graduate school of medicine / faculty of medicine school of public
Transcription
graduate school of medicine / faculty of medicine school of public
GRADUATE SCHOOL OF MEDICINE / FACULTY OF MEDICINE SCHOOL OF PUBLIC HEALTH / SCHOOL OF HUMAN HEALTH SCIENCES CONTENTS 1. HISTORY AND ORGANIZATION ...................................................................................................................................... 109 2. UNDERGRADUATE PROGRAM........................................................................................................................................ 109 3. GRADUATE PROGRAM...................................................................................................................................................... 109 4. SUB FIELD AND DEPARTMENTS ......................................................................................................................................110 MEDICINE Biological Sciences ............................................................................................................................................................110 Anatomical Science............................................................................................................................................................110 Bioregulation......................................................................................................................................................................111 Pathology and Tumor Biology ...........................................................................................................................................112 Basic Pathology..................................................................................................................................................................112 Infectious Diseases and Immunology.................................................................................................................................113 Legal Medicine...................................................................................................................................................................115 Molecular Biology .............................................................................................................................................................115 Medical Genetics................................................................................................................................................................117 Basic Neuroscience ............................................................................................................................................................118 Internal Medicine .............................................................................................................................................................. 120 Cutaneous Life Science ..................................................................................................................................................... 125 Developmental Medicine .................................................................................................................................................. 125 Radiology and Nuclear Medicine...................................................................................................................................... 126 Clinical Pathology ............................................................................................................................................................. 128 Surgery .............................................................................................................................................................................. 128 Clinical Sciences Surgical for Stresses.............................................................................................................................. 129 Surgery for Visceral Organs .............................................................................................................................................. 130 Surgery for Sensory and Motor Systems ........................................................................................................................... 133 Clinical Neuroscience ....................................................................................................................................................... 137 SCHOOL OF PUBLIC HEALTH Epidemiology and Biostatistics ......................................................................................................................................... 139 Health Administration ....................................................................................................................................................... 140 Health Determinants.......................................................................................................................................................... 142 International Health........................................................................................................................................................... 143 SCHOOL OF HUMAN HEALTH SCIENCES ..................................................................................................................... 143 CONTRIBUTED CHAIRS ................................................................................................................................................... 146 CAREER-PATH PROMOTION UNIT FOR YOUNG LIFE SCIENTISTS ......................................................................... 148 5. RESEARCH FACILITIES..................................................................................................................................................... 148 Institute of Laboratory Animals......................................................................................................................................... 148 Congenital Anomaly Research Center............................................................................................................................... 148 Center for Anatomical Studies........................................................................................................................................... 149 Center for Genomic Medicine ........................................................................................................................................... 149 Center for Medical Education ........................................................................................................................................... 150 Human Brain Research Center .......................................................................................................................................... 150 KUMBL (Kyoto University Medical Science and Business Liaison Organization).......................................................... 151 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 109 FGRADUATE SCHOOL OF MEDICINE FACULTY OF MEDICINE SCHOOL OF PUBLIC HEALTH SCHOOL OF HUMAN HEALTH SCIENCES Dean: MITSUYAMA, Masao, M.D., D.Med.Sc. Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JAPAN Tel. +81-75-753-4300 Fax. +81-75-753-4348 http://www.med.kyoto-u.ac.jp/E/index.html 1. HISTORY AND ORGANIZATION This school/faculty stems from the College of Medicine established in Kyoto in July, 1899. Twenty years later, in 1919, it was renamed the Faculty of Medicine. The Department of Pharmacy was first established within this Faculty in 1939; in 1960 becoming the independent Faculty of Pharmaceutical Science. Recently the Faculty of Medicine has been reorganized so as to emphasize the education and research in the graduate program, which covers seven major fields of medical sciences: Physiology, Pathology, Social Medicine, Internal Medicine, Surgery, Molecular Medicine and Neuroscience. All faculty members of the graduate program are now jointly appointed as the teaching staff for the undergraduate courses. At present, the departments in the Graduate School of Medicine are grouped into 20 subfields, a few of which consists of both basic and clinical departments. Education in the graduate school is strengthened by the participation of active researchers from six attached research facilities and several other affiliated institutions, which include the Institute for Virus Research, Institute for Frontier Medical Sciences, Institute for Chemical Research, Research Reactor Institute, and Radiation Biology Center. The majority of the core departments studying basic medical sciences are located on campus, whereas those studying clinical medical sciences are housed in the adjacent University Hospital. Final decisions on matters concerning the undergraduate program, including the selection and appointment of its staff members, are made in the Faculty Meeting which is chaired by the Dean. The decisions on the postgraduate program are made in the separate Board Meeting which is also chaired by the Dean. The School of Public Health was established in April 2000. This is the first of this kind in our country specifically designed to prepare competent professionals in public health. The primary focus is to enhance human health through organized community efforts based on basic, clinical, and social sciences. In addition, reflecting the recent trend in North America and Europe, clinicians are also expected to study in this program to bridge the gap between individual approach in clinical medicine and population approach in public health. It has increasingly become obvious for professionals in medicine to have the stance to view "people in the context of society". This School has currently 4 fields with 12 departments. The Faculty of Medicine, School of Health Sciences was established in October 2003, evolving from the former College of Medical Technology which had been founded in 1975. The aim of the school is to advance health care science associated with frontier medicine and to meet the rapidly increasing demands in various fields of medical science and technology, in order to ensure high quality, healthy life for people in the 21st century. The School of Health Sciences consists of the following four departments : Department of Nursing Department of Laboratory Science Department of Physical Therapy Department of Occupational Therapy A total 143 first year students were accepted on the 7th of April 2004: 70 in Nursing, 37 in Laboratory Science, 18 in Physical Therapy, and 18 in Occupational Therapy. The School of Human Health Sciences was authorized in December 2006 and established in April 2007. This school consists of the three courses, such as Nursing, Laboratory Science, and Rehabilitation. A total 39 first year students were accepted on the April 2007:17 in Nursing, 7 in Laboratory Science, and 15 in Rehabilitation. We will explore through the studies of medical care, health care, and welfare from a holistic perspective, based on human cultural, and social science as well as natural science including medicine. 2. UNDERGRADUATE PROGRAM The Faculty of Medicine, Department of Medical Science accepts 100 students each year, providing two years of premedical courses followed by four years of clinical medical courses. Since 1970, the unique "Level-System" curriculums have been in use to help students study and understand effectively the bulk of basic medical knowledge before starting their clinical training: In the initial Level courses, students study the molecular and cellular basis of human development and anatomy, organ functions, and human diseases. In the next System courses, they study the functions and malfunctions of the organ systems. Students are expected to actively participate in these lectures and laboratory courses and undertake for themselves whatever studies are necessary in order to develop their understanding of the topics presented. During the fourth year, they have the opportunity to visit laboratories on- and off- campus for several weeks to gain experience of research activities in their field of choice. 3. GRADUATE PROGRAM The Graduate School of Medicine accepts approximately 140 students wishing to receive the Doctor of Medical Science (D.Med.Sc.) degree. To be accepted in this program, it is required for the applicants to already hold an M.D. or Master's degree and to pass the entrance examination. It usually takes four years for students to complete the program, and during or after the term they should publish original research work in widely-circulated, international journals to become candidates for the doctorate degree. Both the undergraduate 110 and graduate programs accept overseas students if they fulfill the requirements for admission and successfully pass the entrance examination. Research students and, research fellows in graduate courses may be accepted upon approval by the Board of the Graduate School of Medicine. Postgraduate Research Fellows, Visiting Research Scholars, Guest Scholars, and Visiting Professors may also participate in the research and educational activities. Most staff members speak English, and some are fluent in other languages as well. The School of Public Health accepts 30 candidates for the professional degree course of Master of Public Health (M.P.H.) and 12 candidates for Doctor of Public Health (Dr.P.H.). It usually takes 2 years and 3 years for M.P.H. and Dr.P.H. respectively. The M.P.H. program primarily consists of course work, requiring at least 30 credit units and presentation of individual research project. The Dr.P.H. course, on the other hand, requires the publication of at least one research work in a peer-reviewed, international journal of high volume circulation. The following groups of applicants will be considered for these degree programs. 1. Graduates of professional programs such as medicine, dentistry, veterinary medicine, pharmacology, and nursing. 2. Graduates of bachelor's degree programs in such fields as law, engineering and other natural sciences. 4. SUB FIELD AND DEPARTMENTS MEDICINE BIOLOGICAL SCIENCES Research in Biological Sciences is concerned with the mechanisms underlying the information processing in biological systems. The research activities are mainly focused on the computation in neural systems as well as the functional maturation in neuronal architectures. To achieve in-depth understanding of complex biological systems like neural systems, the research and education in this subfield place emphasis on experimental and theoretical approaches and on molecular and systems view of biological function. DEPARTMENT OF BIOLOGICAL SCIENCES The Department of Biological Sciences was originally established in 1981 as the Department of Allergy, Institute for Immunology, and reorganized into the present Department in 1993. Dr. Shigetada Nakanishi, appointed as the first Professor in 1981, made a great contribution in neuroscience: he developed a series of innovative methods to dissect neuronal mechanisms at molecular level and elucidated their physiological roles at systems level. In 2006, Dr. Dai Watanabe of Osaka Bioscience Institute succeeded Dr. Nakanishi after his retirement. Dr. Watanabe was also appointed as Professor of Graduate School of Biostudies. Outline of Teaching Activities: The Department is responsible for instruction in molecular biology and systems neuroscience for undergraduate and graduate students. Outline of Research Activities: The current research activities are mainly focused on neuronal mechanisms underlying sensory perception, motor control and neural coding. To address these fundamental questions in brain function, the multi-disciplinary approaches are conducted by combining theoretical analyses with a wide range of experimental techniques. Professor: WATANABE, Dai, M.D., D.Med.Sc. (Kyoto Univ.), Molecular and systems biology of neural computation and development; Associate Professor: NAKAJIMA, Yoshiaki, M.D., D.Med.Sc. (Kyoto Univ.), Molecular biology of synaptic regulation; ANATOMICAL SCIENCE The Department of Anatomy was opened when the College of Medicine was established in Kyoto University in 1899. Until April, 1990 the Department consisted of three sub-departments. Dr. Buntaro Adachi, the first Professor in the Department, carried out internationally regarded studies on the arterial and venous systems of the Japanese, and was honored with the Onshi (Imperial Academy) Prize by the Japan Academy in 1930. Later, three other Professors were honored with prestigious Academy Prizes by the Japan Academy for their scientific contributions: Dr. Ko Hirasawa for neuroanatomical studies in 1951; Dr. Takusaburo Kihara for studies on the extravascular lymph system in 1958; and Dr. Hideo Nishimura for studies on congenital anomalies in human and mammalian embryos in 1978. In addition to scientific contributions, the Anatomy Professors have been very active in administration. Among the thirteen Professors, six of them served as Dean of the Faculty of Medicine and two became Presidents of Kyoto University, Drs. Ko Hirasawa and Michio Okamoto. As of April, 1990, the First sub-department, which had played a major role in the teaching and research of neuroanatomy, was reconstituted as the Department of Brain Morphology in the Graduate Curriculum. Consequently, the Department of Anatomy was reduced to two subdepartments, with the former Third sub-department being renamed as the First sub-department. With the subsequent reconstitution from the Faculty of Medicine to the Graduate School of Medicine, the first and second subdepartments have been renamed as the Department of Anatomy and Developmental Biology, and Department of Anatomy and Neurobiology, respectively. The present staff of two Departments includes 6 faculty members, 2 technicians, and 2 secretaries. There are at present 5 graduate students, 4 research students, and 3 research fellows. The staff is active in a broad range of research fields as listed below. National and international collaborative researches are frequently conducted, and a number of overseas scholars visit the Department for varying periods of time. DEPARTMENT OF ANATOMY AND DEVELOPMENTAL BIOLOGY Tel. +81-75-753-4341 Fax. +81-75-751-7529 The Department of Anatomy and Developmental Biology (formerly the Third Division of the Department of Anatomy) was a section of the former Department of Anatomy which Medicine was opened in Kyoto University in 1899. Human and comparative embryology was one of the main areas of research in the former Department of Anatomy. In April 1996, the former Third Division of the Department of Anatomy was renamed the Department of Anatomy and Developmental Biology. This department is responsible for teaching developmental biology and gross anatomy for graduate and undergraduate students. Research fields in the department include: 1. Mechanisms of morphogenesis; 2. Human and comparative embryology and developmental biology; 3. Molecular basis of mammalian development; 4. Theoretical analysis of morphogenesis; and 5. Reproductive and developmental toxicology. Research is carried out by means of diverse laboratory technologies including morphological techniques, cell and molecular biological techniques, in vitro cultures, and theoretical biological analyses with computer simulations. The study of developmental mechanisms is currently among the most exciting research topics, and the research interest of the staff members in this department is focused on mammalian development and reproduction. They publish research papers actively, and several international and domestic collaborative research projects are in progress. Overseas scholars visit the department periodically. Professor: SHIOTA, Kohei, M.D., D.Med.Sc. (Kyoto Univ.), 1. Human and comparative embryology; 2. Mechanisms of morphogenesis; 3. In vivo and in vitro experimental embryology; 4. Reproductive and developmental toxicology; Associate Professor: MIURA, Takashi, M.D.,D.Med.Sc. (Kyoto Univ.), 1. Mechanisms of morphogenesis; 2. Theoretical biology of development; Assistant Professor: OKANO, Junko, M.D.,D.Med.Sc. (Kyoto Univ.), 1. Normal and abnormal development of the palate and related craniofacial structures; 2. Molecular mechanism of skin development; DEPARTMENT OF ANATOMY AND NEUROBIOLOGY Outline of Teaching Activities: This Department is responsible for instruction in histology and cell biology for undergraduate and graduate students. Outline of Research Activities: The major fields in research are as follows: 1. Genetic and epigenetic regulation of the germ cell lineage. 2. Reconstruction of the germ cell lineage in vitro. 3. Genetic and epigenetic regulation of cell fate specification. 4. Culture and manipulation of tissue-specific stem cells. BIOREGULATION This subfield is dedicated to the study of mechanisms underlying the regulation of biological functions at the molecular, cellular and organ levels. The Department of Physiology and Biophysics and the Department of Pharmacology constitute this subfield of study, and the primary foci of ongoing research are on the physiological and pharmacological regulation of cardio-vascular system, and molecular mechanisms of cancer formation and treatment using mouse models. 111 DEPARTMENT OF PHYSIOLOGY AND BIOPHYSICS http://www.card.med.kyoto-u.ac.jp The primary focus of research has been on the cellular and molecular physiology of the cardiac muscle. The ion channels, transporters, membrane receptors, the excitation-contraction coupling, energy metabolism, and the intracellular ion homeostasis are studied in relation to the cardiac membrane excitation, pacemaker activity, signal transduction, development of the cardiac cells, and regulation of muscle contraction. We are developing a comprehensive cardiac cell model (Kyoto Model) in silico to understand the regulation of the cardiac cell function. The Department is responsible for undergraduate and graduate education of physiology in general. Associate Professor: MITSUIE, Tamotsu, D.Med.Sc. (Univ. of Tokyo), Neural regulation of heart Assistant Professors: TAKEUCHI, Ayako, D.Pharm.Sc. (Kyoto Univ.), 1. Cardiac cell physiology; 2. Transporters and modeling DEPARTMENT OF PHARMACOLOGY The Department of Pharmacology was opened in 1899, and Dr. Kurata Morishima was appointed the first Professor (1900-1928). He established the basis of pharmacology in Japan by introducing modern pharmacodynamic methods into drug research. The next Professor of the first subdepartment, Dr. Kikuo Ogiu (1932-1958), applied electrophysiological methods in pharmacological studies of drugs acting on the autonomic and central nervous systems, producing important new findings. Professor Kiro Shimamoto (1958-1968) further elucidated the mechanism of these drugs by applying histological and biochemical methods to pharmacological studies. He also played a pioneering role in the field of toxicology. Professor Motohatsu Fujiwara (1969-1990) discovered the goniopora toxin, a cardiotonic peptide from sea choral and identified its action mechanism. He also found endothelium-dependent contraction of cerebral arteries. Professor Tomoh Masaki directed the department in the period 1991-1998, and led the field of endothelin research. In 1999, Professor Makoto Mark Taketo assumed the professorship as a joint appointment with the University of Tokyo (Laboratory of Biomedical Genetics, Graduate School of Pharmaceutical Sciences). He officially moved to the Department as of October 1, 2000. He is running a new program in the field of genetic pharmacology and tumor biology using knockout mouse models for cancer (e.g., colon cancer and hepatocellular carcinoma). The Department now includes 4 faculty members, 2 technicians, 3 postdocs, 1 research fellow, and 2 graduate students. Outline of Teaching Activities: The Department is responsible for education of the medical students in pharmacokinetics, pharmacodynamics, and the pharmacological basis of therapeutics in the autonomic nervous, cardiovascular, gastrointestinal and neuroendocrine systems. 