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15. Lithocholic acid increases intestinal phosphate and calcium absorption in a vitamin D receptor dependent but transcellular pathway independent manner

Author

Hashimoto, Nobuhiro, Matsui, Isao, Ishizuka, Satoshi, Inoue, Kazunori, Matsumoto, Ayumi, Shimada, Karin, Hori, Shota, Lee, Dong Geun, Yasuda, Seiichi, Katsuma, Yusuke, Kajimoto, Sachio, Doi, Yohei, Yamaguchi, Satoshi, Kubota, Keiichi, Oka, Tatsufumi, Sakaguchi, Yusuke, Takabatake, Yoshitsugu, Hamano, Takayuki, and Isaka, Yoshitaka

Published
2020
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17. Protein carbamylation exacerbates vascular calcification

Author

Mori, Daisuke, Matsui, Isao, Shimomura, Akihiro, Hashimoto, Nobuhiro, Matsumoto, Ayumi, Shimada, Karin, Yamaguchi, Satoshi, Oka, Tatsufumi, Kubota, Keiichi, Yonemoto, Sayoko, Sakaguchi, Yusuke, Takahashi, Atsushi, Shintani, Yasunori, Takashima, Seiji, Takabatake, Yoshitsugu, Hamano, Takayuki, and Isaka, Yoshitaka

Published
2018
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20. A heterozygous LAMA5 variant may contribute to slowly progressive, vinculin-enhanced familial FSGS and pulmonary defects

Author

Kaimori, Jun-Ya, primary, Kikkawa, Yamato, additional, Motooka, Daisuke, additional, Namba-Hamano, Tomoko, additional, Takuwa, Ayako, additional, Okazaki, Atsuko, additional, Kobayashi, Kaori, additional, Tanigawa, Arisa, additional, Kotani, Yuko, additional, Uno, Yoshihiro, additional, Yoshimi, Kazuto, additional, Hattori, Koki, additional, Asahina, Yuta, additional, Kajimoto, Sachio, additional, Doi, Yohei, additional, Oka, Tatsufumi, additional, Sakaguchi, Yusuke, additional, Mashimo, Tomoji, additional, Sekiguchi, Kiyotoshi, additional, Nakaya, Akihiro, additional, Nomizu, Motoyoshi, additional, and Isaka, Yoshitaka, additional

Published
2022
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23. Cardiovascular Outcomes in the J-DAVID Based on Alkaline Phosphatase: A Post-hoc Analysis of a Randomized Controlled Trial

Author

Oka, Tatsufumi, primary, Sakaguchi, Yusuke, additional, Isaka, Yoshitaka, additional, Ishii, Haruka, additional, Kabata, Daijiro, additional, Shintani, Ayumi, additional, Nakatani, Shinya, additional, Morioka, Tomoaki, additional, Mori, Katsuhito, additional, Inaba, Masaaki, additional, Emoto, Masanori, additional, and Shoji, Tetsuo, additional

Published
2022
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26. Renoprotection by long‐term low‐dose tolvaptan in patients with heart failure and hyponatremia

Author

Oka, Tatsufumi, primary, Hamano, Takayuki, additional, Ohtani, Tomohito, additional, Doi, Yohei, additional, Shimada, Karin, additional, Matsumoto, Ayumi, additional, Yamaguchi, Satoshi, additional, Hashimoto, Nobuhiro, additional, Senda, Masamitsu, additional, Sakaguchi, Yusuke, additional, Matsui, Isao, additional, Nakamoto, Kei, additional, Sera, Fusako, additional, Hikoso, Shungo, additional, Sakata, Yasushi, additional, and Isaka, Yoshitaka, additional

Published
2021
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27. Variability in estimated glomerular filtration rate and patients' outcomes in a real‐world heart failure population

Author

Oka, Tatsufumi, primary, Hamano, Takayuki, additional, Ohtani, Tomohito, additional, Tanaka, Akihiro, additional, Doi, Yohei, additional, Yamaguchi, Satoshi, additional, Senda, Masamitsu, additional, Sakaguchi, Yusuke, additional, Matsui, Isao, additional, Nakamoto, Kei, additional, Sera, Fusako, additional, Hikoso, Shungo, additional, Nishino, Masami, additional, Sakata, Yasushi, additional, and Isaka, Yoshitaka, additional

