尿病合併症予防のための戦略研究 (J-DOIT3)

P.221 掲載の参考文献

  • 1) http://www.pimrc.or.jp/
  • 3) http://www.jdoit3.jp/
  • 5) Dormandy JA et al;PROactive investigators:Secondary prevention of macrovascular events in patients with type 2 diabetes in the PROactive Study (PROspective pioglitAzone Clinical Trial In macro Vascular Events):a randomised controlled trial. Lancet 366 (9493):1279-1289, 2005