112 Outline of Research Activities: The major fields of research are construction and analysis of genetically modified mouse models for human diseases, especially cancers of the digestive system such as colon and liver. Professor: TAKETO, Makoto Mark, M.D., D.Med.Sc. (Kyoto Univ.), Construction and analysis of mouse models of human diseases such as those for colon cancer and autonomic nervous dysfunction; Associate Professor: AOKI, Masahiro, M.D., D.Med.Sc (Osaka Univ.), Molecular analysis of deregulated signal transduction pathways in cancer; Assistant Professors: KITAMURA, Takanori, D.V.M., Ph.D. (Hokkaido Univ.), 1. Construction and analysis of mouse models of human diseases; 2. Molecular embryology of the mouse; SONOSHITA, Masahiro, Ph.D. (Hokkaido Univ.), Construction and analysis of mouse models of human diseases; 2. Neural development and synapse formation 3. Molecular mechanism of aging 4. Gene manipulation in mice 5. Mechanism of carcinogenesis based on the studies of oncogene and tumor suppressor genes 6. Pathological studies on autopsy and biopsy cases Professor: NABESHIMA, Yo-ichi, M.D., D.Med.Sc. (Niigata Univ.), 1. Molecular mechanism of development; 2. Regulation of neuronal network formation; 3. Regulation of aging; 4. Gene manipulation in mice Associate Professor: TAKAHASHI, Rei, M.D., D.Med.Sc. (Kobe Univ.), 1. Functional aspects of human tumor suppressor genes; 2. Molecular and cytogenetic studies on oncogene activation in human and experimental malignancies; 3. Molecular pathology in general Assistant Professors: IMURA, Akihiro, M.D., Med.Sc. (Kyoto Univ.), Mineral Homeostasis and Endocrine pathology TANAKA, Tomohiro, M.D., D.Med.Sc. (Kyoto Univ.), Pathologic basis of obesity, diabetes and dyslipidemia ITO, Shinji, D.Med.Sc. (Kyoto Univ.), Molecular Biology and Metabolism PATHOLOGY AND TUMOR BIOLOGY DEPARTMENT OF PATHOLOGY AND TUMOR BIOLOGY BASIC PATHOLOGY The department was originally established in 1907 by Professor Takeshi Hayami seven Years after the opening of the Department of Pathology by Professor Akira Fujinami. Professor Hayami, 1907 to 1922, contributed to the Pathology of hepatic cirrhosis and developed pioneering methods for tissue culture. Professor Kenji Kiyono, 1923 to 1938, discovered, together with Professor Aschoff of Freiburg University, tissue histiocytes by vital staining and established the concept of the "reticuloendothelial system (RES)" for which he was awarded the Prize of the Japan Academy of Science. Professor Kiyono is also known for his archeological studies on the origin of the Japanese nation. Professor Sigeki Mori, 1940 to 1956, extensively studied the endocrine backgrounds of cancer. Professor Kozo Okamoto, 1956 to 1972, developed various histochemical methods for metals such as copper and zinc. He applied them to the studies of experimental diabetes and proposed the "zinc theory of diabetes mellitus". Later, his studies were linked to the establishment of "spontaneous hypertensive rats (SHR)" which were used as an experimental model of human hypertension, for which he was awarded the Prize of the Japan Academy of Science. Professor Yoshihiro Hamashima, from 1974 to 1987, introduced immunohis-tochemistry into Japan and applied the methods to immunopathology. Professor Taketoshi Sugiyama, 1989 to 1995, carried out extensive molecular cytogenetic-studies on 7, 12-dimethylbenz (a) anthracene-induced rat leukemia. He was a pioneer in molecular pathology and reviewed the progress in his book, Molecular Pathology. In 1998, Professor Yo-ichi Nabeshima started the present laboratory. The standing point largely changed from human pathology to molecular biology of diseases based on modern gene technology and gene manipulation in mice. DEPARTMENT OF PATHOLOGY AND BIOLOGY OF DISEASES Outline of Teaching Activities in Postgraduate Course: 1. Regulation of development and cell differentiation The Department of Pathology and Biology of Diseases originates in the First Department of Pathology founded in 1900 by Dr. Akira Fujinami, 1900-1930. Dr. Fujinami's discovery of chicken sarcomas which is transmissible by filterable agents was one of the earliest demonstrations of an oncogenic retrovirus. He has also made a great contribution to public health by identifying a river shell (Miyairi-gai) as an intermediate host of Schistosoma japonicum. The aim of the present department is to understand the biological and genetic bases of diseases, particularly of cancer, and to train graduate students with the most up-to-date techniques. Therefore, most studies in this department are carried out using multi-disciplinary approaches including molecular and cellular biology, genetics, bio-imaging, computer sciences, and histological pathology. Outline of Teaching Activities: The Department of Pathology and Biology of Diseases is responsible for undergraduate- and graduate-level education in collaboration with Department of Tumor Biology and Pathology as well as Laboratory of Anatomic Pathology in the University Hospital. The pathology course for medical students and graduate students is planned as a systematic education of pathology. It consists of lectures, the analysis of autopsy cases, and examination of pathologic materials from autopsy and surgical specimens. The course is divided into two parts; Basic Pathology (B4), which gives instruction in the mechanism of tissue injury and repair, circulatory disturbances, inflammation, and oncology: and Systemic Pathology (B5), which gives instruction in the macroscopic and microscopic pathologic changes in each organ. Extensive laboratory training in histopathology is given Medicine for medical students in the 3rd year. For the graduate students, 4 years' research training is provided in the research area of molecular and cellular biology, bio-imaging, and molecular pathology. By submitting a thesis (normally one or two full papers published as the first author in a peer-reviewed international scientific journal), the degree of doctor of medical science (D.Med.Sc.) will be awarded to a successful candidate. For research students, 5 years' training is required. Outline of Research Activities: Outline of Research Activities: 1. Molecular mechanism of oncogenesis. 2. Development of GFP-based biosensors for the activities of oncogene products. 3. In vivo, ex vivo, and in vitro bio-imaging of growth signal transduction cascades. Detailed description of research activities is given in the Department's Scientific Report published biannually which is available on request (http://www.path1.med.kyoto-u.ac.jp). Professor: MATSUDA, Michiyuki, M.D., D.Med.Sc. (Tokyo Univ.), 1. Mechanism of cellular transformation by oncogene products; 2. Development of fluorescence probes for the activities of oncogene products Senior Lecturer: KIYOKAWA, Etsuko, M.D., D.Med.Sc. (Hamamatsu Univ. Sch. Med.), 1. FRET imaging of oncogenesis and morphogenesis; 2. Analysis of signaling pathways related to Ras G protein super family DEPARTMENT OF DIAGNOSTIC PATHOLOGY This newly established pathology department was founded in 1997. The department has been established as one of the two research specialties in the Department of Basic Pathology, and replaces the Department of Developmental Pathology. This is a department of diagnostic pathology, and the major aims of this department are to understand the morphological basis of diseases, to engage in pathology education, to engage in practical diagnostic activities in surgical and autopsy pathology in the University Hospital, and to train diagnostic pathologists with a sound modern biomedical background. The Professor of this department also directs the Laboratory of Anatomic Pathology in the University Hospital. Outline of Teaching Activities: The department is responsible for education of anatomic pathology in undergraduate and graduate school students, and hospital residents. The education includes: 1. Special Pathology (B5) for 3rd year undergraduate students, giving instruction in macroscopic and microscopic pathology through practical histopathologic exercises; 2. Laboratory medicine (I4) for 4th and 5th year undergraduate students, giving instruction in clinical pathology, laboratory methodology, and laboratory diagnostics through lectures and small group exercises; and 3. Clinico-pathologic conferences (CPC) for medical students, hospital residents and clinicians. Education is carried out in partial collaboration with the Departments of Pathology and Biology of Diseases, and Tumor Biology and Pathology in the Graduate School of Medicine, and Laboratory of Anatomic 113 Pathology and Central Clinical Laboratories in the University Hospital. Outline of Research Activities: The Department is concerned with clinicopathologic studies on hepatic transplant pathology, the pathology of malignant lymphomas, the pathology of bone tumors, pulmonary pathology, gastrointestinal pathology, gynecologic pathology, skin pathology and the pathology of breast tumors. Professor and Director: MANABE, Toshiaki, M.D., FCAP., 1.Surgical pathology; 2. Pulmonary pathology; 3. Dermatopathology Associate Professor MIKAMI, Yoshiki, M.D., D.Med.Sc. (Tohoku Univ.), 1. Surgical pathology; 2. Gyecologic pathology; 3. Urologic pathology; 4. Diagnostic Cytopathology Senior Lecturer: NAKASHIMA, Yasuaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Surgical pathology; 2. Bone tumors Assistant Professors: YOSHIZAWA, Akihiko, M.D., (Kyoto Univ.), 1. Surgical pathology MIYAGAWA-HAYASHINO, Aya, M.D., D.Med.Sc. (Kyoto Univ.), 1. Liver Transplantation pathology; 2. Pulmonary pathology; 3. Dermatopathology INFECTIOUS DISEASES AND IMMUNOLOGY The Research Section of Infectious Diseases and Immunology consists of two departments: The Department of Microbiology and the Department of Immunology and Cell Biology. The Department of Microbiology is responsible for study on the molecular mechanism of some bacterial and viral infections and host responses. The Department of Immunology and Cell Biology is responsible for study on the basic mechanism of immune response and application to clinical immunology. Both Departments are responsible for teaching both undergraduate and graduate students in Medical School. DEPARTMENT OF MICROBIOLOGY The Department of Microbiology originates from the Department of Hygiene established in 1899. In 1916, the microbiology section became an independent Department under the direction of Professor Matsushita, who carried out studies on pathogenic bacteria and complements. The second Professor, Dr. Kiyono, conducted significant and pioneering studies in the field of general microbiology and immunology until 1928 on the reticuloendothelial system and the development of vital staining. Subsequently the department was directed by Professor Kimura until 1956. Dr. Kimura was the first to introduce the technique of tissue culture to the country in the early 1930's, and extensive studies on its application contributed greatly to the development of microbiology and immunology. The first electron microscope designed and assembled in Japan was set up in this Department by Dr. Kimura and his associate, Dr. Higashi. The discovery and study of new strains of vitamin B-decomposing bacteria was another line of research conducted by Dr. Kimura and granted the award of the Japan Academy in 1959. He also contributed to the establishment of the Institute of Virus Research. Professor Tabei ('57-'69) focused the research activities mainly on host re- 114 sponse to infectious agents along with the studies on Japanese encephalitis virus and leukemia virus. As the fifth Professor, Dr. Ito was appointed in 1973. He was the first to identify the transmission of infection by DNA in 1960 and founded the study of human oncogenic viruses in Japan, including papillomavirus, Epstein-Barr virus (EBV), and human T cell leukemia virus I (HTLV-I). Among the leading studies conducted by Dr. Ito, the search for environmental cofactors in EBV-related human malignancy has been widely respected amongst oncologists for its pioneering features. Professor Takeda was the sixth director of the Department until he moved to The Research Institute of International Medical Center as the President in 1995. During Dr. Takeda's short appointment for 5 years, the department elucidated the molecular mechanisms of enteric infection caused by E. coli, Vibrios and related bacteria from the viewpoint of structure and function of bacterial toxin. The present Professor, Dr. Mitsuyama (formerly Professor of Bacteriology in Niigata University School of Medicine) was appointed in April 1998. Now the research in this department is focused mainly on the molecular mechanism of virulence expression by intracellular parasitic bacteria including Listeria monocytogenes and Mycobacterium tuberculosis, and on the immune response of the host to virulence factors of these bacteria. The 35th Saburo Kojima Memorial Award has been awarded to Prof. Mitsuyama in 1999 to his recent pioneering works on the role of bacterial protein toxin for the host immune response. Outline of Teaching Activities: The Department is responsible for teaching the whole field of microbiology including bacteriology, mycology, virology (B2a, b) and parasitology (B3) to undergraduate medical students. Lectures on parasitology are given mainly by specialists from other institutions nationwide. For the graduate students, a four-year research training in microbiology and infection immunity is provided by the department staffs. Outline of Research Activities: 1. Molecular mechanisms of escape and survival of intracellular bacteria inside macrophages. 2. Host defense mechanisms against bacterial infection with special reference to macrophage activation and the development of protective Th1 cells. 3. Structure and function of bacterial protein toxin. 4. Molecular mechanism of apoptosis and necrosis in infected cells. Professor: MITSUYAMA, Masao, M.D., D.Med.Sc. (Kyushu Univ.), Host defense against bacterial infections and the molecular mechanism of intracellular parasitism; Associate Professor: KAWAMURA, Ikuo, D.Med.Sc. (Kyushu Univ.), Molecular mechanism of intracellular parasitism and host immune response, structure and function of pore-forming toxins; Assistant Professors: NOMURA, Takamasa, D.Med.Sc. (Kyoto Univ.), Virulence-associated gene of Listeria monocytogenes, Immune response in bacterial infection; TSUCHIYA, Kosuke, D.Med.Sc. (Kyoto Univ.), Virulence-associated gene of Listeria monocytogenes, Immune response in bacterial infection; DEPARTMENT OF IMMUNOLOGY AND CELL BIOLOGY The Department of Immunology and Cell Biology was originally established as a Department of Immunobiology in the Institute for Immunology in the Faculty of Medicine in 1973. In 1974, Dr. Kimishige Ishizaka, who discovered IgE and was honored with an Order of Cultural Merit by the Japanese Government, was appointed as the first Professor of the Department. After his resignation in 1979, Dr. Tasuku Honjo, another world wide leader in the immunogenetics, succeeded him during 1982-1983. In 1992, Dr. Nagahiro Minato, who made a great contribution in the early stage of NK cell discovery, was appointed as the third Professor in the Department. As the Faculty of Medicine has been reorganized as the Graduate School of Medicine in 1994, the Institute for Immunology was dissolved and the Department of Immunobiology was reorganized into the present Department of Immunology and Cell Biology in the Graduate School of Medicine. Since the reorganization, this section has continued to be responsible for the education of basic immunology for both undergraduate and graduate students, and the research fields have been significantly expanded into many related fields in the cell biology and medicine. Outline of Teaching Activities: The Department is responsible for instruction in immunology for both undergraduate and graduate students. Outline of Research Activities: The current research activities are focused on the understanding of the molecular and cellular mechanisms of lymphocyte development, proliferation, and antigen recognition in the immune system. Based on these fundamental molecular analyses and by applying all possible modern biological techniques, a diverse range of immunological phenomena as well as diseases are studied, including tumor immunity, infection immunity, transplantation immunity as well as autoimmunity, aiming at the ultimate ideal manipulations for the intractable human diseases related to the immunology. Professor: MINATO, Nagahiro, M.D., D.Med.Sc. (Kyoto Univ.), Mechanisms of the development and functions of the immune system and their involvement in health and diseases; Assistant Professors: HAMAZAKI, Yoko, D.Med.Sc. (Kyoto Univ.), Organizing mechanisms of tissue architecture in lymphoid organs and its functional importance in immune homeostasis; AGATA, Yasutoshi, M.D., D.Med.Sc. (Kyoto Univ.), Mechanisms of antigen receptor gene rearrangements and the development of lymphocytes and their functional involvement in diseases; Medicine LEGAL MEDICINE DEPARTMENT OF FORENSIC MEDICINE AND MOLECULAR PATHOLOGY The department of legal medicine was founded in 1899 by Professor Yanamatsu Okamoto, one of Japan’s pioneers in the field of legal medicine, under the solemn premise of being Japan’s leading and most dedicated academic institution to the forensic sciences. Mataichiro Kominami, who succeeded Professor Okamoto, made the invaluable contribution of enlightening the general public as to the importance of legal medicine, not only from the practical perspective of forensic autopsies but as an academic discipline, as well. The 3rd, 4th, 5th and 6th generations headed by Professors Chusetsu Endo, Takeji Kuroiwa, Masao Ueda and Yuko Fukui, actively carried out the missions of the Department in accordance with the strictest of standards and noblest of traditions since the Department’s inception. From an individual context, Professor Ueda conducted pioneering work on acute alcohol intoxication and was also one of the co-founders of the Japanese Association of Medical Law. Dr. Fukui, the 6th professor, conducted some of the first research on cocaine as well as ethanol. In 2002, Dr. Keiji Tamaki was appointed as the 7th Professor. Dr. Tamaki's major field of study is human DNA polymorphism in tandem repeat sequences such as minisatellites and the focus of his interests lie in elucidating the mechanisms of instability in the genome. The department also performs forensic autopsies upon request from local law enforcement. In 2008, the department underwent restructuring and was renamed the Department of Forensic Medicine and Molecular Pathology in order to reflect its growing investigative role in the field of molecular pathology. Outline of Teaching Activities: Teaching activities cover the following areas: 1. Determination of death including brain death and post-mortem changes; 2.Sudden and unexpected death from natural causes; 3.Injuries; 4.Asphyxias; 5.Toxicology; 6.Drug abuse; 7.Blood groups; 8.Medical law and analyses of malpractice cases; 9. DNA polymorphism along with its forensic application. Outline of Research Activities: Research is currently in progress in the following areas: 1. Minisatellite instability in the human genome and phylogenic studies; 2. Forensic application of DNA polymorphisms; 3. Virus-host interaction in mouse lymphomagenesis; 4. Arteriopathy in chronic allograft rejection in liver transplantation; 5. Forensic and criminological studies on autopsy cases. Professor: TAMAKI, Keiji, M.D., D.Med.Sc. (Nagoya Univ.), DNA polymorphism and its forensic application; Associate Professor: TSURUYAMA, Tatsuaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Surgical pathology; 2. Virology; Assistant Professor: OKUNO, Tomoko, M.D., 1. Surgical pathology; 2. Transplantation pathology; 115 MOLECULAR BIOLOGY The three departments in this subfield are devoted to the identification and characterization of various genes and their products whose malfunction leads to important diseases such as cancer, cardiovascular diseases, high blood pressure and immune deficiency. Staff members of these departments are also responsible for the Level courses of Biochemistry, Molecular Biology and Genetics for undergraduate students. DEPARTMENT OF MEDICAL CHEMISTRY AND MOLECULAR BIOLOGY Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501, JAPAN TEL: +81-75-753-9445 FAX: +81-75-753-9446 http://www2.mfour.med.kyoto-u.ac.jp/~nagata/ The Department of Medical Chemistry was founded in 1899, and Dr. Torasaburo Araki was appointed as the first Professor and Chairman. In 1915, Dr. Araki became the President of Kyoto University and in 1919 Dr. Kanae Maeda succeeded him in Professorship. In 1942, Dr. Senji Uchino was appointed as the third Professor. In 1958, Dr. Osamu Hayaishi, Chief, Section of Toxicology, National Institutes of Health, U.S., was appointed as the fourth Professor and Chairman of the Department. In 1961, the Department was divided into two sub-departments. Dr. Hayaishi was the Chairman of the Department and the Professor of the 1st sub-departments, and Dr. Shosaku Numa was appointed as the first Professor of the 2nd sub-departments in 1968. In 1984, Dr. Tasuku Honjo, Professor of the Department of Genetics, Osaka University Medical School, succeeded Dr. Hayaishi after his retirement. In 2007, Dr. Shigekazu Nagata, Professor of the Integrated Biology Laboratory, Graduate School of Frontier Biology, Osaka University, succeeded Dr. Honjo. During the past fivedecades, this Department has become one of the leading centers of biochemical and molecular biological research in the world, and a large number of visiting scientists from abroad have come to exchange information and carry out collaborative experiments. Members in the Department are laureates of many honors and awards. For example, “Order of Culture” to Dr. Hayaishi, Recognition as “a Person of Cultural Merits” to Drs. Hayaishi, Honjo, and Nagata, and Emil Boehring Prize and Koch Prize from Germany to Dr. Nagata. Teaching Activities: The department is responsible for instruction of biochemistry and molecular biology for undergraduate and graduate students. Research Activities: In the department of Medical Chemistry, We are currently studying the molecular mechanism and physiological role of apoptosis. In 1991, we identified Fas, a protein of the tumor necrosis factor (TNF) receptor family, and showed that Fas can transduce an apoptotic signal into cells. Subsequently, we in collaboration with Dr. Goldstein in Marseille identified in a cytotoxic T cell clone a cytokine (Fas ligand) that can kill the Fas-bearing cells. We then found that two mouse mutations, lpr (lymphoproliferation) and gld (generalized lymphoproliferative disease) that cause lymphadenopathy and splenomegaly, and accelerate autoimmune diseases, are mutations of Fas and Fas ligand, respectively. Fas ligand is ex- 116 pressed on the cell surface of activated cytotoxic T cells (CTL) or natural killer (NK) cells, and works as one of the effector molecules for their cytotoxic activity. Since the administration of agonistic anti-Fas antibody or Fas ligand rapidly killed the mice by causing acute hepatitis, we postulated that the exaggeration of Fas ligand-induced apoptosis is responsible for the CTL-induced tissue destruction. We studied the signal transduction for the Fas-induced apoptosis, and found that a cascade of proteases (caspases) is activated in this process. We then identified an enzyme (caspase-activated DNase) that causes the apoptotic DNA fragmentation. We further showed that DNA of apoptotic cells can be digested not only cell-autonomously by CAD, but also non-cell autonomously by an acid DNase (DNase II) in macrophages. During definitive erythropoiesis, nuclei are expelled from erythroid precursor cells and