Published
2021
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29. Serum phosphate levels modify the impact of parathyroid hormone levels on renal outcomes in kidney transplant recipients

Author

1000030846382, 0000-0002-5165-291X, Doi, Yohei, Hamano, Takayuki, Ichimaru, Naotsugu, Tomida, Kodo, Obi, Yoshitsugu, Fujii, Naohiko, Yamaguchi, Satoshi, 1000010795173, Oka, Tatsufumi, 1000080756817, Sakaguchi, Yusuke, 1000060456986, 0000-0001-8378-6130, Matsui, Isao, Kaimori, Jun ya, Abe, Toyofumi, Imamura, Ryoichi, Takahara, Shiro, 1000010638026, Tsubakihara, Yoshiharu, 1000030263263, Nonomura, Norio, 1000000379166, Isaka, Yoshitaka, 1000030846382, 0000-0002-5165-291X, Doi, Yohei, Hamano, Takayuki, Ichimaru, Naotsugu, Tomida, Kodo, Obi, Yoshitsugu, Fujii, Naohiko, Yamaguchi, Satoshi, 1000010795173, Oka, Tatsufumi, 1000080756817, Sakaguchi, Yusuke, 1000060456986, 0000-0001-8378-6130, Matsui, Isao, Kaimori, Jun ya, Abe, Toyofumi, Imamura, Ryoichi, Takahara, Shiro, 1000010638026, Tsubakihara, Yoshiharu, 1000030263263, Nonomura, Norio, 1000000379166, and Isaka, Yoshitaka

Abstract

Doi Y., Hamano T., Ichimaru N., et al. Serum phosphate levels modify the impact of parathyroid hormone levels on renal outcomes in kidney transplant recipients. Scientific Reports 10, 13766 (2020); https://doi.org/10.1038/s41598-020-70709-4., Separate assessment of mineral bone disorder (MBD) parameters including calcium, phosphate, parathyroid hormone (PTH), fibroblast growth factor 23 (FGF23), 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D (1,25D) predict renal outcomes in kidney transplant recipients (KTRs), with conflicting results. To date, data simultaneously evaluating these parameters and interwoven relations on renal outcomes are scarce. We conducted a prospective long-term follow-up cohort study included 263 KTRs with grafts functioning at least 1year after transplantation. The outcome was a composite of estimated GFR halving and graft loss. Cox regression analyses were employed to evaluate associations between a panel of six MBD parameters and renal outcomes. The outcome occurred in 98 KTRs during a median follow-up of 10.7years. In a multivariate Cox analysis, intact PTH (iPTH), phosphate, and 1,25D levels were associated with the outcome (hazard ratio, 1.60 per log scale; 95% confidence interval, 1.19–2.14, 1.60 per mg/dL; 1.14–2.23 and 0.82 per 10pg/mL; 0.68–0.99, respectively). Competing risk analysis with death as a competing event yielded a similar result. After stratification into four groups by iPTH and phosphate medians, high risks associated with high iPTH was not observed in KTRs with low phosphate levels (P-interaction < 0.1). Only KTRs not receiving active vitamin D, poor 1,25D status predicted the worse outcome (P-interaction < 0.1). High iPTH, phosphate, and low 1,25D, but not FGF23, levels predicted poor renal outcomes. Simultaneous evaluation of PTH and phosphate levels may provide additional information regarding renal allograft prognosis.

Published
2020

30. Cyclosporine A Treatment of Proteinuria in a New Case of MAFB-Associated Glomerulopathy without Extrarenal Involvement: A Case Report

Author

Kaimori, Jun-Ya, primary, Mori, Tatsuhiko, additional, Namba-Hamano, Tomoko, additional, Morimoto, Takeshi, additional, Takuwa, Ayako, additional, Motooka, Daisuke, additional, Okazaki, Atsuko, additional, Kobayashi, Kaori, additional, Asahina, Yuta, additional, Kajimoto, Sachio, additional, Doi, Yohei, additional, Oka, Tatsufumi, additional, Sakaguchi, Yusuke, additional, Nakaya, Akihiro, additional, and Isaka, Yoshitaka, additional

Published
2021
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31. Time-updated anion gap and cardiovascular events in advanced chronic kidney disease: a cohort study.