engulfed by macrophages. We found that DNase II is also responsible for degrading nuclear DNA from erythroid precursor cells. The DNase II-null mice accumulate undigested DNA in macrophages, and activate the inflammatory cytokine genes such as IFN and TNF . This led to the severe lethal anemia in mouse embryos, and chronic polyarthritis in adults that resembles to human rheumatoid arthritis. Using the knowledge that DNA of apoptotic cells is cleaved in lysosomes of macrophages after they are phagocytosed, we established an assay system for phagocytosis of apoptotic cells, and identified of a factor (MFG-E8) and a receptor (Tim-4) that specifically bind to apoptotic cells by recognizing phosphatidylserine exposed on the surface of dead cells. MFG-E8 is expressed in the tingible-body macrophages in the germinal centers of the spleens. Many apoptotic cells are left unengulfed in the MFG-E8-/- tingible-body macrophages, and the mutant mice develop SLE (systemic lupus erythematosus)-type autoimmune diseases, confirming that apoptotic cells must be swiftly cleared to prevent the release of antigenic materials from dying cells. We recently showed that similar to apoptotic cells, the nuclei from erythroid cells also expose phosphatidylserine on their surface to be recognized by macrophages. Publications: Hanayama et al., Science (2004) 304(5674): 1147-50. Yoshida et al., Nature (2005) 437(7059): 754-58. Kawane et al., Nature (2006) 443(7114): 998-1002. Miyanishi et al., Nature (2007) 450(7168): 435-39. Professor: NAGATA, Shigekazu, D.Sc. (Tokyo Univ.), Cell Death and Cytokine Associate Professor: FUKUNAGA, Rikiro, D.Sc. (Kyoto Univ.), Cytokine signaling and Gene expression Assistant Professors: KAWANE, Kohki, D.Med.Sc. (Osaka Univ.), Mouse genetics and Immunology HANAYAMA, Rikinari, M.D., D.Med.Sc. (Osaka Univ.), Phagocytic signaling and diseases DEPARTMENT OF CELL BIOLOGY The predecessor of this Department is the second sub-department of the Department of Medical Chemistry. In 1961, the Department of Medical Chemistry was divided into two sub-departments. Dr. Hayaishi was the chairman of the Department and the Professor of the first sub-department, but in the second sub-department two Associate Professors were appointed until Dr. Shosaku Numa was appointed as the first Professor in 1968. Since then, the chairmanship has been rotated. Regrettably Dr. Numa died in February of 1992 just before his retirement. Dr. Shoichiro Tsukita was appointed as the second Professor to succeed Dr. Numa in May of 1993, and this second sub-department was reorganized into the Department of Cell Biology in 1994. In 2007, Dr. So Iwata was appointed as the third professor in the Department. Outline of Teaching Activities: The Department of Cell Biology is responsible for instruction in biochemistry and molecular biology for undergraduate and graduate students. Outline of Research Activities: (see also http://cell.mfour.med.kyoto-u.ac.jp/ ): Professor Iwata, started work on membrane protein crystallography in 1992. Since then, he has been trying to solve various types of membrane proteins from prokaryote to eukaryote. Membrane proteins perform a wide range of biological functions including respiration, signal transduction and molecular transport. The results of various genome projects have shown that up to 30 % of proteins encoded by eukaryotic cells are membrane proteins. Structural research on membrane proteins is, however, only a partially conquered area; less than 20 independent structures of integral membrane proteins have been reported so far. A more fundamental understanding of the structure-function relationships of membrane proteins would make invaluable contributions to structural biology, pharmacology and medicine. The Mission of our group is to develop new techniques for crystallization and structural determination, which will lead to a breakthrough in the structural studies of a wide range of membrane proteins. Professor: IWATA, So, Ph.D. (Univ. of Tokyo), Membrane protein X-ray crystallography; Senior Lecturer: KOBAYASHI, Takuya, D.Med.Sc. (Kyoto Univ.), Production and purification of functional membrane protein for crystallography; Assistant Professors: MURATA, Takeshi, D.Eng. (Tokyo Univ. Science), Development of binders increasing hydrophilicity and crystallizability of membrane protein; ADACHI, Makoto, D.Sc. (Kyoto Univ.), Cell adhesion and signaling; DEPARTMENT OF MOLECULAR ONCOLOGY Outline of Research Activities: Our group has discovered several mammalian genes based on their activity to suppress malignant phenotype or their characteristic spatio-temporal expression patterns in mice. These include RAP1/Krev-1, RECK, caspase-2/Nedd2, Medicine Nedd4, Sept2/Nedd5, Nedd8, and Nedd9. We are attempting to elucidate their physiological functions and their roles in diseases such as cancer and neurological disorders using experimental systems in vitro and in vivo. We also collaborate with clinicians to explore the relevance of these molecules in human diseases and possible clinical application of the materials obtained though these studies. Outline of Teaching Activities: Besides its main programs on Molecular Oncology for graduate students, this department takes part in other courses for medical students, including Essential Cell Biology and Molecular Cell Biology. Professor: NODA, Makoto, D.Med.Sc. (Keio Univ.), Isolation and characterization of genes involved in cancer formation and embryonic development; Assistant Professors: MATSUZAKI, Tomoko, D.Med.Sc. (Tokyo Medical and Dental Univ.), Functions of RECK protein; YOSHIDA, Yoko, D.Pharm.Sc. (Tokyo Univ. of Pharmacy and Life Sciences), Molecular mechanisms of tumor invasion and metastasis; 117 infertile animals, GS cells can produce normal fertile offspring, indicating that they are real stem cells. GS cells have several advantages over ES cells. First, although ES cells are only available during the embryonic period, GS cells can be derived from postnatal animals. Second, they are not tumorigenic and committed to the germline lineage. Given that ES cells with germline potential have been obtained only from mice, our GS cell technology may resolve current challenges with ES cells and greatly contribute to the development of new transgenic technologies. We are now trying 1) to modify the genome of rat GS cells and 2) to derive GS cells from other animal species. Professor: SHINOHARA, Takashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Spermatogonial transplantation; 2. Production of transgenic animals; Assistant Professors : LEE, Jiyoung, Ph.D. (Tokyo Institute of Technology), 1. Genomic imprinting, 2. Nuclear Cloning; SHINOHARA, Mito, M.D., D.Med.Sc. (Kyoto Univ.), 1. Germline stem cell culture; 2. Production of transgenic animals; TAKASHIMA, Seiji, Ph.D. (Tokyo Institute of Technology), 1. Genomic imprinting, 2. Embryo Culture; IMAMURA, Yukio, D.Med.Sc. (Kyoto Univ.), Molecules involved in the regulation of neural activity and plasticity; Program-Specific Researcher (Global Centers of Excellence (GCOE)): KITAYAMA, Hitoshi, D.Sc. (Univ. of Tsukuba), Functions of transformation suppressor genes; MEDICAL GENETICS Few areas of medicine remain unaffected by the rapid developments in molecular genetics that have taken place over recent years. Not only the classic Mendelian disorders, but also diseases of complex and multifactorial etiology are now subject to investigation at the DNA level. Moreover, gene therapies are expected to become important therapueutic modalities in the new century. To study and teach medical genetics at the molecular level, the Medical Genetics consists of three departments. DEPARTMENT OF MOLECULAR GENETICS Outline of Teaching Activities: Germ cell biology and transgenesis are the fields for which we are responsible in both undergraduate and graduate courses. Outline of Research Activities: There are two main projects in our department. One is development of technique to manipulate male germline stem cells. The other subject is to understand the biology of male germline stem cells. In 2003, we succeeded in long-term culture of mouse spermatogonial stem cells. Due to their unique morphology and biological characteristics, we named them germline stem (GS) cells. GS cells have different morphology from embryonic stem (ES) cells, and can grow exponentially in vitro for more than 2 years. Upon transplantation into DEPARTMENT OF RADIATION GENETICS The Department of Radiation Genetics was founded by Dr. Tsutomu Sugahara for basic research and education in the field of radiation biology in 1961. Dr. Hiraku Takebe took over the departmental Head position in 1982, and was followed by Dr. Shunichi Takeda in 1998. The department now has a solid base of very active research in the field of cellular response to DNA damage, including DNA repair and recombination, DNA damage checkpoint, and cell cycle regulation. Molecular mechanisms linking genetic instability and radiosensitivity with seemingly unrelated metabolic pathways like cell division and DNA replication are also being investigated. Our studies are relevant to analysis of oncogenesis caused by genetic instability, as well as cancer therapy and development of methods for gene therapy. To comprehensively study these DNA transactions, we have used the chicken DT40 cell line, because it is an ideal model system for reverse genetic study due to its extremely high efficiency of gene targeting as well as stable karyotype. Students can learn basic techniques of molecular biology and cell culture by making gene disrupted clones from DT40 cells. We have recently established a reverse genetics approach in Medaka. In this way, we want to investigate the relevance of findings from DT40 cells to the function of physiological tissues. Professor: TAKEDA, Shunichi, M.D., D.Med.Sc. (Osaka Univ.), 1. Molecular biology; 2. Oncology; 3. Radiation biology; Associate Professor: TANIGUCHI, Yoshihito, M.D., D.Med.Sc. (Keio Univ.), 1. Molecular Biology; 2. Radiation Biology; 118 Assistant Professors: MOTEGI, Akira, M.D., D.Med.Sc. (Univ. Tokyo), 1. Molecular Biology; 2. Genetics; 3. Radiation Biology; HIROTA, Kouji, Ph.D., D.Sc. (Tokyo Univ.), 1. Molecular Biology; 2. Molecular Genetics; 3. Radiation Biology; DEPARTMENT OF CLINICAL MOLECULAR BIOLOGY To apply molecular medicine to the clinics, many problems remain to be solved. The current research activities are mainly focused on the mechanisms of hepatocarcinogenesis, and temperature stress responses. The individual research subjects undertaken include: 1. The heat- and cold-shock responses in mammals. 2. The molecular diagnosis and treatment of infertility. 3. The development of molecular tumor markers and therapeutics against liver cancers. 4. The development of vectors for gene therapy. 5. The establishment of genetic counseling network in Japan. Outline of Research Activities: The primary focus of research has been on the neuronal circuitry, synaptic organization, and development and plasticity of neuronal connection in the central nervous system of mammals, including man. Various pathways in the brain and spinal cord are analysed with light and electron microscopies by means of tracer techniques, immunocytochemistry, in situ hybridization histochemistry, and intracellular recording/staining method. Recently, efforts are strongly focused on the morphological analysis of local circuit or microcircuit in the cerebral cortex, basal ganglia and thalamus, using genetically modified animals as well as the conventional methods listed above. Professor: KANEKO, Takeshi, M.D., D.Med.Sc. (Kyoto Univ.), Local neural circuit in the mammalian central nervous system, especially in the cerebral neocortex; Associate Professor: FUJIYAMA, Fumino, M.D., D.Med.Sc. (Saga Univ.), Neural circuit in the basal ganglia; Professor: FUJITA, Jun, M.D., D.Med.Sc. (Kyoto Univ.), 1.Reproductive biology; 2.Stress responses; 3.Clinical genetics; 4.Oncology; Assistant Professors: FURUTA, Takahiro, D.Sc. (Kyoto Univ.), Neural circuit in the basal ganglia and cerebral cortex; Associate Professor: ITOH, Katsuhiko, M.D., D.Med.Sc. (Kyoto Univ.), 1.Gene therapy; 2.Experimental hematology; HIOKI, Hiroyuki, D.Med.Sc. (Kyoto Univ.), Local neural circuit in the cerebral cortex and thalamic nuclei; Assistant Professors: HIGASHITSUJI, Hiroaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hepatocarcinogenesis; 2.DNA diagnosis; HIGASHITSUJI, Hisako, M.D., D.Med.Sc. (Kyoto Univ.), 1. Oncology; 2. DNA diagnosis; Technical Staff: OKAMOTO-FURUTA, Keiko, 1. Electron microscopy, 2. Photography; DEPARTMENT OF INTEGRATIVE BRAIN SCIENCE http://www.brain.med.kyoto-u.ac.jp/indexe.html BASIC NEUROSCIENCE The Basic Neuroscience is dedicated for the integrative function of the brain. The major research and educational activities of Basic Neuroscience are made from activities of four independent departments. They are on the morphological study of the central nervous system (Department of Morphological Brain Science), on the physiological study of the nervous system correlating elemental regions of the brain with its high order integrative functions (Department of Integrative Brain Science), on the neurobiological investigation of neuronal activities and their signal processing (Department of Physiology and Neurobiology), and on the neuropharmacological investigation of the nervous system (Department of Cell Pharmacology). DEPARTMENT OF MORPHOLOGICAL BRAIN SCIENCE http://www.mbs.med.kyoto-u.ac.jp Outline of Teaching Activities: This Department is responsible for instruction in morphological sciences of the central nervous system for undergraduate and graduate students. Outline of Teaching Activities: The Department is responsible for teaching 'systems neuroscience' for undergraduate and graduate students. Outline of Research Activities: Research activities are focused on understanding how and on what basis the brain functions. We address the brain as an information processing system, and apply neurophysiological techniques to study the function of the intricate neural network that is behind human perception, planned action and thought. (1) We focus on visual tracking responses of the eyes to study the transformation of sensory to motor information. We have recorded neuronal activities in different parts of the brain while monkeys performed visual-oculomotor tasks. We analyzed the data using mathematical methods and revealed the role of the cerebral cortical area MST and cerebellum in controlling the ocular following response. To fully understand the function of the brain, we have found that the simultaneous application of two approaches is the most effective. One is the analytical approach based on the biological properties of the neurons by electrophysiology, and the other is an integrative high level systems approach by computational neuroscience. We will continue to pursue this theme in studying higher brain functions. (2) The second group in our lab is studying neural mechanisms underlying visual attention that realizes cognitive Medicine behaviors using a visual search task. Since visual search is guided by both bottom-up and top-down attention, it can be a good model to study the functional roles of feed-forward and feed-back information signals in the brain. Our studies have demonstrated the interaction process between the top-down and bottom-up attentional processes and the neural dynamics of them over the course of a visual search. We are also starting a new project focusing on neural mechanisms underlying high-degree intellective behaviors. Professor: KAWANO, Kenji, M.D., D.Med.Sc. (Univ. of Tokyo), Neuronal mechanism of information processing for visuo-motor transformation; Senior Lecturer: OGAWA, Tadashi, Ph.D., D. Eng. (Osaka Univ.), Neuronal mechanism underlying visual attention and intellective behaviors; Assistant Professors: NISHIO, Takeshi, M.D., D.Med.Sc. (Kyoto Univ.), Regeneration of neural pathways and reconstruction of neuronal circuitries in the mammalian central nervous system; MIURA, Kenichiro, Ph.D., D. Eng. (Hosei Univ.), Neural control of eye movements and visual information processing; DEPARTMENT OF PHYSIOLOGY AND NEUROBIOLOGY Outline of Teaching Activities: The department is responsible for undergraduate and graduate education of physiology in general. Outline of Research Activities: The auditory system has many marvelous capabilities. It can discriminate a small difference of sound frequency, and it can identify the location of sound source in high precision. Although our nervous system is operating by using a clock of approximately 1 msec, our auditory system can discriminate a time difference of 10 μsec or less. We are studying how these capabilities of hearing are realized; trying to understand the cellular and synaptic mechanisms, how to calculate the interaural differences of time and intensity of sound, and then how to create a space map of hearing within the human brain. The primary field of our research is, therefore, the neuroscience. From our series of investigations made on the chick nervous system using brain slice preparation and in vivo recordings, following neural mechanisms became clear: The precision of coincidence detection, namely the basic mechanisms for the sound source localization is achieved through optimization of presynaptic terminal structures, release of neurotransmitters and postsynaptic membrane excitabilities. Also cooperative neural mechanisms of time and intensity information of sound were demonstrated in processing neural information utilized for sound source localization. In these studies, we utilize various techniques of electrophysiology both in vitro and in vivo, morphology and molecular biology depending on the purpose of experiments. Professor: OHMORI, Harunori, M.D., D.Med.Sc. (Univ. of Tokyo), Auditory neuroscience; Associate Professor: ISHII, Takahiro, M.D., D.Med.Sc. (Kyoto Univ.), Molecular biology of ion channels; 119 Assistant Professor: YAMADA, Rei, M.D., D.Med.Sc. (Kyoto Univ.), Auditory neuroscience; FUKUI, Iwao, D.Med.Sc. (Kyoto Univ.), Auditory neuroscience; DEPARTMENT OF CELL PHARMACOLOGY Outline of Teaching Activities: The Department of Pharmacology is offering to undergraduate and graduate students a comprehensive course on pharmacodynamics and pharmacological basis of therapeutic drugs. A particular emphasis is put on molecular and cellular mechanisms of drug action. Outline of Research Activities (see also http://www5.mfour.med.kyoto-u.ac.jp/): This Department has identified a variety of signal transduction molecules in the cell by the use of pharmacology, biochemistry, molecular biology and cell biology, and is examining their potentials as targets for new drug development. The research activities carried out in the Department can be grouped into three categories. 1) MOLECULAR ANALYSIS OF RHO FUNCTION Narumiya and Ishizaki’s group is studying the cellular functions of the Rho family small GTPases, which stimulate actin reorganization and microtubule stabilization through their effectors and regulate various cell actions including cell cycle progression, cell contraction, cell adhesion and nuclear signaling. This study has also led to the discovery of a selective inhibitor of a Rho-associated kinase, ROCK. Biochemical analysis on cultured cells and generation of knock-out mice deficient in Rho effectors including ROCK-I, ROCK-II and three isoforms of mDia family proteins are now in progress. This research aims to discover new signal transduction pathways, the manipulation of which may control cancer cell invasion and metastasis, inflammatory cell migration, cell growth and cell division. 2) PHYSIOLOGICAL AND PATHOPHYSIOLOGICAL ROLES FOR PROSTANOID RECEPTORS Narumiya and Furuyashiki's group has made the mice deficient in each of eight types and subtypes of the prostanoid receptors which they cloned. This group is subjecting these mice to various animal models for human diseases, and examining their phenotypes. They are also examining the effects of type- and subtype-selective synthetic agonists and antagonists to these receptors. This work has identified and is identifying the physiological and pathophysiological significances of each receptor in the body, especially in biological adaptations such as allergy, inflammation and neural activation upon stress, and is providing therapeutic strategies to modulate their actions. 3) SINGLE-MOLECULE SPECKLE BIO-IMAGING PROJECT ON CELL MOTILE PROCESS Watanabe’s group is elucidating cell motility-associated cytoskeletal dynamics at the molecular level. In collaboration with Tim Mitchison, Watanabe developed the fluorescence single-molecule speckle microscopy that enabled visualization of cellular actin polymerization-depolymerization dynamics at the molecular level. This led to the discovery of processive actin capping motion of mDia1 and other Formin proteins. Their high resolution imaging approach has also 120 been applied to the elucidation of the mechanism of action of anti-cancer drugs. This research is establishing the next generation of imaging-based research capable of probing on-going molecular processes directly in live cells. Professor: NARUMIYA, Shuh, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cellular functions and signal transduction of the small GTP-binding protein Rho; 2. Pharmacology and molecular biology of prostanoid receptors; Associate Professor: WATANABE, Naoki, M.D., D.Med.Sc. (Kyoto Univ.), Single-molecule speckle bio-imaging project on cell motile process; Assistant Professors: ISHIZAKI, Toshimasa, M.Sc., D.Med.Sc. (Kyoto Univ.), Cellular functions and signal transduction of the small GTP-binding protein Rho and its effectors; FURUYASHIKI, Tomoyuki, M.D., D.Med.Sc. (Kyoto Univ.), Molecular and cognitive neuroscience/Pharmacology and molecular biology of prostanoid receptors; INTERNAL MEDICINE DEPARTMENT OF HEMATOLOGY AND ONCOLOGY The Department of Hematology and Oncology specializes in the treatment and study of adult hematologic and oncologic diseases in a multidisciplinary approach. The department has hematology expertise in the areas of acute leukemia, myeloproliferative disorder, myelodysplastic syndrome, malignant lymphoma, multiple myeloma, aplastic anemia, thrombocytopenic purpura, hemostasis and thrombosis, and adult T-cell leukemia/lymphoma that was first described in our department. Treatment modalities include allogeneic and autologous stem cell transplantation, newly developed chemotherapeutic agents, and immuno-cell-therapy using dendritic cells. Our goal is to develop innovative cancer treatments for patients who do not respond to standard therapies. Outline of Teaching Activities: We are responsible for instruction in hematology, oncology, and clinical immunology for undergraduate and graduate students. Outline of Research Activities: The major research fields include 1) molecular basis and treatment of hematological malignancies, 2) viral oncogenesis of adult T-cell leukemia/lymphoma, 3) intracellular signaling pathways in blood cells, 4) molecular mechanism regulating cell death, 5) development of novel immuno-cell-therapy for hematological malignancies, 6) characterization and manipulation of dendritic cells, and 7) regulation of HIV replication by APOBEC3G/Vif system. Outline of Clinical Activities: We are responsible for in- and out-patient wards in the University Hospital, and are taking care of patients with hematological diseases and those with acquired im- mune-deficiency syndrome. Professor: UCHIYAMA, Takashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2.Leukemia/lymphoma; 3.Immunology; 4.Cytokine; 5.Human retrovirus infections; Senior lecturers: ISHIKAWA, Takayuki, M.D., D.Med.Sc. (Kyoto Univ.), 1.Hematology; 2.Stem cell transplantation and allogeneic cell therapy; KADOWAKI, Norimitsu, M.D., D.Med.Sc. (Kyoto Univ.), 1.Hematology; 2.Immunology (dendritic cells); TAKAORI-KONDO, Akifumi, M.D., D.Med.Sc. (Kyoto Univ.), 1.Hematology; 2.HIV; 3.Molecular virology; Assistant Professors: ICHINOHE, Tatsuo, M.D., D.Med.Sc. (Kyoto Univ.), 1.Hematology; 2.Adoptive immunotherapy for malignant hematological diseases; 3.Hematopoietic cell transplantation; KONDO, Tadakazu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2.Leukemia; 3.Apoptosis; YAMASHITA, Kouhei, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2. Oncology; NISHIKORI, Momoko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2. Lymphoma; KAWABATA, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2. Oncology; 3.Iron metabolism; HISHIZAWA, Masakatsu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology; 2. Oncology; KOBAYASHI, Masayuki, M.D., D.Med.Sc. (Kyoto Univ.), 1.Hematology; 2. Oncology; 3. Signal transduction; DEPARTMENT OF MEDICINE AND CLINICAL SCIENCE Recent studies demonstrate that not only classical endocrine organs but also virtually every tissue and organ possess the endocrine function. Based on this new concept of endocrinology and metabolism, we, the members of Department of Medicine and Clinical Science (Endocrinology and Metabolism) are focusing upon the diseases of endocrinology and metabolism, especially the metabolic syndrome, which is so-called “life style-related diseases,” such as obesity, diabetes mellitus, hypertension and hyperlipidemia, and is the cluster of risk factors for atherosclerosis. We are also investigating the pathogenesis of the syndrome and its complications, and performing translational research for the development of new therapeutic strategies. Outline of Teaching Activities: The department is responsible for instruction in endocrinology and metabolism including metabolic syndrome and its cardiovascular complications in the field of internal medicine for undergraduate and graduate students. Outline of Research Activities: The major fields in research are as follows: 1. Pathogenesis of obesity and its complications Medicine 2. Pathogenesis of diabetes mellitus and its complications 3. Pathogenesis of hypertension and its cardiovascular complications 4. Renal complications of metabolic syndrome and gout 5. Adrenal diseases 6. Neuroendocrinology and pituitary diseases 7. Bone diseases and osteoporosis 8. Thyroid diseases Outline of Clinical Activities: Responsible for out-patient clinic and medical ward of 45 beds in the field of endocrinology and metabolism including metabolic syndrome. Professor: NAKAO, Kazuwa, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Hypertension; 3. Obesity and diabetes mellitus; Associate Professor: MUKOYAMA, Masashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Nephrology; 3. Hypertension; 4. Gout; Senior Lecturers: TAMURA, Naohisa, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Hypertension; 3. Adrenals; 4. Atherosclerosis and vascular medicine; MASUZAKI, Hiroaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Obesity and diabetes mellitus; 3. Lipid metabolism; (Industry-Government-Academia Collaboration) MORI, Kiyoshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Nephrology; 3. Gout; KUWAHARA, Koichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Cardiology; KASAHARA, Masato, M.D., D.Med.Sc. (Shiga Medical Univ.), 1. Endocrinology and metabolism; 2. Nephrology; EBIHARA, Ken, M.D., D.Med.Sc. (Tohoku Univ.), 1. Endocrinology and metabolism; 2. Obesity and diabetes mellitus; Assistant Professors: HARADA, Masaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Cardiology; YASODA, Akihiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Bone and mineral metabolism; 3. Osteoporosis; SONE, Masakatsu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Hypertension; 3. Atherosclerosis and vascular medicine; 4. Adrenals; KANAMOTO, Naotetsu, M.D., D.Med.Sc. (Mie Univ.), 1. Endocrinology and metabolism; 2. Thyroid; FUJIKURA, Junji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Obesity and diabetes mellitus; NAKAGAWA, Yasuaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocrinology and metabolism; 2. Cardiology; (Industry-Government-Academia Collaboration) YOKOI, Hideki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Endocri- 121 nology and metabolism; 2. Nephrology; MIYAMOTO, Licht, Ph.D. (University of Tokyo), 1. Obesity and diabetes mellitus; 2. Molecular Biology; DEPARTMENT OF CARDIOVASCULAR MEDICINE Teaching Activities: This department is responsible for instruction in dynamics of blood circulation, cardiovascular diseases that include congestive heart failure, cardiac arrhythmias, ischemic heart disease, myocardial disorders, valvular heart disease, atherosclerosis, large vessel diseases, peripheral vascular obstructions, arteritis, and essential/renovascular hypertension for undergraduate and graduate students. Clinical Activities: The department undertakes diagnosis and treatment of cardiovascular diseases, including primary intensive care, interventions on coronary arteries and other peripheral vascular lesions, pharmaco medical managements, rehabilitation, and the long-term follow-up. Research Activities: Research projects include clinical and experimental studies on etiology and pathophysiology of the cardiovascular diseases. Clinical prospective studies on sudden cardiac death in poor cardiac function, short and long-term outcomes after coronary interventions focusing on drug eluting stent, thrombosis regulation focusing on anti-platelet therapy, and establishment of aortic stent-grafting for patients with aortin aneurythm are in progress. Basic research on heartfailure metabolic syndrome, arrhythmia, thrombosis regulation, development of heart, and tissue regeneration are undertaken using molecular biological, biochemical, and cell biological methods together with gene knock-out and transgenic mice. Professor Emeritus: KITA, Toru, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiovascular medicine; 2. Atherosclerosis; 3. Molecular biology Associate Professors: KIMURA, Takeshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiovascular medicine; 2. Percutaneous coronary intervention; 3. Clinical outcome study; MATSUMORI, Akira, M.D., D.Med.Sc. (Kyoto Univ.), 1. Myocarditis; 2. Cardiomyopathy; 3. Molecular cardiology; 4. Heart failure; Associate Professors (Sponsored Research Program): NISHI, Eiichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular biology; 2. Development of cardiovascular system; Senior Lecturers: KUME, Noriaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiovascular medicine; 2. Atherosclerosis; 3. Molecular biology; HORIUCHI, Hisanori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiovascular Medicine; 2. Regulation of thrombosis formation; SHIOI, Tetsuo, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiovascular Medicine; 2. Heart failure 122 Assistant Professors: YUI, Yoshiki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Ischemic heart disease; 2. Cardiovascular epidemiology; KISHIMOTO, Chiharu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiomyopathy; 2.Cardiovascular immunology; 3. Redox regulation; AKAO, Masaharu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Electrophysiology; 2. Cell signaling; ONO, Koh, M.D., D.Med.Sc. (Kyoto Univ.), 1. Ischemic heart disease; 2. Heart failure; SHIZUTA, Satoshi, M.D., 1.Arrhythmia; 2.Heart failure; 3.Ischemic heart disease; Assistant Professors (Sponsored Research Program): HIRAOKA, Yoshinori, D. Eng. (Tokyo Institute of Technology), 1.Molecular biology; 2. Cell biology HORIGUCHI, Masahito, M.D., D.Med.Sc. (Kyoto Univ.) 1. Development of cardiovascular system; 2. Extracellular matrix Assistant Professors: MARUSAWA, Hiroyuki, M.D., D.Med.Sc. (Kyoto Univ.), Hepatology; MIYAMOTO, Shin-ichi, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; UEDA, Yoshihide, M.D., D.Med.Sc. (Kyoto Univ.), Hepatology; WATANABE, Tomohiro, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; TADA, Shinsuke, M.D., D.Med.Sc. (Kyoto Univ.), Hepatology; EZOE, Yasumasa, M.D. (Kyoto Univ.), Gastroenterology; HORIMATSU, Takahiro, M.D. (Kyoto Univ.), Gastroenterology; IDA, Hiroshi, M.D. (Kyoto Univ.), Hepatology; KOMEKADO, Hideyuki, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; DEPARTMENT OF RESPIRATORY MEDICINE Shogoinkawara-cho, Sakyo-ku, Kyoto 606-8507 Tel: (+81)-75-751-3830, Fax: (+81)-75-751-4643, DEPARTMENT OF GASTROENTEROLOGY AND HEPATOLOGY http//www.kukonai.com/ Outline of Teaching Activities: This department is responsible for instruction in gastroenterology and hepatology in the field of internal medicine for undergraduate and graduate students. Outline of Teaching Activities: This department is responsible for instruction in Respiratory Medicine in the field of internal medicine for undergraduate and graduate students. Outline of Research Activities: The major fields in research are follows: 1. Molecular and cellular biology of gastrointestinal tract 2. Carcinogenesis and cell differentiation in gastrointestinal tract 3. Immunology in digestive organ 4. Endoscopic diagnosis and treatment for digestive disease 5. Molecular and immunological aspects in viral hepatitis and hepatocarcinogenesis 6. Hemodynamics in hepatic disorders 7. Liver transplantation Outline of Research Activities: The major fields in the research are follows: 1. Chronic Obstructive Pulmonary Disease (COPD) 2. Interstitial Lung Disease 3. Bronchial Asthma 4. Lung Cancer 5. Pulmonary Infectious Disease 6. Pulmonary Vascular Disease 7. Sleep Apnea and Hypopnea Syndrome 8. Respiratory Insufficiency Outline of Clinical Activities: The department is responsible for an out-patient clinic and a medical ward of 45 beds in the field of gastroenterology and hepatology. Professor: CHIBA, Tsutomu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Gastroenterology; 2. Hepatology; Associate Professors MUTO, Manabu, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; WATANABE, Norihiko, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; Senior Lecturers: NAKASE, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), Gastroenterology; NISHIDA, Naoshi, M.D., D.Med.Sc. (Kyoto Univ.), Hepatology; SENO, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Gastroenterology, 2. Hepatology; Outline of Clinical Activities: The Department is responsible for an out-patient clinic and a medical ward of 60 beds in the field of Respiratory Medicine. Professor: MISHIMA, Michiaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. COPD, 2. Bronchial asthma, 3. Pulmonary circulation, 4. Respiratory insufficiency; Associate Professor: NIIMI, Akio, M.D., D.Med.Sc. (Kyoto Univ.), 1.Asthma, 2.Chronic cough; Senior Lecturers: HIRAI, Toyohiro, D.Med.Sc. (Kyoto Univ.), COPD; Assistant Professors: MURO, Shigeo, D.Med.Sc. (Kyoto Univ.), COPD; MATSUMOTO, Hisako, D.Med.Sc. (Kyoto Univ.), Asthma; Medicine ITO, Yutaka, D.Med.Sc. (Kyoto Univ.), Infectious disease; OGAWA, Emiko, D.Med.Sc. (Kyoto Univ.), COPD; KIM, Young Hak, M.D., Thoracic Oncology; DEPARTMENT OF RHEUMATOLOGY AND CLINICAL IMMUNOLOGY This department has been newly established in October, 2000 and expected as a leader for Rheumatology and Clinical Immunology in Japan. The department is responsible for the clinical diagnosis, management and therapy for many patients with systemic autoimmune diseases, such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), systemic sclerosis (SSc), polymyositis/dermatomyositis (PM/DM), any kind of vasculitis syndrome including polyarteritis nodosa (PN), and other connective tissue diseases. Outline of Teaching Activities: The department is responsible for teaching immune diseases (S9) to undergraduate students and for instructing basic and clinical studies in rheumatology and clinical immunology to graduate students. We are also responsible for clinical training of clinical fellows and residents in the department of University Hospital. Outline of Research Activities: To investigate the pathogenesis of rheumatic and autoimmune diseases, we focus on the following subjects: 1. Identification of new autoantigens and their biological function 2. Pathogenic autoantigens and autoantibodies in rheumatoid arthritis and other rheumatic diseases 3. Autoreactive T cells in systemic lupus erythematosus 4. Establishment of new gene therapy for autoimmune diseases 5. Study of disease-susceptibility genes in systemic autoimmune diseases. 6. Diagnosis and management of the intractable manifestations in autoimmune diseases Professor: MIMORI, Tsuneyo, M.D., D.Med.Sc. (Keio Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Autoantibody; 4. Autoantigen; Associate Professor (Concurrent post): USUI, Takashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Molecular immunology; 4. Cellular immunology; Senior Lecturer: FUJII, Takao, M.D., D.Med.Sc. (Keio Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Cellular immunology; 4. Autoreactive T cells; 5. Autoantibody; Assistant Professors: KAWABATA, Daisuke, M.D., D.Med.Sc. (Kyoto Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Autoantigen; OHMURA, Koichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Genomic research; 4. Autoantibody; NOJIMA, Takaki, M.D., D.Med.Sc. (Keio Univ.), 1. Rheuma- 123 tology; 2. Clinical immunology; 3. Autoantibody; 4. Osteoimmunology; YUKAWA, Naoichiro, M.D. (Tokyo Medical Univ.), 1. Rheumatology; 2. Clinical immunology; 3. Clinical therapy; 4. Rheumatoid Arthritis; DEPARTMENT OF GERIATRIC MEDICINE Our research activities focus on the pathogenesis of those diseases afflicting the old people as cardio-and cerebrovascular disorders, cancers, infectious diseases and cognitive impairments. These are leading causes of death for the majority of adults and older generations in our rapidly aging society. 1. Immunopathogenesis of alimentary tract disorders and a virulence mechanism of Helicobacter pylori. 2. Pathogenesis of atherosclerosis and renal diseases due to dyslipidemia and diabetes mellitus. 3. Diagnosis and prevention of dementia and cognitive disorders. 4. Comparative field studies on the well being of the old people in various cohort groups both domestic and abroad. 5. Studies on both ethical and medical aspects of nutrition of old patients with terminal illness. 6. Molecular mechanisms of cellular senescence and prevention of aging-associated clinical disorders. We also commit ourselves to develop team-based approaches in our clinical services. Senior Lecturers: WAKATSUKI, Yoshio, M.D., D.Med.Sc. (Kyoto Univ.), 1. Immunology; 2. Microbiology; ARAI, Hidenori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Atherosclerosis and vascular cell biology; Assistant Professors: TAKECHI, Hajime, M.D., D.Med.Sc. (Kyoto Univ.), 1. Geriatric medicine; 2. Molecular neurology; KONDOH, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Ageing and senescence biology; 2. Geriatiric Medicine; HAMAKAWA, Yoshiyuki, M.D., D.Med.Sc. (Okayama Univ.), 1. Geriatric medicine; 2. Clinical neurology; DEPARTMENT OF DIABETES AND CLINICAL NUTRITION The preceding Nutritional Care Unit was founded in 1933 for clinical nutrition and diet therapy in Kyoto University Hospital. It became the Division of Clinical Nutrition in 1981 as a central clinical facility. In 1992, department was reestablished as the Department of Metabolism and Clinical Nutrition to reflect its academic and scientific roles of providing advanced instruction to medical student in the field of metabolism and nutrition as well as research opportunities for graduate students in diabetology and nutriology. The name of the department was further altered to the Department of Diabetes and Clinical Nutrition in 2002 to play a central role in the field of diabetology in Kyoto University Hospital. Our major interest is to clarify the pathogenesis of diabetes mellitus and to develop a cutting-edge therapy, from multidisciplinary aspects. Our studies include the production and 124 secretion of insulin in pancreatic -cells, regeneration and transplantation of pancreatic -cells, various effects of incretins including GIP and GLP-1, search for novel metabolic sensor in vivo, clinical characterization of Japanese diabetic patients, and establishment of evidence in nutrition. OHTSURU, Shigeru, M.D., 1. Gastroenterology; 2. Hepatology SUZUKI, Takao, M.D., D.Med.Sc. Director and Professor: INAGAKI, Nobuya, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: The Department of Nephrology was founded as the Division of Artificial Kidneys of Kyoto University Hospital in 1970s and became the department in 2002. The Department has contributed to the progress in basic and clinical nephrology, and specializes in the treatment and study of various kidney diseases. The number of patients with end-stage renal disease (ESRD) is still increasing, and therefore the therapeutic advancement for ESRD is becoming highlighted. Among renal diseases, diabetic nephropathy is now the leading cause of ESRD worldwide. Moreover, recent studies have revealed that mild chronic renal dysfunction, irrespective of its causes, increase the risk for death and cardiovascular events, and is thus regarded as a new disease entity called chronic kidney disease (CKD). The Department focuses upon the pathophysiology and therapeutics of kidney diseases from various causes and of various stages as follows: 1) Diagnosis and treatment of primary glomerular diseases: glomerulonephritis and nephrotic syndrome 2) Diagnosis and treatment of diabetic nephropathy, with special emphasis on early diagnosis and intensive therapy for diabetic nephropathy to achieve its remission and regression 3) Diagnosis and treatment of other secondary glomerular diseases and CKD: hypertensive nephrosclerosis, gout kidney, ischemic nephropathy, polycystic kidney disease, and collagen diseases 4) Management of chronic renal failure, with special interest in the therapy with the renin-angiotensin system blockade to get regression 5) Dialysis therapy for ESRD and management of its complications: hemodialysis and peritoneal dialysis 6) Blood purification: hemodiafiltration, plasma exchange, plasma adsorption, and apheresis 7) Diagnosis and treatment of electrolyte and body fluid imbalance Senior Lecturers: HOSOKAWA, Masaya, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: FUJIMOTO, Shimpei, M.D., D.Med.Sc. (Kyoto Univ.), 1.Diabetes mellitus; 2. Clinical Nutrition: Program-Specific Senior Lecturer (Special Appointment): HARASHIMA, Shinichi, M.D., Ph.D. (Kyushu Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: Assistant Professors: NAGASHIMA, Kazuaki, M.D., Ph.D. (Chiba Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: HAMAMOTO, Yoshiyuki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: TOYODA, Kentaro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: HAMASAKI, Akihiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: Program-Specific Assistant Professors (Special Appointment): YAMADA, Chizumi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: NAKAMURA, Yasuhiko, Ph.D. (Kyushu Univ.), 1. Diabetes mellitus; 2. Biochemistry: HARADA, Norio, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetes mellitus; 2. Clinical Nutrition: DEPARTMENT OF PRIMARY CARE AND EMERGENCY MEDICINE All patients with acute illness (1.cardiovascular, 2.neurovascular, 3.gastrointestinal, 4.respiratory tract, 5.metabolic and endocrine, 6.renal diseases) and trauma are triaged and treated immediately after arrival to emergency room in cooperation with all other clinical sections. Professor : KOIKE, Kaoru, M.D., D.Med.Sc.(Nihon Med. Sch.), D.Pharm.Sci. (Showa Univ.), 1. Emergency medicine; 2. Surgery Associate Professor: MATSUDA, Naoyuki, M.D., D.Med.Sc. Assistant Professors: SOMA, Toshiya, M.D., D.Med.Sc.(Kyoto Univ.), Surgery YAMAHATA, Yoshihiro, M.D., Emergency medicine NISHIYAMA, Kei, M.D., Cardiovascular diseases DEPARTMENT OF NEPHROLOGY Outline of Teaching Activities: The Department is responsible for instruction in basic and clinical nephrology including chronic kidney disease, acute and chronic renal failure, dialysis therapy and its complications, blood purification, and electrolyte and body fluid balance in the field of internal medicine for undergraduate students and clinical trainees. Outline of Research Activities: The major fields in research are as follows: 1. Pathogenesis of diabetic nephropathy 2. Early diagnosis and new treatment of diabetic nephropathy 3. Pathogenesis and treatment of glomerulonephritis and nephrotic syndrome 4. Pathogenesis and management of ESRD 5. Management of acute renal failure 6. Hemodialysis and its complications 7. Peritoneal dialysis and its complications Outline of Clinical Activities: The Department of Nephrology is responsible for the out-patient clinic and medical ward of 14 beds in the field of kidney diseases. In cooperation with the Division of Artificial Medicine 125 Kidneys, the Department is responsible for dialysis therapy and blood purification for in-patients with ESRD, hepatic failure, autoimmune diseases, post-transplant state, drug poisoning, and other acutely ill conditions such as systemic inflammation response syndrome. The Department is also responsible for blood access surgery and peritoneal dialysis induction. In cooperation with the Department of Medicine and Clinical Science, the Department takes care of education and management for out-patients with renal diseases. ology of dermal connective tissue; 2. Connective tissue diseases; Senior Lecturers: TAKAHASHI, Kenzo, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular biology of keratin; 2. Wound healing; 3.Basic research for development of new drugs for keratoderma.; Senior Lecturer: FUKATSU, Atsushi, M.D., D.Med.Sc.(Nagoya Univ.) Assistant Professor: IEHARA, Noriyuki, M.D., D.Med.Sc.(Kyoto Univ.) MATSUBARA, Takeshi, M.D., D.Med.Sc.(Kyoto Univ.) Assistant Professors: MATSUMURA, Yumi, M.D., D.Med.Sc. (Kyoto Univ.), Hematodermatology; IKOMA, Akihiko, M.D., D.Med.Sc. (Kyoto Univ.), Neurophysiology of itch; ARAKAWA, Akiko, M.D., D.Med.Sc. (Kyoto Univ.), 1, hair biology, 2,Autoimmunity 3, Tumor immunity; KORE-EDA, Satoshi, M.D., D.Med.Sc. (Kyoto Univ.) Skin surgery; CUTANEOUS LIFE SCIENCE DEPARTMENT OF DERMATOLOGY The Department of Dermatology was founded in 1899 soon after the College of Medicine was established. Dr. T. Matsuura, the first director, studied Schistosomiasis japonica. The second director, Dr. S. Matsumoto, conducted well-known studies on spirochaetal diseases such as syphilis. He became a Member of the Japan Academy in 1949 and was awarded with Order of Cultural Merit by the Japanese Government in 1966 as well as with Schaudinn-Hoffman Prize by the German Dermatological Association in 1965. The third director, Dr. T. Yamamoto, studied the relationship between skin and systemic diseases. The fourth director, Dr. S. Ofuji, investigated the pathogenesis of eczematous skin diseases, especially atopic dermatitis from an immunological point of view. Dr. S. Imamura became the fifth director in 1980 and studied the pathogenesis of erythema multiforme. The present Professor, Dr. Y. Miyachi became the sixth director in 1998. There are 10 academic staffs, 12 graduate students, 3 adjunctive physician scientists and 5 residents. Several foreign research fellows from Korea, China, Taiwan, Bangladesh, Brazil and Indonesia have studied in the laboratories. Outline of Research Activities: 1. Pathogenesis of allergic and inflammatory skin diseases. 2. Immunobiological studies of skin diseases 3. Molecular and biochemical studies on skin diseases. 