Author

Asahina, Yuta, Sakaguchi, Yusuke, Kajimoto, Sachio, Hattori, Koki, Doi, Yohei, Oka, Tatsufumi, Kaimori, Jun-Ya, and Isaka, Yoshitaka

Subjects
CHRONIC kidney failure, STATISTICAL models, ANIONS, GLOMERULAR filtration rate, COHORT analysis
Abstract

Background Studies examining associations between metabolic acidosis and cardiovascular events in chronic kidney disease (CKD) have shown conflicting results and have not differentiated between normal anion gap (hyperchloremic) acidosis and high anion gap acidosis. We aimed to examine the impact of normal and high anion gap acidosis, separately, on the risk of cardiovascular events among patients with CKD. Methods This retrospective cohort study included 1168 patients with an estimated glomerular filtration rate (eGFR) of 10–60 mL/min/1.73 m2 and available data on anion gap. We analyzed the association of time-updated high anion gap (anion gap ≥9.2) with the rate of cardiovascular events using marginal structural models (MSMs) to account for time-dependent confounding. We also analyzed the association between time-updated normal anion gap acidosis (anion-gap-adjusted bicarbonate level ≤22.8 mEq/L) and cardiovascular events. Results The mean baseline eGFR of the cohort was 28 mL/min/1.73 m2. The prevalence rates of high anion gap in CKD stages G3a, G3b, G4 and G5 were 20%, 16%, 27% and 46%, respectively. During a median follow-up period of 2.9 years, 132 patients developed cardiovascular events (3.3/100 patient-years). In MSMs, high anion gap was associated with a higher rate of cardiovascular events [hazard ratio (HR) 1.87; 95% confidence interval (95% CI) 1.13‒3.09; P = 0.02] and the composite of cardiovascular events or all-cause death (HR 3.28; 95% CI 2.19‒4.91; P < 0.001). Normal anion gap acidosis was not associated with cardiovascular events (HR 0.74; 95% CI, 0.47‒1.17; P = 0.2). Conclusions Among patients with advanced CKD, high anion gap was associated with an increased risk of cardiovascular events. [ABSTRACT FROM AUTHOR]

Published
2022
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32. VEGF-A Links Angiolymphoid Hyperplasia With Eosinophilia (ALHE) to THSD7A Membranous Nephropathy: A Report of 2 Cases

Author

Matsumoto, Ayumi, primary, Matsui, Isao, additional, Namba, Tomoko, additional, Sakaguchi, Yusuke, additional, Mizuno, Hitoshi, additional, Shirayama, Yuki, additional, Shimada, Karin, additional, Hashimoto, Nobuhiro, additional, Doi, Yohei, additional, Yamaguchi, Satoshi, additional, Kubota, Keiichi, additional, Oka, Tatsufumi, additional, Mori, Daisuke, additional, Akiyama, Shinichi, additional, Hamano, Takayuki, additional, Mizui, Masayuki, additional, Takabatake, Yoshitsugu, additional, Kaneko, Tetsuya, additional, and Isaka, Yoshitaka, additional

Published
2019
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33. A Randomized Trial of Magnesium Oxide and Oral Carbon Adsorbent for Coronary Artery Calcification in Predialysis CKD

Author

Sakaguchi, Yusuke, primary, Hamano, Takayuki, additional, Obi, Yoshitsugu, additional, Monden, Chikako, additional, Oka, Tatsufumi, additional, Yamaguchi, Satoshi, additional, Matsui, Isao, additional, Hashimoto, Nobuhiro, additional, Matsumoto, Ayumi, additional, Shimada, Karin, additional, Takabatake, Yoshitsugu, additional, Takahashi, Atsushi, additional, Kaimori, Jun-Ya, additional, Moriyama, Toshiki, additional, Yamamoto, Ryohei, additional, Horio, Masaru, additional, Yamamoto, Koichi, additional, Sugimoto, Ken, additional, Rakugi, Hiromi, additional, and Isaka, Yoshitaka, additional

Published
2019
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34. Prognostic value of hypochloremia versus hyponatremia among patients with chronic kidney disease—a retrospective cohort study.