4. Cutaneous regeneration studies and wound healing Most research works in this department have been published in international journals. Outline of Clinical Activities: There are 130-150 outpatients/day and 20-23 inpatients. Over 250 day surgeries are performed every year. A special leprosy clinic is open twice a week. Professor: MIYACHI, Yoshiki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cutaneous allergic inflammation; 2. Photobiology and Cutaneous Aging; 3. Wound healing; Associate Professor: UTANI, Atsushi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cell bi- HONDA, Tetsuya, M.D., D.Med.Sc. (Kyoto Univ.), Lipid mediator and skin immunology KITOH, Akihiko,M.D., Immunology; KATOH, Mayumi, M.D., Skin surgery; DEVELOPMENTAL MEDICINE DEPARTMENT OF PEDIATRICS 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507 Tel. (+81)-75-751-3291, Fax. (+81)-75-752-2361 The Department of Pediatrics was established in 1903. Dr. I. Hirai, the founder of the department, was honoured with the prestigious Academy Prize of the Japan Academy for his scientific contributions on lead poisoning in Japanese infants in 1932. He was followed by Dr. M. Suzuki (1927-1931), Dr. S. Hattori (1931-1951), the former Presidents of Kyoto University, Dr. H. Nagai (1951-1966), Dr. R. Okuda (1966-1979), former vice President of the Fukui Medical School, Dr. H. Mikawa (1979-1993) and Dr. K Furusho (1994-1998). Dr. T Nakahata is the eighth Professor of the Department, serving from 1999. The present staff includes sixteen faculty members, nine clinical fellows, eight rotating residents and nineteen postgraduate students and five research fellows. Outline of Teaching Activities This department is responsible for general and special instruction on the diagnosis and treatment of pediatric diseases for undergraduate and graduate students. There is a daily general outpatient clinic and 6 special out-patient clinics for cardiovascular diseases, malignancy and hematological diseases, allergy and immunological diseases, neuromuscular diseases, neonatological diseases and metabolic and endocrinological diseases. The Department is responsible for an in-patient clinic with a general ward containing thirty-five hospital beds. Outline of Research Activities There are at present 5 research groups; 1. Stem Cell (Hematology, Immunology, Neurology and Cardiology): Expansion and differentiation of tissue stem cells and ES cells, and their clinical applications 126 2. Allergy and Immunology: Cellular and molecular mechanisms of allergic and immunological diseases, Clinical and epidemiological studies of childhood allergic diseases to elucidate more effective therapy 3. Metabolism/Endocrinology and Genetics: Molecular basis of inherited metabolic diseases, Molecular genetics of Turner's syndrome 4. Apoptosis: Molecular analysis of apoptosis and its regulation with the aim of clinical application Professor: NAKAHATA, Tatsutoshi, M.D., D.Med.Sc. (Shinsyu Univ.), Hematology and oncology Associate Professor: HEIKE, Toshio, M.D., D.Med.Sc. (Kyoto Univ.), Immunology and allergology Senior Lecturers: YORIFUJI, Tohru, M.D., D.Med.Sc. (Kyoto Univ.), Metabolism/endocrinology and genetics ADACHI, Souichi, M.D., D.Med.Sc. (Kyoto Univ.), Hematology and oncology Assistant Professors: KAWAI, Masahiko, M.D., D.Med.Sc. (Kyoto Univ.), Metabolism and endocrinology NISHIKOMORI, Ryuta, M.D., D.Med.Sc. (Kyoto Univ.), Immunology and allergology DOI, Hiraku, M.D., (Kyoto Univ.), Cardiology WATANABE, Ken-ichiro, M.D., D.Med.Sc. (Kyoto Univ.), Hematology and oncology YASUMI, Takahiro, M.D., D.Med.Sc. (Kyoto Univ.), Immunology and allergology HIRAMATSU, Hidefumi, M.D., D.Med.Sc. (Kyoto Univ.), Hematology and oncology (on leave of absence) KATO, Takeo, M.D., D.Med.Sc. (Ehime Univ.), Neurology MATSUBARA, Hiroshi, M.D., (Asahikawa Med. College), Hematology and oncology YAMANAKA, Yasunari, M.D., D.Med.Sc. (Kyoto Univ.), Neurology UMEDA, Katsutsugu, M.D., D. Med.Sc. (Kyoto Univ.), Hematology and oncology (on leave of absence) NIWA, Fusako, M.D., (Nara Med. Univ.), Neonatology FUJINO, Hisanori, M.D., D. Med.Sc. (Kyoto Univ.), Hematology and oncology BABA, Shiro, M.D., D.Med.Sc. (Shiga Univ. of Med. Science), Cardiology RADIOLOGY The history of the Department of Radiology dates back to 1944, when the Section of Applied Physical Science for Medical Use was established. This section became the Department of Radiology, supervised first by Dr. I. Suetsugu in 1948. He was urged to establish the basis for diagnostic as well as therapeutic radiology. In 1950 he succumbed to pancytopenia due to an occupational radiation injury. Dr. T. Fukuda succeeded him in 1951 and worked mainly with diagnostic radiology of the alimentary tract and with radiation protection as well as therapy. Responding to increased demands for clinical as well as basic radiological science, the Radiology and Nuclear Medicine Service was established in the University Hospital under Dr. Fukuda in 1964. Since then, various uses of radioisotopes for clinical medicine have yielded new fields of nuclear medicine, from which the third Professor of radiology, Dr. K. Torizuka, was elected in 1972. Under these conditions, the Department of Radiology has necessarily expanded its field of activity. When Dr. Torizuka moved to the newly established Department of Nuclear Medicine in 1976, Dr. M. Abe succeeded as the fourth Professor of the Department of Radiology in 1977, and the staff of radiology and nuclear medicine were united in order to utilize a variety of radiological tools synergistically for mutual benefit and also in the hope of combined use of new tools such as computed tomography (CT), ultrasound, magnetic resonance imaging (MRI) and positron study. In this sense, the Department has become a unique organization that keeps pace with recent developments in medical technology, through the diagnostic tools applying X-rays, gamma rays, nuclear magnetic resonance, and so on, and radiation therapy. In 1987, Dr. J. Konishi succeeded Dr. Torizuka as the second Professor of the Department of Nuclear Medicine. In 1995, Dr. M. Hiraoka succeeded Dr. Abe as the fifth Professor of the Department of Radiology. Since the reorganization of Graduate School of Medicine in 1995, the Department of Radiology has been reformed as the Department of Therapeutic Radiology and Oncology, and the Department of Nuclear Medicine has been reformed as the Department of Nuclear Medicine and Diagnostic Imaging. In 2004, Dr. K. Togashi succeeded Dr. Konishi as the third Professor of the Department of Nuclear Medicine and Diagnostic Imaging. In 2005, both departments changed their names to the Department of Radiation Oncology and Image-applied therapy and the Department of Diagnostic Imaging and Nuclear Medicine, respectively. The present staff in the two Departments consists of 29 faculty members and 2 clinical fellows. 20 graduate students and 4 residents engage in activities that cross the boundary between the two departments. There are 27 beds used for diagnosis and therapy for in-patient care. The subjects of research work (excluding the faculty members of the Radiology and Nuclear Medicine Service) of the two Departments are as follows. DEPARTMENT OF RADIATION ONCOLOGY AND IMAGE-APPLIED THERAPY Outline of Teaching Activities: The department is responsible for instruction in radiation oncology and interventional radiology for undergraduate and graduate students. Outline of Clinical Activities: At the radiotherapy clinic, a total number of about 1,200 new patients have been treated by radiotherapy per year. A multidisciplinary treatment using chemotherapy is also performed for various malignancies. Innovative treatments such as stereotactic irradiation, intensity-modulated radiotherapy (IMRT), intraoperative radiotherapy, brachytherapy and total body irradiation are intensively performed. Radioisotope therapy using Iodine-131 is carried out for thyroid cancer. Outline of Research Activities: The research projects currently in progress in the Department are as follows: modification of radiosensitivity, bioimaging, hypoxia targeting therapy, hyperthermia, intraoperative radiotherapy, a 4-dimensional treatment planning system, IMRT, stereotactic irradiation, and integrated radiotherapy systems. Intravascular radiotherapy using glass microspheres are also being investigated. Medicine 127 radiotherapy; 2. Radiation Physics; Professor: HIRAOKA, Masahiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Radiotherapy in general; 2. Hyperthermic oncology; 3. Clinical radiobiology; 4. Radiotherapy for breast cancer; Program-Specific Professor (CK Project): KONDOH, Shinae, D.Med.Sc. (Osaka Univ.), 1. Molecular Oncology; 2. In vivo optical imaging; 3. Molecular Genetics; 4.Tumor Virology; Associate Professor: MITSUMORI, Michihide, M.D., D.Med.Sc. (Kyoto Univ.), 1. Radiotherapy for breast cancer and gastrointestinal cancers; 2. 3-dimensional treatment planning; 3. Hyperthermic oncology; Senior Lecturer: MIZOWAKI, Takashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Intensity-modulated radiation therapy and stereotactic irradiation; 2. Radiotherapy for prostate, head & neck and esophageal cancer; 3. Radiotherapy treatment planning; Program-Specific Senior Lecturer (Science and Technology Advancement): HARADA, Hiroshi, D. Sci., (Nagoya Univ.), 1. Radiation Oncology, 2. Molecular Oncology, 3. Molecular Imaging; Assistant Professors: SHIBUYA, Keiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Radiotherapy for intra-thoracic tumors, pancreatic cancer and GYN; 2. Radiation biology; YAMAUCHI, Chikako, M.D., M.Med.Sc. (Mie Univ.), 1. Radiotherapy for breast cancer and GYN; 2. Brachytherapy; MATSUO, Yukinori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Stereotactic irradiation and intensity-modulated radiotherapy; 2. Radiotherapy for lung and head & neck cancer; HORII, Naotoshi, M.D., M.Med.Sc. (Fukui Univ.), 1. Radiotherapy for head & neck cancer; 2. Hyperthermic oncology; 3. Brachytherapy; ITASAKA, Satoshi, M.D., M.Med.Sc. (Kyoto Univ.), 1. Radiotherapy for gastrointestinal cancers; 2. Radioisotope therapy; 3. Radiation Biology; Program-Specific Assistant Professors (Reform Promotion): NORIHISA, Yoshiki, M.D., M.Med.Sc. (Ehime Univ.), 1. Intensity-modulated radiation therapy and stereotactic irradiation; 2. Radiotherapy for prostate cancer; Program-Specific Associate Professor (Reform Promotion): NARITA, Yuichiro, D. Eng. (Tohoku Univ.), 1. Medical Physics for radiotherapy; 2. Radiation Physics; 3. Nuclear Engineering; Program-Specific Associate Professor (NEDO Industry-Government–Academia Collaboration): SAWADA, Akira, D.Eng. (Kyoto Univ.), 1. Medical physics in radiotherapy; 2. Medical image processing; 3. Engineering for Image-guided radiation therapy; Program-Specific Assistant Professors (Industry-Government–Academia Collaboration): SATO, Sayaka, M.Eng. (Tohoku Univ.), 1. Medical Physics for radiotherapy; 2. Radiation Physics; MIYABE, Yuki, M.H.Sc (Osaka Univ.), 1. Medical Physics for DEPARTMENT OF DIAGNOSTIC IMAGING AND NUCLEAR MEDICINE Outline of Teaching Activities: The Department is responsible for teaching in diagnostic radiology, CT, MRI, ultrasonography and nuclear medicine for undergraduate and graduate students. We wish to serve not only for residents who will be a radiologist but also for residents that are scheduled to be doctors in other departments, because imaging is mandatory in all the medical fields. Outline of Clinical Activities: The department has committed to medical services to patient with a variety of diseases on the basis of imaging, providing a full-range of diagnostic services utilizing diagnostic imaging modalities such as X-ray CT, MRI, ultrasonography, as well as nuclear medicine techniques including positron emission tomography. Interventional radiology that incorporates both diagnosis and treatment is another service, which we have been providing. We also have outpatient clinic and radioisotope treatment facility for patients with thyroid diseases. Outline of Research Activities: The major research interests include: (1) physical/mathematical investigations for development of new imaging modalities and image processing methods, (2) clinical investigations on the establishment of a new imaging methods to clarify the mechanism of disease, and (3) basic research on the image findings with a pathophysiological approach. We are also concerning with basic experimental studies such as molecular imaging, evaluation of angiogenesis, oxygenation, and blood flow with a use of state-of-the-art imaging technique. Professor: TOGASHI, Kaori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Integrated medical imaging using CT, MRI, radioisotope imaging and ultrasonography; 2 Women’s imaging using MRI Associate Professor: MIKI, Yukio, M.D., D.Med.Sc. (Kyoto Univ.) 1. Diagnostic neuroradiology; 2. Neuroimaging using CT and MRI Senior Lecturer: ISHIZU, Koichi, M.D., D.Med.Sc. (Kyoto Univ.), Radionuclide imaging of the brain Assistant Professors: NAKAMOTO, Yuji, M.D., D.Med.Sc. (Kyoto Univ.), Oncological nuclear medicine, General radiology KAWASHIMA, Hidekazu, D.Pharm.Sci. (Kyoto Univ.), 1. Radiopharmaceutical chemistry; 2. Biochemistry of drugs NAKAI, Asako, M.D., D.Med.Sc. (Kyoto Univ.), 1. Integrated medical imaging using CT, MRI, radioisotope imaging and ultrasonography; YAMAMOTO, Akira, M.D., D.Med.Sc. (Kyoto Univ.), General radiology 128 CLINICAL PATHOLOGY DEPARTMENT OF CLINICAL LABORATORY MEDICINE This department was established as the Department of Laboratory Medicine in April 1984. The Professor and faculty members supervise the Central Clinical Laboratories, and most of the members are also in charge of infection control and prevention in the University Hospital. At present, the department has six faculty members as listed below and two clinical fellows and one graduate student. Outline of Teaching Activities: Our mission is to develop young, promising clinicians and investigators who will take an active part internationally in the fields of clinical infectious diseases, infection epidemiology, and clinical microbiology. The department is responsible for teaching the laboratory diagnosis (I4) and infectious diseases (S8) to undergraduate medical students. Training and research courses for Ph.D. and D.Med.Sc. degrees are offered to graduate students. We have been providing a sophisticated consultation service regarding efficient diagnostic procedures and appropriate management of the patients with severe infection, which has resulted in a steady improvement of the prognosis for patients with nosocomial sepsis. We are also conducting surveillance of postoperative or post-transplantation infections, exploring effective strategies for the prevention and control of these infections. Outline of Research Activities: To identify clinical evidence leading to more efficient management of infectious diseases, we are conducting researches in cooperation with many industry develop novel diagnostic methods and to put them to practical use. We are also continuing to pursue the application of scientific findings for the diagnosis, control as well as prevention of nosocomial infection, with the aim of putting everyday medical practice regarding infectious diseases on a foundation of scientific rationality. Professor: ICHIYAMA, Satoshi, M.D., D.Med.Sc. (Nagoya Univ.), 1. Laboratory medicine; 2. Clinical microbiology; 3. Molecular biology; Associate Professor: IINUMA, Yoshitsugu, M.D., D.Med.Sc. (Nagoya Univ.), 1. Clinical microbiology; 2. Laboratory medicine; 3. Infectious diseases; Senior Lecturers: ITO, Junko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Neurology; 2. Clinical neurophysiology; 3. Laboratory medicine; Assistant Professors: TAKAKURA, Shunji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Infectious diseases; 2. Clinical microbiology; 3. Laboratory medicine; SAITO, Takashi, M.D., D.Med.Sc. (Okayama Univ.), 1. Infectious diseases; 2. Clinical microbiology; 3. Laboratory medicine; SURGERY DEPARTMENT OF GASTROINTESTINAL SURGERY Department of Gastrointestinal Surgery was founded in 2006 through the reorganization of Department of Surgery. This department focuses on surgical treatments of gastrointestinal (esophageal, gastric, colorectal) carcinomas, inflammatory bowel diseases and morbid obesity. Recent advances in laparoscopic surgery have led us to minimally invasive, yet more refined operation compared with classical open-abdominal surgery. The finest-quality laparoscopic surgeries performed in our division are reflection of the rigorous surgical training and sturdy basic surgical research. Outline of Teaching Activities: This division is responsible for general instruction on the gastrointestinal surgery for undergraduate and graduate students. Outline of Research Activities: The major fields in research are as follows; 1. molecular biological analysis of gastrointestinal carcinomas to estimate the prognosis or the efficacy of chemoradiotherapy 2. evaluation of gastrointestinal physiology after surgical procedures 3. development of new imaging system to unveil and understand more details of surgical anatomy 4. development of novel surgical procedures and surgical instruments 5. active involvement in the multi-institutional clinical studies to evaluate outcomes of surgical treatments Professor: SAKAI, Yoshiharu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Colorectal surgery; 2. Laparoscopic surgery; Lecture: KUBO, Hajime, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery OKABE, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery ITAMI, Atsushi, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery Assistant Professors: NAGAYAMA, Satoshi, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery NOMURA, Akinari, M.D., Gastrointestinal surgery KAWAMURA, Jun-ichiro, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery OBAMA, Kazutaka, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery TANAKA, Eiji, M.D., D.Med.Sc. (Kyoto Univ.), Gastrointestinal surgery DEPARTMENT OF HEPATOPANCREATOBILIARY SURGERY AND TRANSPLANTATION Department of Surgery had been consisted of three departments, such as Department of Surgery and Surgical Basic Science, Department of Gastroenterological Surgery, and Department of Transplantation and Immunology. Since April 2006, Department of Surgery has been reorganized into three Medicine divisions, such as Department of Gastrointestinal Surgery, Hepatopancreatobiliary (HPB) Surgery and Transplantation, and Department of Breast Surgery. The Department of HPB Surgery and Transplantation focuses on surgery of the hepatobiliary system and pancreas, liver transplantation and pancreatic islet transplantation, and pediatric surgery. Outline of Teaching Activities: This department is responsible for general instruction on the gastroenterological surgery in co-operation with the Department of Gastrointestinal Surgery, for undergraduate and graduate students. This department is also responsible for promotion of specialists in the field of HPB surgery, liver transplantation and pediatric surgery. 129 on the treatment of breast diseases particularly breast cancer. Currently a number of novel ideas, concepts, new methodologies have been incorporated into the diagnosis and treatment of breast cancer. In order to develop these advances further, we are enthusiastic about improving the multidisciplinary therapy system, discovering new diagnostics, therapeutic methods, training and educating breast specialists. In collaboration with other departments and institutions, we are keen on conducting clinical researches especially clinical trials and correlative researches. Outline of teaching activities: 1. Learning about breast cancer oncology. 2. Training of breast surgery. 3. Learning and training of multidisciplinary treatments. Outline of Research Activities: Clinical research: 1. Multimodality treatment of hepatocellular carcinoma. 2. Multimodality treatment of pancreatic cancer. 3. Extended resection of cancer in biliary system. 4. Living donor liver transplantation, with a special focus on liver regeneration. 5. Treatment of pancreatic endocrine tumors with original localization method. 6. Pancreatic islet transplantation. 7. Pathogenesis and pathophysiology of biliary atresia. Basic Research: 1. Regenerative medicine, with a special focus on regeneration of hepatic and pancreatic stem cells. 2. Pathophysiology of nonparenchymal liver cells. 3. Molecular embryology of pancreas. 4. Molecular biology of hepatopancreatobiliary cancer cells. 5. Tolerance induction by using regulatory T cells in the field of liver transplantation. 6. New method of pancreatic islet transplantation using bio-nano-technology 7. New method liver transplantation using chimera-liver 8. Strategy of overcoming small-for-size graft in liver transplantation using new preservation solution Professor: UEMOTO, Shinji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Liver Transplantation; 2. Hepato-biliary surgery Associate Professor IKAI, Iwao, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hepato-biliary surgery; 2.Regeneration medicine TAKADA, Yasuji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Liver Transplantation; 2. Hepato-biliary surgery Senior Lecturers: DOI, Ryuichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hepato-biliary and pancreatic surgery; 2. Surgical oncology TAKAORI, Kyouichi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hepato-biliary and pancreatic surgery; 2. Liver Transplantation OKAMOTO, Shinya, M.D., D.Med.Sc. (Kyoto Univ.), 1. Pediatric surgery; 2. Liver Transplantation DEPARTMENT OF BREAST SURGERY The Department of Breast Surgery was established within the Department of Surgery in 2007. This department focuses Outline of research activities and clinical trials: 1. Molecular mechanisms of breast cancer progression and therapeutic response. 2. Development of new treatment algorithm of primary breast cancer. 3. Development of new methodologies for minimally invasive surgery. 4. Development of novel breast cancer therapeutics. 