Author

Kubota, Keiichi, Sakaguchi, Yusuke, Hamano, Takayuki, Oka, Tatsufumi, Yamaguchi, Satoshi, Shimada, Karin, Matsumoto, Ayumi, Hashimoto, Nobuhiro, Mori, Daisuke, Matsui, Isao, and Isaka, Yoshitaka

Subjects
CHRONIC kidney failure, CHRONICALLY ill, COHORT analysis, HEART failure patients, SERUM albumin
Abstract

Background Serum chloride (Cl) levels confer better prognostic value than serum sodium (Na) levels among patients with heart failure. Little is known about the relationship between serum Cl levels and clinical outcomes among patients with chronic kidney disease (CKD). Methods This was a retrospective cohort study enrolling patients with Stages G3–G5 CKD who visited the nephrology outpatient department of Osaka University Hospital from April 2005 to December 2014. The main exposure was time-varying serum Cl levels categorized as quartiles. The study outcome was a composite of all-cause death and cardiovascular events. Results A total of 2661 patients with CKD were included in the analysis. During a median follow-up of 4.0 years, 284 deaths and 416 cardiovascular events occurred. Compared with patients in the third Cl quartile, those in the first Cl quartile showed a significantly higher risk of the outcome after adjustment for demographics and clinical factors including time-varying serum Na, serum albumin and bicarbonate levels, and use of diuretics and sodium bicarbonate [hazard ratio (HR) 2.13; 95% confidence interval (CI) 1.20–3.81; P = 0.01] and, additionally, anion gap (HR 2.13; 95% CI 1.26–3.57; P = 0.004). Adding serum Cl levels, but not serum Na levels, to the multivariable model significantly improved net reclassification index (0.335; P < 0.001) and integrated discrimination improvement (0.0113; P = 0.01). Conclusions Lower serum Cl levels are an independent predictor of death and cardiovascular events. The incremental prognostic value of Cl was superior to that of Na in patients with CKD. [ABSTRACT FROM AUTHOR]

Published
2020
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35. Severe Osteomalacia with Dent Disease Caused by a Novel Intronic Mutation of the CLCN5 gene

Author

Matsumoto, Ayumi, primary, Matsui, Isao, additional, Mori, Takayasu, additional, Sakaguchi, Yusuke, additional, Mizui, Masayuki, additional, Ueda, Yoshiyasu, additional, Takahashi, Atsushi, additional, Doi, Yohei, additional, Shimada, Karin, additional, Yamaguchi, Satoshi, additional, Kubota, Keiichi, additional, Hashimoto, Nobuhiro, additional, Oka, Tatsufumi, additional, Takabatake, Yoshitsugu, additional, Sohara, Eisei, additional, Hamano, Takayuki, additional, Uchida, Shinichi, additional, and Isaka, Yoshitaka, additional

Published
2018
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36. Low magnesium diet aggravates phosphate-induced kidney injury

Author

Sakaguchi, Yusuke, primary, Hamano, Takayuki, additional, Matsui, Isao, additional, Oka, Tatsufumi, additional, Yamaguchi, Satoshi, additional, Kubota, Keiichi, additional, Shimada, Karin, additional, Matsumoto, Ayumi, additional, Hashimoto, Nobuhiro, additional, and Isaka, Yoshitaka, additional

Published
2018
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38. Red cell distribution width and renal outcome in patients with non-dialysis-dependent chronic kidney disease

Author

Yonemoto, Sayoko, primary, Hamano, Takayuki, additional, Fujii, Naohiko, additional, Shimada, Karin, additional, Yamaguchi, Satoshi, additional, Matsumoto, Ayumi, additional, Kubota, Keiichi, additional, Hashimoto, Nobuhiro, additional, Oka, Tatsufumi, additional, Senda, Masamitsu, additional, Sakaguchi, Yusuke, additional, Matsui, Isao, additional, and Isaka, Yoshitaka, additional

Published
2018
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39. Proteinuria-associated renal magnesium wasting leads to hypomagnesemia: a common electrolyte abnormality in chronic kidney disease

Author

Oka, Tatsufumi, primary, Hamano, Takayuki, additional, Sakaguchi, Yusuke, additional, Yamaguchi, Satoshi, additional, Kubota, Keiichi, additional, Senda, Masamitsu, additional, Yonemoto, Sayoko, additional, Shimada, Karin, additional, Matsumoto, Ayumi, additional, Hashimoto, Nobuhiro, additional, Mori, Daisuke, additional, Monden, Chikako, additional, Takahashi, Atsushi, additional, Obi, Yoshitsugu, additional, Yamamoto, Ryohei, additional, Takabatake, Yoshitsugu, additional, Kaimori, Jun-Ya, additional, Moriyama, Toshiki, additional, Horio, Masaru, additional, Matsui, Isao, additional, and Isaka, Yoshitaka, additional

Published
2018
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45. MP057VASCULAR ENDOTHELIAL GROWTH FACTOR A LINKS ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA TO MEMBRANOUS NEPHROPATHY

Author

Matsumoto, Ayumi, primary, Matsui, Isao, additional, Namba, Tomoko, additional, Sakaguchi, Yusuke, additional, Mizuno, Hitoshi, additional, Shirayama, Yuuki, additional, Yamaguchi, Satoshi, additional, Kubota, Keiichi, additional, Hashimoto, Nobuhiro, additional, Oka, Tatsufumi, additional, Mori, Daisuke, additional, Hamano, Takayuki, additional, Mizui, Masayuki, additional, Takabatake, Yoshitsugu, additional, Kaneko, Tetsuya, additional, and Isaka, Yoshitaka, additional

Published
2017
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46. The Authors Reply

Author

Hashimoto, Nobuhiro, primary, Matsui, Isao, additional, Namba, Tomoko, additional, Oka, Tatsufumi, additional, Mori, Daisuke, additional, Sakaguchi, Yusuke, additional, Mizui, Masayuki, additional, Hamano, Takayuki, additional, Takabatake, Yoshitsugu, additional, and Isaka, Yoshitaka, additional

Published
2017
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47. Low magnesium diet aggravates phosphate-induced kidney injury.

Author

Sakaguchi, Yusuke, Hamano, Takayuki, Matsui, Isao, Oka, Tatsufumi, Yamaguchi, Satoshi, Kubota, Keiichi, Shimada, Karin, Matsumoto, Ayumi, Hashimoto, Nobuhiro, and Isaka, Yoshitaka

Subjects
MAGNESIUM, KIDNEY injuries
Abstract

Background Magnesium is known to protect against phosphate-induced tubular cell injuries in vitro. We investigated in vivo effects of magnesium on kidney injuries and phosphate metabolism in mice exposed to a high phosphate diet. Methods Heminephrectomized mice were maintained on a high phosphate/normal magnesium diet or a high phosphate/low magnesium diet for 6 weeks. We compared renal histology, phosphaturic hormones and renal α-Klotho expression between the two diet groups. Results High phosphate diet–induced tubular injuries and interstitial fibrosis were remarkably aggravated by the low-magnesium diet. At 1 week after high phosphate feeding when serum creatinine levels were similar between the two groups, the low magnesium diet suppressed not only fecal phosphate excretion but also urinary phosphate excretion, resulting in increased serum phosphate levels. Parathyroid hormone (PTH) levels were not appropriately elevated in the low magnesium diet group despite lower 1,25-dihydroxyvitamin D and serum calcium levels compared with the normal magnesium diet group. Although fibroblast growth factor 23 (FGF23) levels were lower in the low magnesium diet group, calcitriol-induced upregulation of FGF23 could not restore the impaired urinary phosphate excretion. The low magnesium diet markedly downregulated α-Klotho expression in the kidney. This downregulation of α-Klotho occurred even when mice were fed the low phosphate diet. Conclusions A low magnesium diet aggravated high phosphate diet–induced kidney injuries. Impaired PTH secretion and downregulation of renal α-Klotho were likely to be involved in the blunted urinary phosphate excretion by the low magnesium diet. Increasing dietary magnesium may be useful to attenuate phosphate-induced kidney injury. [ABSTRACT FROM AUTHOR]

Published
2019
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48. Proteinuria-associated renal magnesium wasting leads to hypomagnesemia: a common electrolyte abnormality in chronic kidney disease.