5. Regeneration of adipose tissue. Professor: TOI, Masakazu M.D., D.Med.Sc., (Hiroshima Univ.), Breast Surgery Assistant Professors: SUGIE, Tomoharu M.D.,Med.Sc. (Kyoto Univ.), Breast Surgery UENO, Takayuki, M.D., D.Med.Sc. (Karolinska Univ.), Breast surgery YAMASHIRO, Hiroyasu, M.D., D.Med.Sc. (Kyoto Univ.), Breast Surgery CLINICAL SCIENCES FOR SURGICAL STRESSES DEPARTMENT OF ANESTHESIA The Department of Anesthesia was founded in 1956, when Dr. Akira Inamoto was promoted from associate professor of surgery to professor and chairman of the department. At that time the techniques of anesthesia in Japan were far behind those of western countries, and Dr. Inamoto devoted himself mostly to promoting modern practices of anesthesia throughout western Japan. Many of the faculty members went to western countries to learn modern anesthesiology soon after the department was founded. Most of them have become professors of medical schools or directors of anesthesia at various institutions. Dr. Inamoto, who was previously a neurosurgeon, had a special interest in neurophysiology of anesthesia and promoted basic researches in this field. Because of his contribution to the founding of modern anesthesia in Japan, scientific activities, and international collaborations, he was elected as Fellow of the Faculty of Anesthetists of the Royal College of Surgeons of England in 1976. When Dr. Inamoto retired in 1973, Dr. Kenjiro Mori was promoted to a full professorship and took over the chair of the department. Dr. Mori was famous for neurophysiological research on general anesthetics and analysis of stress responses induced by surgical operations. He was elected as Fellow of Royal College 130 of Surgeons for his academic achievement and international contribution. After Dr. Mori' s retirement, Dr. Kazuhiko Fukuda succeeded as the third professor of the department in 1998. In 1987, the Division of Critical Care Medicine began activities, which have been taken over by doctors from the Department of Anesthesia. In 2000, the Division of Day Surgery Unit was established and ambulatory anesthesia service was included in the clinical activities of the department. The present departmental staff includes 7 faculty members, 9 clinical fellows, and 7 postgraduate students. The department contributes to patient care in many aspects: the perioperative management including preoperative evaluation and intra- and postoperative care; the intensive care of critically injured or otherwise seriously ill patients; the diagnosis and treatment of pain caused by a variety of pathogenesis; the cardiopulmonary resuscitation. Outline of Research Activities: The area of research includes: 1) molecular biology of anesthesia and critical care medicine 2) neuroscience of anesthesia 3) endocrinology of surgical stress and anesthesia 4) clinical studies of pain management 5) clinical studies of organ transplantation and critical care medicine 6) clinical studies of ambulatory anesthesia The molecular biology group succeeded in; cDNA cloning of three different opioid receptors, attempts to elucidate cellular responses induced by opioids, and analyses of gene expression changes induced by perioperatively used drugs. The neuroscience group analyzes anesthetic/pain-induced changes of the CNS activity and neurotransmitter release. The endocrinology group attempts to clarify the mechanisms of stress responses, and also tries to develop better perioperative management to eliminate the excessive stress response. The clinical pain group attempts total elimination of postoperative pain, chronic intractable pain and cancer pain, and has recently started clinical study of electric convulsion therapy for complex regional pain syndrome. The critical care group deals with the management of organ transplantation and critically ill patients. The ambulatory anesthesia group makes efforts to establish the safety and efficiency of the management. Professor: FUKUDA, Kazuhiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular pharmacology of opioids and anesthetics; 2. Clinical anesthesia; Senior Lecturers: HIROTA, Kiichi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Physiology of hypoxia; 2. Ambulatory anesthesia KURATA, Jiro, M.D., D.Med.Sc. (Kyoto Univ.), Functional MRI of anesthesia and pain Assistant Professors: FURUTANI, Hidekatsu, M.D., D.Med.Sc. (Kyoto Univ.), Management of pain, Palliative medicine ISHII, Hisanari, M.D., D.Med.Sc. (Kyoto Univ.), Anesthesia for cardiovascular surgery SHODA, Takehiro, M.D., D.Med.Sc. (Kyoto Univ.), Pharmacology of opioid analgesics UGA, Hisatoshi, M.D., Peripheral nerve block SURGERY FOR VISCERAL ORGANS DEPARTMENT OF GYNECOLOGY AND OBSTETRICS The Department of Gynecology and Obstetrics was opened in 1901 and has been directed by a succession of distinguished Professors. Dr. Katsutake Azuma (1901-1906) founded a general therapeutic system. Dr. Shohei Takayama (1906-1921) is known for his invention of surgical treatment for uterine cervical cancer with an improvement of the Weltheim method. Dr. Hidekazu Okabayashi (1922-1937) established a systematic procedure for radical hysterectomy, the Okabayashi method, which has been widely accepted as a standard procedure for cervical cancer in Japan. Dr. Ryukichi Mibayashi (1938-1961) developed a surgical technique for advanced cervical cancer known as the Mibayashi operation, and also promoted ultrastructural studies in gynecology. Dr. Toshio Nishimura (1961-1981) was renowned as an educator, and also produced research on carbohydrate and lipid metabolism during pregnancy. Dr. Shimpei Tojo (1982) investigated the molecular biology of placental hormones. Dr. Takahide Mori (1983-1997) expanded the research on reproductive immunology and endocrinology, and developed the in vitro fertilization (IVF) program. Dr. Shingo Fujii, the present professor (1997-) is known for his work on pathogenesis of uterine myomas and gynecologic malignancies. He is also clarifying fine anatomy of uterine cervical ligaments to improve operative procedure of cervical cancer. The present staff consists of 13 faculty members, 6 clinical fellows, 10 graduate students, 2 research fellows from foreign countries, and 8 residents. Outline of Teaching Activities: Undergraduate students are given systematic lectures on gynecology and obstetrics, and also involved in bedside practice under instruction of faculty members. Residents are trained for two years to obtain the basic capability of primary care in gynecology and obstetrics. A clinical conference on Wednesday, and slide conferences on gynecological pathology three times a week are open for undergraduate students. Outline of Research Activities: The Laboratories are organized to cover various research fields, such as gynecologic oncology, maternal and fetal medicine, and reproductive biology and medicine. The ongoing research projects are: 1. Molecular mechanisms of development of gynecological neoplasms 2. Development of novel immune therapies and gene therapies for gynecological malignancies 3. Clinical management and pathogenesis of uterine leiomyoma and endometriosis 4. Maintenance of pregnancy and initiation of parturition 5. Management of pregnancy with pre-eclampsia and diabetes mellitus 6. Clinical and basic studies on intrauterine fetal growth and maturation 7. Regulatory mechanisms of ovarian and endometrial function 8. Immunology and endocrinology in fertilization and implantation 9. Basic studies on IVF and other assisted reproductive technologies Medicine Outline of Clinical Activities: The outpatient clinic consists of specialists in perinatology, gynecology, and infertility. The inpatient clinic accommodates 58 beds in the gynecologic ward and 27 beds in the obstetric ward. The number of patients admitted each year is approximately 400 with benign and malignant gynecologic diseases, 350 with normal and high-risk pregnancies, and 200 for the program of IVF or other assisted reproductive technologies. Professor: KONISHI, Ikuo, M.D., D.Med.Sc. (Kyoto Univ.), 1. Gynecologic oncology; 2. Pathology; 3. Endocrinology; Senior Lecturers: FUJIWARA, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), Reproductive endocrinology and immunology; MANDAI, Masaki, M.D., D.Med.Sc. (Kyoto Univ.), Gynecologic oncology and pathology; TATSUMI, Keiji, M.D., D.Med.Sc. (Kyoto Univ.), Reproductive immunology and endocrinology; FUKUHARA, Ken, M.D., D.Med.Sc. (Kyoto Univ.), Reproductive immunology and endocrinology; Assistant Professors: TAKAO, Yumi, M.D., D.Med.Sc. (Kyoto Univ.), Reproductive immunology and endocrinology; KAKUI, Kazuyo, M.D., D.Med.Sc. (Kyoto Univ.), Perinatology; SATO, Yukiyasu, M.D., D.Med.Sc. (Kyoto Univ.), Reproductive endocrinology and immunology; YAGI, Haruhiko, M.D., D.Med.Sc. (Kyoto Univ.), Gynecologic oncology and pathology; SUZUKI, Ayako, M.D., (Kyoto Univ.), Gynecologic oncology and pathology; MATSUMURA, Noriomi, M.D., D.Med.Sc. (Kyoto Univ.), Gynecologic oncology and pathology; BABA, Tsukasa, M.D., D.Med.Sc. (Kyoto Univ.), Gynecologic oncology and pathology; DEPARTMENT OF UROLOGY Kawahara-cho 54, Shogoin, Sakyo-ku, Kyoto 606-8507 Tel: +81-75-751-3337 Fax: +81-75-751-3740 The Department of Urology was founded in 1934. Since then, the department has made a significant contribution to the progress of basic and clinical urology. The department has cultivated many young urologists and produced graduates who have directed urological departments in other medical schools and major hospitals. The main themes of this department are focused on the following clinical and basic investigations; 1) Urologic Oncology: Development of new molecular diag- 131 nostic and therapeutic modalities in cancers of the kidney, bladder, prostate, and testis 2) Urologic Surgery: New operative methods including laparoscopic surgery 3) Kidney Transplantation and Nephrology: Molecular pathophysiology in urological nephropathies, and novel methods for preservation of donor kidney 4) Bladder dysfunction: Clinical and basic investigation on pathophysiology of adult and pediatric bladder diseases, including nocturia, bladder outlet obstruction, and interstitial cystitis. 5) Male Infertility: Basic molecular mechanism and innovative clinical trials Our department staff includes 10 faculty members (1 professor, 1 associate professor, 2 senior lecturers and 6 assistant professors), 2 clinical fellows, 2 laboratory technicians and 3 secretaries. There are now 11 postgraduate school students. In addition, 3 doctors are currently engaged in research abroad. All academic staff members who participate in such activities are listed below. Numerous national and international collaborative research projects are now in progress. Foreign researchers are welcome and many of such researchers have done outstanding works and made considerable contribution to our department. This department since 1955 has published the journal, Acta Urologica Japonica, which is listed in the Medline, monthly. Outline of Teaching Activities: This department is responsible for the instruction and bedside clinical training, scientific basics of urology and clinical general urology for undergraduate and postgraduate school student. As for the resident training program, each residents is mainly tutored by an allocated faculty doctor, while all faculty members are also active in playing a tutorial role for each resident. Outline of Clinical Activities: This University Hospital has 47 beds in the urological ward. The number of patients who are newly treated in the outpatient clinic is approximately 4,000 each year. The regular weekly schedule is as follows: Two days for operations, one day for medical rounds, two days for clinical conference and one day for an early morning X-ray conference. Outline of Research Activities: All the faculty members are actively participating in various research projects and play a tutorial role in graduate students' projects. A research conference is held biweekly from 19:00 on Tuesday. The major fields on our researches are follows: 1) Molecular biology and molecular epidemiology of urogenital cancers 2) Tumor immunology of urogenital cancers 3) Novel chemotherapy and therapeutic modalities against urogenital cancers 4) Regenerative medicine for urological organs 5) Multidisciplinary investigation of bladder dysfunction 6) Molecular biology on male infertility and novel clinical approach Professor: OGAWA, Osamu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular biology and molecular epidemiology on urogenital tumors; 2. Minimally invasive treatments of urogenital cancers; 132 Associate Professor: KAMOTO, Toshiyuki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Clinical research of prostate cancer; 2. Molecular epidemiology of urogenital cancers; 3. Minimally invasive treatments of urogenital cancers; Senior Lecturers: NISHIYAMA, Hiroyuki, M.D., D.Med.Sc.(Kyoto Univ.), 1. Molecular biology of urothelial cancer; 2. Basic and clinical male infertility; NAKAMURA, Eijiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Clinical research and molecular biology of renal cell cancer; 2. Clinical research and molecular biology of prostate cancer; Assistant Professors: KANEMATSU, Akihiro, M.D., D.Med.Sc. (Kyoto Univ.), 1.Clinical research on pediatric urology; 2. Basic and clinical research on bladder dysfunction and regenerative medicine; 3. Kidney transplantation; YOSHIMURA, Koji, M.D., (Kyoto Univ.), 1.Clinical epidemiology of voiding dysfunction; 2. Female urology; 3. Minimally invasive treatments of urogenital cancer; KANBA, Tomomi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular and cellular biology of renal cancer; 2. Clinical research on prostate cancer; 3. Kidney transplantation; WATANABE, Jun, M.D., D.Med.Sc. (Kyoto Univ.), 1. Molecular biology of urogenital cancers; OKUBO, Kazutoshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Male infertility; 2. Testicular cancer; 3. Physiology of voiding function; INOUE, Takahiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Clinical and basic research on prostate cancer; DEPARTMENT OF CARDIOVASCULAR SURGERY Based on the pioneering achievements by Professors of Surgery, Yasumasa Aoyagi, Chuji Kimura, and Yorinori Hikasa (known as "Kyoto technique"), the first independent department of cardiovascular surgery in Japanese national universities has been established by Professor Toshihiko Ban in 1984. Dr. Ban as an authority of coronary artery surgery, made an enormous Kyoto group which consists of more than 30 affiliated hospitals and over 200 related doctors including those who retired, doing more than 4000 open-heart cases a year in whole group. From 1998 to 2007, Professor Masashi Komeda developed both clinical and research aspects of the department. In 2008, Professor Ryuzo Sakata has taken over the position and keeps making further refined group in clinical, research, and educational programs. Outline of Teaching Activities: The department is responsible for undergraduate and postgraduate education of cardiovascular surgery. The department has several meetings for comprehensive, detailed, and hands-on teaching especially for residents, in addition to regular conferences and rounds. Within a year, the in- terns/residents can learn all important basics of cardiovascular surgery ranging from etiology, diagnosis, perioperative care of the patients to surgical strategies and basic/advanced techniques. The education program covers research aspects and the residents can learn basics of scientific approaches. After the intensive residency training for 1 year, the young doctor has further residency training in two affiliated hospitals for total 6 years. After completing clinical training, the doctor joins 2 to 4 years' fellowship program for intensive research or clinical experience in the university which will be followed by the opportunity for clinical training in North America, Europe, or Australia/New Zealand. Outline of Research Activities: The department has four major teams: 1. Regenerative medicine (cardiac) (a) Cell transplantation and cytokine therapy (bFGF, HGF, IGF) for ischemic heart disease or cardiomyopathy (b) Langendorff studies (c) Developing new biomaterials for cardiac surgery (i.e. surgical glue) 2. Regenerative medicine (thoracic and peripheral vascular) (a) Therapeutic angiogenesis for lower extremities, lung, and sternum (b) Prevention of perioperative infection utilizing regenerative medicine 3. Large animal studies (a) Scientific development and refinement of procedures for ischemic cardiomyopathy (surgical ventricular restoration and mitral repair) (b) Novel method for aortic stent graft implantation (c) Physiologic considerations for cardiac surgery 4. Treatment for congestive heart failure (a) Optimal medical treatment following surgical ventricular restoration (b) Simulation of cardiopulmonary support and evaluation of its physiology (c) Regenerative medicine for “Bridge to recovery” These research programs employs scientific methodology with the help of basic scientists and engineers but are patient-oriented in their nature. The programs are carefully designed so that every research fellow can improve his/her surgical skills and the project can benefit clinical work. The program welcomes foreign post-doctoral fellows and provides many research projects. Professor: SAKATA, Ryuzo, M.D., D.Med.Sc. (Kyoto Univ.), 1. Surgery for coronary artery disease; 2. Surgical ventricular restoration for ischemic cardiomyopathy or dilated cardiomyopathy; 3. Surgery for mitral and aortic valve disease; 4. Surgery for thoracic aortic disease; Associate Professor: IKEDA, Tadashi, M.D., D.Med.Sc. (Kyoto Univ.), 1.Surgery for congenital heart disease; Senior Lecturer: NISHINA, Takeshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Adult cardiac surgery; 2. Vascular surgery; Assistant Professors: YAMAZAKI, Kazuhiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Medicine Adult cardiac surgery; 2. Vascular surgery; SAJI, Yoshiaki, M.D., 1. Adult cardiac surgery; 2. Vascular surgery; MARUI, Akira, M.D., D.Med.Sc. (Kyoto Univ.), 1. Adult cardiac surgery; 2. Vascular surgery DEPARTMENT OF THORACIC SURGERY Basic and clinical studies on lung cancer and mediastinal tumors have been the main activities of this department since 1951. Various surgical treatments for pulmonary, mediastinal and chest wall diseases are under continuous investigation. In April 1998 in acknowledgment of its research and experienced surgical staff, Kyoto University Hospital was approved as one of the lung-transplant centers in Japan. Current major investigations in the department are: (1) clinical and basic research for lung transplantation: development of a new lung preservation solution; immunoregulatory approach to introduce immunotolerance in the recipients; (2) biological approach for lung cancer: various factors such as p53, bcl-2, PCNA, thymidylate synthase, CD44, selectins, cyclins and apoptosis index and their relation with prognosis have been analyzed. Their goal is to develop a new strategy for lung cancer combined with surgical procedure; (3) multimodality treatment for advanced thoracic malignancies, especially for locally advanced lung cancer or malignant pleural mesothelioma to improve prognosis. Several cooperative studies with other institutions in the domestic area and foreign countries (U.S.A, Canada, Germany, Sweden, France, and Korea et al.) are underway on lung transplantation and lung cancer study. Professor: DATE, Hiroshi, M.D., D.Med.Sc. (Okayama Univ.), surgery; Associate Professor: OKUBO, Kenichi, M.D., D.Med.Sc. (Kyoto Univ.), surgery Assistant Professors: MIYAHARA, Ryo, M.D., D.Med.Sc. (Kyoto Univ.), surgery SAKAI, Hiroaki, M.D., D.Med.Sc. (Kyoto Univ.), surgery SHOJI, Tsuyoshi, M.D., D.Med.Sc. (Kyoto Univ.), surgery SONOBE, Makoto, M.D., D.Med.Sc. (Kyoto Univ.), surgery SATO, Kiyoshi, M.D., D.Med.Sc. (Kyoto Univ.), surgery Thoracic Thoracic Thoracic Thoracic Thoracic Thoracic Thoracic SURGERY FOR SENSORY AND MOTOR SYSTEMS DEPARTMENT OF PLASTIC AND RECONSTRUCTIVE SURGERY The Department of Plastic and Reconstructive surgery, which was officially established in April 1977 was reformed as the present department in 1987. However, for a long time before that, many doctors at the Kyoto University Hospital were actively and exclusively engaged in plastic surgery in related departments such as dermatology, otolaryngology, oral surgery, orthopedics and ophthalmology. Dr. Nobuhiko Isshiki was the founder of the Department and Dr. Yoshihiko Nishi- 133 mura succeeded him in December 1993. Dr. Shigehiko Suzuki became the third professor in 2003. The present full-time official staff of the Department includes 1 Professor, 1 Associate Professor, 2 Lecturers, and 3 Assistant Professors almost fully engaged in clinical study and research. There are 7 clinical fellows and 7 graduate students. The number of surgical cases is approximately 1000 in-and outpatients per year, including cleft lip and palate, facial fracture, microtia and other maxillofacial anomalies, burns, hand anomalies, and other deformities. Many kinds of large tissue defects resulting from trauma and post-operative malignant tumor are covered by free flap transfer with skin, muscle and bone. Outline of Teaching Activities: The basic principles of plastic surgery, congenital maxillofacial anomalies, trauma and burns are the main subject of lectures for undergraduate students, who are also taught at the daily out-patient clinic and in the surgical room. Outline of Research Activities: Research activities in the department deal chiefly with maxillofacial plastic surgery, especially cleft lip and palate, reconstructive microsurgery, skin flap physiology, wound healing and tissue engineering. Various new techniques for cleft lip and palate surgery have been devised and reported on the basis of objective findings obtained by new instrumentation. Current subjects of research under investigation are development of cellular artificial skin, normal and abnormal wound healing, peripheral and central nerve repair by grafting both artificial optimal materials and stem cells, regeneration of bone and cartilage and the genetic etiology of some congenital abnormalities. Professor: SUZUKI, Shigehiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Maxillofacial anomaly; 2. Skin surgery; 3. Wound healing; 4. Regenerative medicine; Associate Professor: NOSE, Kensuke, M.D., D.Med.Sc. (Kyoto Univ.), 1. Maxillofacial anomaly; 2.Skin tumor; 3.Facial injury; Senior Lecturer: KAWAI, Katsuya, M.D., D.Med.Sc. (Kyoto Univ.), 1. Maxillofacial surgery; 2. Regenerative medicine; 3. Wound repair; Program-specific Senior Lecturer (New Energy and Industrial Technology Development Organization <NEDO> Industry-Government-Academia Collaboration) NAITOH, Motoko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Wound healing; 2. Keloid; 3.Artificial skin; Assistant Professors: MORIMOTO, Naoki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Micro-surgery; 2. Burn; YAMAWAKI, Satoko, M.D. (Kohchi Med. Univ.), 1. Micro-surgery; 2. Keloid; FUJIMORI, Hideyuki, M.D. (Osaka Med. Univ.), 1. Micro-surgery; 2.Reconstructive surgery; 134 DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES The Department of Ophthalmology was established in 1902, and has been directed by the following nine Professors: Yukujiro Asayama, Kiyoshi lchikawa, Shinnosuke Mori, Seiichi Yamamoto, Ken lmachi, Ryoji Asayama, Masao Kishimoto, Isamu Tsukahara and Yoshihito Honda. Dr. Nagahisa Yoshimura was inaugurated as a new professor since April 2004. Clinical and basic research over a wide area of Ophthalmology has been conducted during the past 90 years, and studies on retinal detachment, which were started by Professor Mori, have been one of the most important research subjects of the department. Professor Ichikawa was famous for surgical treatments for cataract and glaucoma. The surgical approach to the optic chiasm in patients with opticochiasmic arachnoditis was developed by Professor Imachi. Numbers of distinguished developments have also been achieved in basic eye research fields including ocular electrophysiology, pathology, histochemistry, biochemistry, and cell biology. The present staffs of the department include 1 Professor (director), 1 Assistant professor, 2 lecturers, 8 Assistant professors, 11 part-time lecturers, 2 clinical fellows, and 19 post-graduate students. OH, Hideyasu, M.D., D.Med.Sc. (Kyoto Univ.), 1.Diabetic retinopathy; 2. Molecular cell biology; NAKAMURA, Hajime, M.D., D.Med.Sc. (Kyoto Univ.), 1.Electrophysiology; 2. Glaucoma; NONAKA, Atsushi, M.D., D.Med.Sc. (Kyoto Univ.), 1.Glaucoma; 2. Neuro-ophthalmology; NISHIJIMA, Kazuaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Diabetic retinopathy; 2. Molecular cell biology; 3. Uveitis; TAMURA, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), 1.Macular degeneration; 2. Retinal microcirculation; YAMASHIRO, Kenji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Macular degeneration; 2. Retinal vascular diseases; OOTO, Sotaro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Macular degeneration; 2. Imaging of ocular tissues; SAKAMOTO, Atsushi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Imaging of ocular tissues; 2. Glaucoma; Research: Research covers the entire field of Ophthalmology. Clinical research: 1. Macular degeneration 2. Imaging of ocular tissues 3. Glaucoma 4. Retinal vascular diseases 5. Diabetic retinopathy 6. Optic neuritis, Ischemic optic neuropathy Laboratory research: 1. Stem cell biology 2. Imaging of ocular tissue 3. Molecular mechanism in diabetic retinopathy 4. Blood cell and retinal endothelial cell interaction 5. Retinal and choroidal circulation Professor: YOSHIMURA, Nagahisa, M.D., D.Med.Sc. (Kyoto Univ.), 1. Macular degeneration; 2. Molecular cell biology of retina; 3. Neural cell biology; Associate Professor: KITA, Mihori, M.D., D. Med. Sc. (Kyoto Univ.), 1. Diabetic retinopathy; 2. Retinal vascular diseases; 3. Uveitis Senior Lecturers: HANGAI, Masanori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Imaging of ocular tissues; 2. Glaucoma; MIYAMOTO, Kazuaki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Neuro-ophthalmology; 2. Retinal micro-circulation; 3. Retinal vascular diseases; Assistant Professors: OTANI, Atsushi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Macular degeneration; 2. Stem cell biology; TSUJIKAWA, Akitaka, M.D., D.Med.Sc. (Kyoto Univ.), 1. Macular degeneration; 2. Retinal vascular diseases; DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY http://www.kuhp.kyoto-u.ac.jp/~ent/ The Department of Otolaryngology-Head and Neck Surgery was established in 1905. Dr. Haruji Watsuji, the first Professor, developed a surgical treatment for chronic paranasal sinusitis called Watsuji and Denker's operation. Dr. Teiji Hoshino, his successor, devoted his life to studies on vestibular physiology. Under Professor Mitsuharu Goto, the main projects of the department were directed to the studies on laryngeal tuberculosis and also voice and speech science. Dr. Masanori Morimoto, the fourth Professor, promoted research in the fields of vestibular and inner ear research, phoniatrics and maxillofacial surgery. Dr. Manabi Hinoki, the fifth Professor, was deeply involved in promoting basic research in the field of equilibrium related physiology. Dr. Iwao Honjo was involved in the research regarding Eustachian tube and hearing science. Dr. Juichi Ito became the seventh Professor of the department on 1st of February 2000. Members of the department include 1 Professor (Director), 9 faculty members, 14 part-time lecturers, 3 clinical fellow, 16 post-graduate students, 4 residents and 1 visiting researcher. Outline of Teaching Activities: The department is responsible for instruction in otology, otoneurology and laryngology for graduate students. Instruction in general otolaryngology, head and neck surgery is provided for undergraduate students. Outline of Clinical Activities: The department clinic has 56 beds in the head and neck surgery ward. 4,500 patients are treated in the out-patient clinic each year, and approximately 600 patients are operated on annually. The Department covers all aspects of otolaryngology-head and neck surgery, including: 1. Otological and neurotological surgery 2. Cochlear implantation for the deaf Medicine 3. Head and neck surgery including skull base surgery 4. Plastic and reconstructive surgery in the head and neck field 5. Surgery for voice and speech disorders Outline of Research Activities: The major on-going projects in clinical and experimental studies in the field of Otolaryngology-Head and Neck Surgery are as follows: 1. Hair cell regeneration for the future treatment of sensorineural hearing disturbance 2. Mechanisms of speech perception in the auditory pathway including the central nervous system 3. Physiological studies of the hearing and vestibular system 4. Pathophysiology of the middle ear including the Eustachian tube and the mastoid 5. Basic and clinical studies of voice and speech 6. Central interaction between perception and production of speech 7. Tissue engineering for regeneration of head and neck organs Professor: ITO, Juichi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Neurotology; 2. Vestibular sciences; Senior Lecturers: HIRANO, Shigeru, M.D., D.Med.Sc. (Kyoto Univ.), 1 .Laryngology; 2. Clinical oncology NAKAGAWA, Takayuki, M.D., D.Med.Sc. (Osaka City Univ.), Neurotology Assistant Professors: ASATO, Ryo, M.D., 1. Clinical oncology TATEYA, Ichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Laryngology; 2. Clinical oncology TAURA, Akiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Otology; 2. Vestibular sciences HIRAUMI, Harukazu, M.D., 1. Audiology; 2. Otology YAMAMOTO, Norio, M.D., D.Med.Sc. (Kyoto Univ.), 1.Otology; 2. Regenerative Medicine SAKAMOTO, Tatsunori, M.D., D.Med.Sc. (Kyoto Univ.), 1. Otology; 2. Rhinology KITAJIRI, Shin-ichiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Otology; 2. Genetics DEPARTMENT OF ORTHOPAEDIC AND MUSCULOSKELETAL SURGERY The Department of Orthopaedic Surgery was opened in April, 1906, and is known as the longest-standing orthopaedic clinic in Japan. The first Professor was Dr. Michiharu Matsuoka, who started an out-patient clinic and orthopaedic lectures for undergraduates in 1906, as the earliest pioneer in Japan. Since then, the Department has been presided over by five succeeding Professors: Dr. Yoshitane Ozaki, Dr. Hiromu Ito, Dr. Eishi Kondo, Dr. Tetsuo Ito, and Dr. Takao Yamamuro. In earlier days these leaders were professionally influenced by research in Germany, the United States, and the United Kingdom. This Department has led the orthopaedic surgery in Japan, and its contribution to surgery of the spine is well regarded. Dr. Michiharu Matsuoka began clinical research on Pott's disease, and was succeeded by Dr. Hiromu Ito who reported a direct anterior approach for the tuberculous spines as early as 1934. This direct anterior method is now considered the basis for current spinal surgery, and Dr. Eishi Kondo com- 135 pleted the surgical treatment for many other spinal disorders such as tuberculosis, intervertebral disc protrusion and cervical osteochondrosis. The fields of hand surgery, surgery of artificial joints and peripheral nerve surgery were added to the scope of the Department by Dr. Tetsuo lto. At the same time clinical research on congenital dislocation of the hip joint started by Dr. Matsuoka has been succeeded to the basic research on collagen fibers and cartilage, and prevention of this condition by Dr. Takao Yamamuro. Dr. Yamamuro has introduced research works on biomaterials into the Department and he has finalized the research on newly synthesized artificial bone, which was brought into clinical application in 1990. Dr. Yamamuro has also very successfully commenced genetic analysis for malignant bone tumors. Dr. T. Nakamura became the seventh Professor of the Department on the 1st of February 1995, and he is now directing research projects listed below. Outline of Teaching Activities: The Department is responsible for instructions in orthopaedic surgery and rehabilitation medicine for undergraduate and post-graduate students, including anatomy, physiology, biomechanics, and surgical care of the musculoskeletal system. Outline of Clinical Activities: The Department holds 5 general out-patients clinics and 6 clinics for orthopaedic subspecialities each week, such as the clinics for the hips, the hands, the spine, tumors, sports medicine, and rheumatoid arthritis. In addition, there are two biweekly clinics, the clinics for osteoporosis, and generalized skeletal disorders. The number of out-patients is approximately 26,000 per year. The number of beds in the ward is 57, and 550 patients are admitted each year. There are 670 operations annually. About 50 orthopaedic clinics in the central part of Japan are affiliated to the Department. Outline of Research Activities: Current on-going research projects are: 1. Mechanism of bone growth 2. Morphological and biochemical analysis of joint cartilage disorders 3. Artificial bone 4. Treatment of bone and soft-tissue tumors 5. Cartilage development and differentiation 6. Biodegradable materials 7. Experimental studies on osteoporosis 8. Research on osteoarthritis and rheumatoid arthritis 9. Genetic analysis of malignant bone and soft-tissue tumors Professor: NAKAMURA, Takashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Joint surgery; 2. Rheumatology and biomaterials; Associate Professor: NEO, Masashi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Spinal surgery; 2. Biomaterials; AKIYAMA, Haruhiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hip surgery; 2.bone and cartilage biology; Senior Lecturers: KOBAYASHI, Masahiko, M.D., D.Med.Sc. (Kyoto Univ.), 1. Sports medicine and knee/shoulder surgery; 2. Cartilage metabolism; NAKAYAMA, Tomitaka, M.D., D.Med.Sc. (Kyoto Univ.), 136 Musculoskeletal tumor surgery; Assistant Professors: ITO, Hiromu, M.D., D.Med.Sc. (Kyoto Univ.), 1. Rheumatology; 2. Cartilage biology; FUJIBAYASHI, Shunsuke, D.Med.Sc. (Kyoto Univ.), 1. Spinal surgery; 2. Biomaterials; NAKAMATA, Takeharu, D.Med.Sc. (Kyoto Univ.), Musculoskeletal tumor surgery; IKEGUCHI, Ryosuke, D.Med.Sc. (Kyoto Univ.), 1. Hand surgery; 2. Peripheral nerve; TAKEMOTO, Mitsuru, D.Med.Sc. (Kyoto Univ.), 1. Spinal surgery; 2. Biomaterials; GOTO, Koji, D.Med.Sc. (Kyoto Univ.), 1. Hip surgery; 2. Biomaterials; YOSHITOMI, Hiroyuki, D.Med.Sc. (Kyoto Univ.), Rheumatology; DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY The departmental faculty consists of 8 full time faculty members; a Professor and chair, an Associate Professor, two Senior Lecturers and four Assistant Professors. The departmental staff includes six clinical fellows, ten residents, thirteen graduate students, and five research associates. Moreover, the postgraduate training program is cooperating with 26 associate hospitals, thus over 80 fellows are actively working in the Kyoto University Oral and Maxillofacial Surgery Program. Brief history of the department: The Department of Oral and Maxillofacial Surgery was formerly founded as the Department of Stomatology in 1950, when Dr. Gen Minoguchi was appointed as the Departmental chairman. During his period of service, until 1973, sophisticated research played a leading role in the fields of Preventive Dentistry, and Biomaterial Science. A comprehensive study for the prevention of dental caries using fluoride was carried out as systematic field work in an earlier period. Another main research subject was basic and clinical study on the medical application of synthetic PMMA resin in cooperation with the Kyoto University Institute for Chest Diseases. The latter research group has been currently reoriented as the Research Center for Biomedical Engineering, and now Research Institute of Frontier Medical Science at Kyoto University. Under the second chairman Professor Takatoki Ono numerous articles were published on clinico-pathological and immunological studies of the development of dental focal infection. Thereafter the main topics of clinical research have been directed to advancing Oral and Maxillofacial Surgery with special reference to the surgical correction of the maxillofacial and jaw deformities, and the medical/surgical management of temporomandibular joint disorders. The official name of the department was thus changed to the Department of Oral and Maxillofacial Surgery in 1975. Professor Tadahiko Iizuka was the director of the Department since 1988 to 2003 and he developed the full scope of Oral and Maxillofacial Surgery. Dr. Kazuhisa Bessho became the fourth Professor of the department in 2005. Outline of Teaching Activities: We have teaching responsibilities for the undergraduate medical student, postgraduate students, and for the Oral and Maxillofacial Surgery residency program. The department serve has employed as an educational facility for the Japanese Board of Oral and Maxillofacial Surgery, with a large residency program in cooperating with 26 associate hospitals. Outline of Research Activities: 1) Molecular biology on health and disease in craniofacial, and dento-maxillofacial development. 2) Bone induction by BMP gene transfer using vectors. 3) Dental implant reconstruction and relating tissue engineering. 4) Clinical investigation on Temporomandibular Disorders, Oral Cancer, and Jaw Deformities. 5) The research on diagnosis and treatment of masticatory muscle tonus and relating disease. Current progress is as follows: 1) Significant advances in the study of the human crarniofacial development have revealed the genetic and gene-environment bases of numerous common and rare craniofacial disorders. The characterizations of genetic mutation may lead to the greater sensitivity and specificity of molecular-based diagnosis for complex craniofacial disorders including Temporomandibular disorders and Jaw deformity. 2) We constructed a BMP-2-expressing adenoviral vector with high efficiency, and succeeded gene transfer by electroporation with a BMP-2-expressing plasmid vector. These bone regeneration methods may be useful in clinic. 3) Basic and clinical research regarding dental implant and maxillofacial reconstruction is actively done in cooperation with Faculty of Engineering and Research Institute of Frontier Medical Sciences. 4) Regarding research topics on Temporomandibular joint, the biochemical study of the synovial fluid is successfully carried out, and currently the molecular biological study of the disease-susceptibility gene is actively investigated for the Gene diagnosis of the Temporomandibular disorders. The Oral Cancer investigation collaborates with the Radiation Oncology Unit on the topic of concurrent radio-chemotherapy. Distraction oseteo- and histo-genesis is clinically applied on patients with severe maxillofacial deformities, and outcomes are discussed. 5) The diseases relating with abnormal muscle tonus in the stomatognathic system such as sleep apnea syndrome and oromandibular dystonia are investigated with the Departments of Brain Pathophysiology, Neurology, and Human Brain Research Center. Clinically, oral appliances are effectively applied for the treatment of sleep apnea syndrome. Professor: BESSHO, Kazuhisa, D.D.S., D.Med.Sc. (Mie Univ.), 1. Bone induction by BMP; 2. Regenerative medicine in oral and maxillofacial surgery; Associate Professor: FUJIMURA, Kazuma, D.D.S., D.Med.Sc. (Kyoto Univ.), 1. Surgical and medical management of temporomandibular joint; 2. Maxillofacial trauma and orthognathic surgery; Senior Lecturers: NISHIDA, Mitsuo, D.D.S., D.Dent.Sc. (Osaka Dental Univ.), 1. Oral and maxillofacial oncology; 2. Orthognathic surgery and orthodontics; TAKAHASHI, Katsu, D.D.S., D.Med.Sc. (Kyoto Univ.), Molecular biology in craniofacial research and oral/maxillofacial surgery; Assistant Professors: OHKUBO, Yasunori, D.D.S., D.Med.Sc. (Kyoto Univ.), Bone induction by BMP gene transfer using vectors; Medicine KAIHARA, Shinji, D.D.S., D.Med.Sc. (Kyoto Univ.), Dental implant and relating tissue engineering; SONOBE, Junya, D.D.S., D.Med.Sc. (Kyoto Univ.), Osteoinduction by BMP-2 expressing adenoviral vector; GOTO, Kazuhisa, D.D.S., D.Med.Sc. (Kyoto Univ.), Molecular biology and Patho Hosto Chemistry in infection research of Bisphosphonates rerated osteonecrosis of the jaw(BRONJ); CLINICAL NEUROSCIENCE As the result of the system change from the Faculty of Medicine to the Post- Graduate Course of Medical Science that was made in 1995, the Section of Clinical Neuroscience, which is composed of the three Departments described below, started in 1995. This Section and the Section of Basic Neuroscience form the Course of Integrated Neuroscience. This Section was integrated in order to investigate the mechanisms of brain functions in normal subjects, to clarify the pathology and pathophysiology of various diseases involving the central and peripheral nervous system and muscles, and to establish the diagnostic methods, advanced treatments and prevention of those diseases. DEPARTMENT OF NEUROLOGY The Department of Neurology was founded in the Faculty of Medicine, Kyoto University in 1979, as the first such department in Japan. Dr. Masakuni Kameyama, known for his work on cerebrovascular disease, was appointed as the first Professor and Chairman in April, 1980. Following his retirement in 1987, Dr. Jun Kimura returned from the University of Iowa as the successor, where he had worked for 28 years, especially as Professor of Neurology there during the last ten years. In 1989, he was elected as the President of the International Federation of Clinical Neurophysiology. He also served as the Editor in Chief of Muscle & Nerve. Following his retirement in March 1998, Professor Hiroshi Shibasaki, M.D. of the Department of Brain Pathophysiology, known as a world leader of electroneurophysiology of human brain, moved to the Department of Neurology as the third Chairman in October 1999 and retired in March 2003. Dr. Ryosuke Takahashi of RIKEN Brain Science Institute was then elected as the forth Chairman in January 2005. The present staff of the Department includes 6 tenured faculty staffs, 8 clinical fellows, 15 affiliated lecturers, and 17 post-graduate students. Research in this Department covers various fields of neurology, including cerebrovascular diseases, neurodegenerative diseases, senile dementia, epilepsy, movement disorders, sleep disorders and neuromuscular disorders, employing multi-disciplinary methodologies such as neuropathology, neurochemistry, molecular biology, gene analysis, neuroimmunology, and electrophysiology. Outline of Teaching Activities: The Department is responsible for teaching clinical neurology and neuroscience to undergraduate and graduate students. Outline of Clinical and Research Activities: 137 1. Neurodegenerative diseases: Diagnosis and treatment of neurodegenerative diseases. Studies on pathomechanism and new treatments for Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis and spinocerebellar atrophy. 2. Cerebrovascular diseases: Diagnosis and treatment of cerebrovascular diseases. Studies on neuropsychology, PET and MRI. 3. Clinical electrophysiology: Evaluation and treatment of patients with medically intractable epilepsy, movement disorders such as focal dystonia and myoclonus, various neuromuscular diseases and sleep disorders. 4. Neuroimmunology: Studies on etiology and pathomechanism of neuroimmunological diseases. Professor: TAKAHASHI, Ryosuke, M.D., D.Med. Sc. (Kyoto Univ.), Neurodegenerative diseases, Parkinson's disease, ALS, Molecular neurobiology; Associate Professor: IKEDA, Akio, M.D., D.Med.Sc. (Kyoto Univ.), Epilepsy, electroencephalography and clinical neurophysiology, Movement disorders; Senior Lecturer: ITOH, Hidefumi, M.D., D.Med.Sc. (Kyoto Univ.), Clinical neuropathology, Parkinson’s disease, Deep brain stimulation; Assistant Professors: INOUE, Haruhisa, M.D., D.Med.Sc. (Kyoto Univ.), Neurodegenerative diseases, Regenerative Medicine, Molecular neurobiology; KAWAMATA, Jun, M.D., D.Med.Sc. (Kyoto Univ.), Neurodegenerative diseases, Alzheimer's disease, ALS, Gene analysis, Molecular biology; MATSUMOTO, Riki, M.D., D.Med.Sc. (Kyoto Univ.), Epilepsy, Clinical neurophysiology, Neuroimaging; IHARA, Masafumi, M.D., D.Med.Sc. (Kyoto Univ.), Cerebrovascular diseases, Geriatric neurology, Neurodegenerative diseases; DEPARTMENT OF NEUROSURGERY Now and Then: The First Division of the Department of Surgery has long been acknowledged as one of the few major neurosurgical centers in Japan, mainly due to the pioneering and enduring efforts of the late Emeritus Professor, Dr. Chisato Araki. In 1965 the Department of Neurosurgery was established as an independent department to be devoted to the surgery of the nervous system. Dr. Hajime Handa became the first Professor of the Department of Neurosurgery in 1965. During the following 20 years, the Department of Neurosurgery developed so steadily as to play a leading role in the neurosurgical field in Japan. Dr. Haruhiko Kikuchi succeeded to the Department as the second Professor in 1986. He is one of the pioneers of microneurosurgery with great efforts to make the technique popular in Japan. As described above, this Department has been managed by these great authorities in Japan Neurosurgical Society. Succeeding to the history, Dr. Nobuo Hashimoto was elected as the new chairman of this Department in 1997. As 2008, the Department staff consists of 34 faculty members including 10 staff members, 4 clinical fellows and 20 138 graduate students. Daily clinical practice is being conducted in the 53-bed ward and in the outpatient clinic with more than 12,000 patient visits per year. The number of operative cases is around 500 every year including the cases of endovascular surgery and X-knife surgery. Clinical Activities: We especially deal with difficult cases of cerebrovascular disease and brain tumors, which require highly advanced microsurgical techniques along with endovascular surgery and intraoperative angiography. In co-operation with the Human Brain Research Center and the Department of Neurology, we are developing awake-surgery, mapping and monitoring of brain functions, which enable us to remove lesions even in the eloquent areas by making sure the function remains intact. We not only excise brain tumors, but also apply advanced chemotherapy and radiotherapy including X-knife. Utilizing these multiple modalities, we have achieved good outcomes. In the field of obstructive cerebrovascular disease, we are taking a leading role in a nation-wide clinical trial for vascular reconstruction. Research Activities: We are a pioneer in generating animal models of cerebral aneurysms, and have been investigating the pathogenesis and genetics of aneurysms by analyzing familial cases. We are developing a method for brain protection by investigating the molecular mechanisms of brain death after ischemic insult. For brain tumors, we generate detailed molecular profiles of each tumor so that we can apply the optimal treatment for each individual tumor. Other research projects include investigation of the pathogenesis of epileptic focus, development of artificial dura mater, new bio-bond, and coils to obliterate aneurysms. We are also promoting studies for regenerative medicine such as vascular regeneration by endothelial precursors, neuronal regeneration by neural stem cells and embryonic stem cells, and bony regeneration. Education: Almost all of the doctors receive a degree and become authorized specialists in neurosurgery. After that, the door for study abroad is open. Publication: 1. Hashimoto N, Nozaki K, Takagi Y, Kikuta K, Mikkuni N., Surgery of Cerebral Arteriovenous Malformations. Neurosurgery 61(1): 375-389, 2007 2. Mikuni N, Okada T, Nishida N, Taki J, Enatsu R, Ikeda A, Miki Y, Hanakawa T, Fukuyama H, Hashimoto N., Comparison between motor evoked potential recording and fiber tracking for estimating pyramidal tracts near brain tumors. J Neurosurg. 106(1): 128-33, 2007 3. Kikuta K, Takagi Y, Nozaki K, Miyamoto S, Kataoka H, Arai T, Hashimoto N ., Effects of intravenous anesthesia with propofol on regional cortical blood flow and intracranial pressure in surgery for moyamoya disease.Surg Neurol. 68(4): 421-4, 2007 4. Takagi Y, Kikuta K, Nozaki K, Sawamura K, Hashimoto N. Detection of a residual nidus by surgical microscope-integrated intraoperative near-infrared indocyanine green video angiography in a child with a cerebral arteriovenous malformation. J Neurosurg. 107(5):416-418,2007 Associate Professors: MIKUNI, Nobuhiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Epilepsy; 2. Functional mapping & monitoring; Senior Lecturers: KIKUTA, Kenichiro, M.D., D.Med.Sc. (Kyoto Univ.), Cerebrovascular disease; TAKAGI, Yasushi, M.D., D.Med.Sc. (Kyoto Univ.), Cerebrovascular disease; Assistant Professors: HOJO, Masato, M.D., D.Med.Sc. (Kyoto Univ.), 1. Brain tumors; 2. Neuroendocrinology; KISHI, Yo, M.D., D.Med.Sc. (Kyoto Univ.), 1. Brain tumors; 2. Functional neurosurgery; 3. Neuronal regeneration; NISHIMURA, Masaki, M.D., D.Med.Sc. (Kyoto Univ.), Cerebrovascular disease; ARAKAWA, Yoshiki, M.D., D.Med.Sc. (Kyoto Univ.), Brain tumors; ISHII, Akira, M.D., D.Med.Sc. (Kyoto Univ.), Cerebrovascular disease, endovascular surgery; SHIRAHATA, Mitsuaki, M.D., D.Med.Sc. (Kyoto Univ.), Brain tumors; DEPARTMENT OF PSYCHIATRY This Department was founded in 1904. The first Professor Shinkichi Imamura (1904-1934), known as a pioneer in clinical psychopathology as well as neuropsychiatry in Japan, laid the foundation of this Department's tradition attaching much importance to "clinical" psychiatry. The second Professor Momoshige Miura (1935-1952) succeeded to Imamura's academic features, led many researchers, e.g. Masashi Murakami (psychopathology), Hisatoshi Mitsuda (clinical genetics), Seishiro Kuromaru (child psychiatry), Juhichi Okamoto (epileptology), Noboru Hatotani (psychoendocrinology), Hiroshi Ohashi (neuropsychology) in various fields of psychiatry. The third Professor Masashi Murakami (1953-1973) was an eminent psychopathologist, so that this Department was the most prominent research center for clinical psychopathology in Japan. Subsequently, Professor Hiroshi Ohashi (1973-1985), Professor Bin Kimura (1986-1994, anthropological psychopathology) and Koho Miyoshi (1995-1999, neuropsychiatry) succeeded to this Department one after another. In 1995, the Department of Psychiatry had divided into three Departments, namely Psychological Medicine, Neuropsychiatry and Forensic Psychiatry. However, in 2001 the former two Departments merged into the Department of Psychiatry, and the seventh Professor Takuji Hayashi (clinical psychiatry) was elected in 2001. He is investigating the biological bases of schizophrenic psychoses, among others, atypical psychoses using brain imaging and psychophysiological techniques. The Department staff consists of 35 faculty members including 12 staff members, 5 residents and 18 graduate students. Daily clinical practice is being conducted in the 60-bed ward and in the outpatient clinic of more than 120 patients per day. Outline of Teaching Activities: The Department is responsible for teaching clinical psychiatry and related neuroscience to undergraduate and graduate students. Outline of Research Activities: Medicine The main subjects of research are as follows: 1. Clinical psychopathology of endogenous psychoses. 