Author

Oka, Tatsufumi, Hamano, Takayuki, Sakaguchi, Yusuke, Yamaguchi, Satoshi, Kubota, Keiichi, Senda, Masamitsu, Yonemoto, Sayoko, Shimada, Karin, Matsumoto, Ayumi, Hashimoto, Nobuhiro, Mori, Daisuke, Monden, Chikako, Takahashi, Atsushi, Obi, Yoshitsugu, Yamamoto, Ryohei, Takabatake, Yoshitsugu, Kaimori, Jun-Ya, Moriyama, Toshiki, Horio, Masaru, and Matsui, Isao

Subjects
*HYPOMAGNESEMIA, *KIDNEY diseases, *CHRONIC diseases, *MAGNESIUM, *CHRONIC kidney failure, *ELECTROLYTES
Abstract

Background Hypomagnesemia (Hypo-Mg) predicts mortality and chronic kidney disease (CKD) progression. However, in CKD, its prevalence, kidney-intrinsic risk factors, and the effectiveness of oral magnesium (Mg) therapy on serum Mg levels is uncertain. Methods In a cross-sectional study enrolling pre-dialysis outpatients with CKD, the prevalence of electrolyte abnormalities (Mg, sodium, potassium, calcium and phosphorus) was compared. In an open-label randomized controlled trial (RCT), we randomly assigned CKD patients to either the magnesium oxide (MgO) or control arm. The outcome was serum Mg levels at 1 year. Results In 5126 patients, Hypo-Mg was the most common electrolyte abnormality (14.7%) with similar prevalence across stages of CKD. Positive proteinuria was a risk factor of Hypo-Mg (odds ratio 2.2; 95% confidence interval 1.2–4.0). However, stratifying the analyses by diabetes mellitus (DM), it was not significant in DM (Pinteraction = 0.04). We enrolled 114 patients in the RCT. Baseline analyses showed that higher proteinuria was associated with higher fractional excretion of Mg. This relationship between proteinuria and renal Mg wasting was mediated by urinary tubular markers in mediation analyses. In the MgO arm, higher proteinuria or tubular markers predicted a significantly lower 1-year increase in serum Mg. In patients with a urinary protein-to-creatinine ratio (uPCR) <0.3 g/gCre, serum Mg at 1 year was 2.4 and 2.0 mg/dL in the MgO and control arms, respectively (P   <   0.001), with no significant between-group difference in patients whose uPCR was ≥0.3 g/gCre (Pinteraction=0.001). Conclusions Proteinuria leads to renal Mg wasting through tubular injuries, which explains the high prevalence of Hypo-Mg in CKD. [ABSTRACT FROM AUTHOR]

Published
2019
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49. Association between Density of Coronary Artery Calcification and Serum Magnesium Levels among Patients with Chronic Kidney Disease

Author

Sakaguchi, Yusuke, primary, Hamano, Takayuki, additional, Nakano, Chikako, additional, Obi, Yoshitsugu, additional, Matsui, Isao, additional, Kusunoki, Yasuo, additional, Mori, Daisuke, additional, Oka, Tatsufumi, additional, Hashimoto, Nobuhiro, additional, Takabatake, Yoshitsugu, additional, Takahashi, Atsushi, additional, Kaimori, Jun-Ya, additional, Moriyama, Toshiki, additional, Yamamoto, Ryohei, additional, Horio, Masaru, additional, Sugimoto, Ken, additional, Yamamoto, Koichi, additional, Rakugi, Hiromi, additional, and Isaka, Yoshitaka, additional

Published
2016
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50. An unusual case of acute kidney injury after colonoscopy

Author

Hashimoto, Nobuhiro, primary, Matsui, Isao, additional, Namba, Tomoko, additional, Oka, Tatsufumi, additional, Mori, Daisuke, additional, Sakaguchi, Yusuke, additional, Mizui, Masayuki, additional, Hamano, Takayuki, additional, Takabatake, Yoshitsugu, additional, and Isaka, Yoshitaka, additional

Published
2016
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