2. Brain imaging and neurophysiological studies of endogenous psychoses. 3. Brain imaging and neurophysiological studies of epilepsy. 4. Neuropsychological studies of autism. 5. Biochemical studies of eating disorders. 6. Psychoanalysis of personality disorders. 7. Transcultural psychiatry. Professor: HAYASHI, Takuji, M.D., D.Med.Sc. (Aichi Med. Univ.), Clinical psychopathology and neuroradiology of atypical psychoses; Associate Professors: MURAI, Toshiya, M.D., D.Med.Sc. (Kyoto Univ.), Neuropsychiatry; Senior Lecturers: NOMA, Shun'ichi, M.D., D.Med.Sc. (Kyoto Univ.), Clinical psychopathology of eating disorders and consultation liaison psychiatry; Assistant Professors: YOSHIOKA, Ryuichi, M.D., Forensic Psychiatry; OKADA, Takashi, M.D., Child and Adolescent Psychiatry; FUKAO, Kenjiro, M.D., Epileptology and Clinical Neurophysiology; NAMIKI, Chihiro, MD., D.Med.Sc. (Kyoto Univ.), Psychogeriatrics; OSHITA, Akira, M.D., Forensic Psychiatry; KATSUKI, Akira, M.D., Clinical Psychopathology and Consultation Liaison Psychiatry; SUWA, Taro, M.D., Clinical Psychopathology; NISHI, Naoki, M.D., Clinical Psychotherapy; YAMASAKI, Nobuyuki, M.D., Clinical Psychopathology; SCHOOL OF PUBLIC HEALTH EPIDEMIOLOGY AND BIOSTATISTICS The fields put primary focus on the development in and teaching methodologies used for health research and practice. In order to improve public health and the therapeutic outcome of treatments, the four departments, Biostatistics, Epidemiology & Healthcare Research, Pharmacoepidemiology, and Genome Epidemiology are devoted to develop new epidemiological methodologies, to carry out the analysis of the quality of life and the outcomes for important difficult disorders, and to support developing new treatments, from the aspects of design and analysis for clinical trials, epidemiological studies, and outcomes research. Staff members are responsible for teaching those disciplines for graduate students. DEPARTMENT OF BIOSTATISTICS http://www.pbh.med.kyoto-u.ac.jp/english/html/dep1a.html The Department of Biostatistics was established in 2000. 139 Graduate students interested in the methods of biostatistics and the conduct of epidemiologic research and clinical trials are welcomed. Outline of Teaching Activities: This Department offers programs of study leading to a master's degree and a doctoral degree. The Master of Public Health (MPH) degree program is designed to provide basic training in biostatistics as applied to a broad spectrum of health-related problems. The doctoral degree program is designed to provide advanced, research oriented training in methods of biostatistics. Outline of Research Activities: Major research fields are biostatistics methodology and the conduct of epidemiologic studies and clinical trails. In methodological work, new epidemiologic study designs which are efficient and convenient are investigated for providing new sampling and analysis methods. Causal inference is the most challenging methodological research field. Estimation of causal parameters in experimental and observational studies is developing. Several collaborative studies in epidemiology and clinical trials are ongoing. Professor: SATO, Tosiya, D. Health Sc. (Univ. of Tokyo), 1. Epidemiologic methods; 2. Causal inference; 3. Collaborative studies in epidemiology and clinical trials Associate Professor: OHMORI, Takashi, D. Eng. (Tokyo Univ. of Sci.), 1. Biopharmaceutical statistics; 2. Alternative methods to Animal experiments; 3. Pharmacoepidemiology DEPARTMENT OF EPIDEMIOLOGY AND HEALTHCARE RESEARCH Education: The department's primary educational goal is to train graduate students in the basic concepts and methods of epidemiology and healthcare research, and thereby to prepare them for work in health-related fields. Three lecture courses and practicum will be offered; Epidemiology, Study Design, Designing Survey Research and Health Services Research. From Spring of 2005, a new Master program, Master of Clinical Research (MCR) was started and this department contributes to this program with new 5 course works (Protocol Development and Management, Clinical Biostatistics, Data Analysis, Decision Analysis, Medical Writing). Faculty members in the department also supervise doctoral students conducting original research. Research: Faculty and graduate students conduct observational and experimental studies both of patients and of populations. In general, those studies are of three types: 1. Clinical effectiveness research, in which the effectiveness of existing, and newly developed methods of diagnosis and therapy are assessed, often with the use of patient-based outcomes, such as health-related quality of life. 2. Methodological research, in which the methods used to measure and analyze health status and health outcomes (including health-related quality of life), those measurements are analyzed and interpreted for their clinical and social relevance. 140 3. Health Services Research, which studies methods to measure, and scientifically assesses strategies to improve quality of healthcare. Professor: FUKUHARA, Shunichi, M.D., M.Sc. (Harvard Univ.), D.Med.Sc. (Univ. of Tokyo), 1. Clinical epidemiology; 2. Outcomes research; 3. Health services research; 4. Health-related quality of life Associate Professor: YAMAZAKI, Shin, M.P.H., D., Ph.D. (Kyoto Univ.), 1. Environmental epidemiology; 2. Health related quality of life; Assistant Professors: HAYASHINO, Yasuaki, M.D., Ph.D. (Kyoto Univ.) 1.Clinical epidemiology; 2. Decision analysis; 3. Behavioral science TAKEGAMI, Misa, R.N., M.P.H. (Kyoto Univ.), 1. Clinical epidemiology; 2. Outcomes research; DEPARTMENT OF PHARMACOEPIDEMIOLOGY Phone: +81-75-753-9769; Fax: +81-75-753-4469 URL: http://square.umin.ac.jp/kupe/ The Department of Pharmacoepidemiology was newly established in 2000 as the first official department for application and education in this field in Japan. Pharmacoepidemiology is a natural crossing of scientific paths. Epidemiology is the study of disease occurrence, and Pharmacology aims to reduce disease incidence and prevalence through biochemical interventions. Pharmacoepidemiology can be defined as the application of epidemiologic reasoning, methods, and knowledge to the study of the uses and effects (beneficial and adverse) of drugs in human populations including clinical trials. Outline of Teaching Activities: The efficacy and safety of the drug and biologics are evaluated through the drug development process involving preclinical and clinical studies and post-marketing surveillance. The differences in the regulatory systems among Japan, US, EU, and Asian countries in terms of healthcare, science, and industry will be discussed. Outline of Research Activities: Current research activities are mainly focused on the clinical application of pharmacoepidemiologic methodologies. Individual research subject undertaken include: 1. Assessment on safety and effectiveness of drug and biologics and the research on clinical trial and drug approval systems by the regulatory agencies. 2. Research and development of targeted cancer therapeutics including immunotoxin/cytotoxins and cancer vaccines. 3. Research on the infrastructure of drug development using novel biotechnology and public acceptance of translational research. 4. Biostatistics on the clinical trials and clinical researches and pharmacogenomics research. Professor: KAWAKAMI, Koji, M.D. (Tsukuba Univ.), D.Med.Sc. (Yokohama City Univ.), 1.Regulatory science; 2.Anticancer molecular therapeutics and biologics; Associate Professor: HINOTSU, Shiro, M.D. (Tsukuda Univ.), D.Med.Sc (Tsukuba Univ.) 1 Design and analysis of clinical trials; 2. Urology; Assistant Professors (Special Appointment): KOHNO, Masayuki, D.Med.Sc. (Chiba Univ.), Molecular biology; HORIBE, Tomohisa, D.Med.Sc. (Ritsumeikan Univ.), Molecular biology; URUSHIHARA, Hisashi, D.Health.Sc. (Kyoto Univ.), Epidemiology, drug safety; DEPARTMENT OF GENOME EPIDEMIOLOGY Professor: MATSUDA, Fumihiko, D.Med.Sc (Kyoto Univ.), 1. Molecular biology; 2. Human genetics; For details, see Center for Genomic Medicine. HEALTH ADMINISTRATION This field deals with the policy making and administration in public health and health care in the context of ethical, economic and informational theories. DEPARTMENT OF HEALTHCARE ECONOMICS AND QUALITY MANAGEMENT Phone +81-75-753-4454, Fax +81-75-753-4455 http://med-econ.umin.ac.jp/ The Department aims to contribute to the improvement of the quality and efficiency of health care systems by means of research, development, education and any other relevant professional activities. To tackle and solve problems of quality and cost in health and health care, the Department applies multi- and inter-disciplinary fields of quantitative and qualitative sciences and technologies. The uniqueness of the Department is that we develop "soft" technologies for actual use in health care management and policy. The training and education aims to nurture highly professional experts and their network in this emerging field of healthcare quality, economics, management and policy. The Department also provides training for executives and young leaders in health care management. The Department stresses the interaction of “research and development” with “real-world systems and policies”, with one of the goals to produce outputs for resource- and quality-based healthcare financing system together with effective management system and policy. The research themes are: (1) Evaluation of quality, cost and efficiency of health care, including clinical performance, practice variation, technology transition, economic evaluation, technology assessment and information infrastructures for health, patient casemix classification, financial performance and costing systems; (2) Payment, reimbursement and insurance in health care and its related systems; (3) Management system in health care, including healthcare accreditation, management quality, organizational and financial management, safety and risk management, satisfaction and organizational culture. (4) Population-based assessment of health status, Medicine health-related resource consumption, demand and supply, and effects of interventions and system changes. (5) Analysis and planning of health care systems, policies and their performance, including projects granted by national/local governments and international agencies. Professor: IMANAKA, Yuichi, M.D., D.Med.Sc. (Univ. of Tokyo), M.P.H. (Univ. of Michigan), Ph.D. (Univ. of Michigan), 1. Quality, cost and performance of health care and its systems; 2. Management, policy and economics in health care; Senior Lecturers: SEKIMOTO, Miho, M.D. (Kyoto Pref. Med. Sch.), D.Med.Sc. (Kyoto Univ.), M.P.H.(Johns Hopkins Univ.), Quality of care; HAYASHIDA, Kenshi, M.Sc. (Tokyo University), Ph.D. (Kyoto University), Healthcare Economics and Management; Assistant Professor: Hiroshi, M.D. (Kyoto University), Healthcare Economics; IKAI, DEPARTMENT OF BIOMEDICAL ETHICS The objectives of the courses that we offer are to enable students to gain an understanding of ethical issues in health care; familiarity with the major ethical approaches to, and philosophical reasoning, regarding moral decisions in the field of public health and clinical medicine; the ability to think critically about key issues in some of the most controversial areas of biomedical ethics; and the skills to design and implement one's own research project. The courses, led by two full-time faculty members as well as several visiting lecturers will consist of lectures, small group discussion, and presentations by students of their research projects. On completion of the course, each student is expected to be able to recognize, analyze ethical arguments, and reach ethically sound decisions on their own. They are also expected to have acquired the abilities to bring a theoretical framework to the analysis and the evaluation of ethical issues in health care. search including genome approach, quantitative and qualitative assessment of health-related information e-Health; and information ethics. Professor: NAKAYAMA, Takeo, M.D., D.Med.Sc. (Tokyo Medical and Dental Univ.), 1. Health informatics; 2.Evidence-based healthcare; 3. Epidemiology; DEPARTMENT OF MANAGEMENT OF TECHNOLOGY AND INTELLECTUAL PROPERTY Phone +81-75-753-9332, Fax +71-75-753-9333 Along with paradigm change taking place on global scale, the universities are being counted upon by the public on their capability in handling these changes. Under much expectations from both industry and government sector, universities now have a role to contribute to society by leading the development of advanced scientific technologies from basic research to industrially applicable form. The department aims to foster directors of intellectual property, a human resource essential in utilizing university’s intellectual properties. As well as equipping students with practical skills, department teaches both basic theories in medicine particularly in the field of advanced medicine, and in humanities and social science, particularly on the exploitation of intellectual property rights. The department aims to nurture directors of technology management, the personnel with the capability to discover, manage and exploit the intellectual property in the field of biotechnology, particularly in advanced medicine. 1. 2. Professor: KOSUGI, Shinji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Biomedical ethics; 2. Clinical ethics; 3. Clinical Genetics; Associate Professor: NUMABE, Hironao, M.D., D.Med.Sc. (Tokyo Medical Univ.), 1. Biomedical ethics; 2. Clinical ethics; 3. Clinical Genetics; 3. DEPARTMENT OF HEALTH INFORMATICS In today’s society, the impact of health-related information on human behavior and health can be just as profound as, or in some cases, more profound than, the impact of physical environment on human health. This field of study explores how information can contribute to improve people’s health behavior/health-care-seeking behavior, and decision-making in both clinical setting and public health. The main topics to be covered are: Evidence-based healthcare (EBHC); decision analysis, health literacy & communication; epidemiologic re- 141 Natural Science: the course will give students top-level scientific knowledge and the knowledge on industrial demand through lectures by the academics who are engaged in researches of forefront science at the graduate school of medicine, and by the industrial professionals who hold abundant experience in translational research and development research in the industry. Humanities and other Subject in School of Public Health: the department will give students basic knowledge of intellectual property laws and other social sciences through lectures by instructors selected for each specialization field. The practical skills and knowledge in accounting and market valuation and distribution of intellectual property (venture capital field) are taught through lectures by lecturer with a long career in business. Practical Skills: Using the knowledge learned above as a base, the course will equip students with ability to act in real life situation through work experience at Kyoto University and through other externships, gaining experience in establishing rights in research out come and in exploitation of those rights. At the Management of Technology and Intellectual Property, researches are being conducted on various problems faced in management and practical application of intellectual property rights. So far, research has been conducted on “In- 142 vestigation for protection and utilization of intellectual property in translational research for purpose of establishing the management system” and “Systems of intellectual property management which can accommodate movement of researchers from one institution to another”. The findings from these researches are reflected in the management of intellectual property at the university. Professor: TERANISHI, Yutaka, D.Eng. (Kyoto Univ.), 1. Molecular Biology; 2. Management of Technology; Associate Professor: ABE, Seiji, M. Agr. (Tohoku Univ.), Assistant Professor: SAOTOME, Chikako, D.Pharm.Sci. (Toho Univ.), 1. Management of Intellectual Property, DEPARTMENT OF MEDICAL COMMUNICATION Phone +81-75-753-4668 Medical Communication is a specialized area in medicine within science communication, which is currently enjoying national and international public attention. Kyoto University is the first in Japan to have established a department of Medical Communication in April, 2008 that investigates how medical knowledge is shared and circulated among different societal segments (eg., the public, media, policy makers, and the medical community) on a variety of levels (personal/micro, community/meso, social/macro, and international). The field of medical communication also explores how medicine communicates with society. Medical communication, therefore, is not the same as health communication, which is a well-known communication field researching a doctor-patient interaction, as the former has a more macro research domain. This new department welcomes students who are eager to not only tackle the aforementioned ambitious theme but also explore and claim the emerging field of medical communication. First semester: In this semester, the course provides an introduction to medical communication, both its theoretical frameworks and applications, for those from diverse interests, backgrounds, and/or disciplines. In class, frames from communication studies, disability studies, and/or science communication are drawn, and an issue of communication channels is addressed. Second semester: Building upon the first semester, the course further explores current topics in medical communication, especially relations among the medical/research community, media, public, and policy makers. Associate Professor: IWAKUMA, Miho, Ph.D. (University of Oklahoma), 1. (Intercultural) communication; 2. Disability studies; 3. Aging with disability occupational and environmental health. The research goal is approached by versatile methodologies mainly, genetic epidemiology and molecular toxicology. This department provides courses of occupational and environmental health to medical students and M.P.H. master students. For Ph. D. students we offer research courses for occupational and environmental health with emphasis on genetic factors and toxicology. The major fields of research include genetic epidemiology for cerebrovascular diseases and toxicology of persistent organic pollutants. Professor: KOIZUMI, Akio, M.D., D.Med.Sc. (Tohoku Univ.), Genetic epidemiology, occupational health and environmental sciences; Senior Lecturer: HARADA, Kouji, MPH, Dr.PH.Ph.D. (Kyoto Univ.), Environmental health sciences; Assistant Professors: MINATA, Mutsuko, M.D., D.Med.Sc. (Kyoto Univ.), Toxicology; HITOMI, Toshiaki, M.D., D.Med.Sc. (Kyoto Prefectual Univ.), Genetic epidemiology, occupational health and environmental sciences; DEPARTMENT OF HEALTH PROMOTION AND HUMAN BEHAVIOR The department offers lectures on the effect of lifestyles in the development of chronic disorders including cardiovascular, diabetes, obesity, allergies, and cancers. The department also offers lectures on human behavior given by part-time lectures how to educate populations with high risks to give up their bad lifestyles. The department is collaborating with more than 30 research groups world-wide, and it enables students to involve ongoing international projects, which will assist them in writing high-quality academic papers. Professor: KOSUGI, Shinji, M.D., D.Med.Sc. (Kyoto Univ.), 1. Biomedical ethics; 2.Clinical ethics; 3.Clinical genetics; Assistant Professor: YAMASAKI, Akiko, D.Med.Sc. (Univ. of Tokyo), Social epidemiology. INTERNATIONAL HEALTH This program prepares health professionals for expected roles in international agencies and in collaborative overseas projects. HEALTH DETERMINANTS This field encompasses the disciplines related to exploring the determinants of health, i.e., environmental factors and individual as well as population behavioral factors. DEPARTMENT OF GLOBAL HEALTH AND SOCIO-EPIDEMIOLOGY DEPARTMENT OF HEALTH AND ENVIRONMENTAL SCIENCES Our department was established in April, 2000 in Kyoto University School of Public Health. Our department adopts a new discipline of social medicine which takes multifaceted approach that encompasses both medical and social sciences, This department was established in 2000. The primary research and teaching endeavor is to provide scientific bases for Phone +81-75-753-4350 Fax +81-75-753-4359 Medicine or quantitative and qualitative research methods. We call this interdisciplinary approach ‘socio-epidemiology’. Socio-epidemiology aims to restore the views and methodologies which biomedical science, that is epistemologically grounded in the tradition of logical positivism, has been lacking and attempts to improve the health of people on the basis of not only biomedical evidence but also on socio-cultural understanding of health, utilizing systematic social programming approach. Outline of Research Activities: Our research interest is exclusively focused on socio-epidemiological approach to HIV prevention in Japan as well as overseas based on quantitative and qualitative methods, behavioral theories, social marketing approach and social experimental methods. As principal investigators of multiple national HIV-related research groups, we have been involved in the behavioral and preventive studies on youth, immigrants and other various vulnerable subpopulations. International collaborative researches involve a bio-behavioral and preventive studies among drug users in Iran in collaboration with the Ministry of Health of Iran and UNDP/UNODC (2003-), and large-scale behavioral and preventive studies among university students in Zhejiang Province of China (2003-). In 2006, our department was appointed as a UNAIDS Collaborating Centre aiming at expansion of socio-epidemiological studies on HIV. Outline of Teaching Activities: In the first term, students will learn about the study design issues relevant to socio-epidemiology such as social marketing, non-probability sampling, social experimental design, social research methods and practical questionnaire development. To master socio-epidemiology, a series of lectures and workshops are held on qualitative research methods in the second term that are basic to socio-epidemiology such as in-depth interviews, focus group interviews, and qualitative data analysis. Throughout these courses students are expected to acquire an integrated view on socio-epidemiology and lay a solid foundation for the future research. Professor: KIHARA, Masahiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Socio-epidemiology; 2. HIV prevention; Associate Professor: ONO-KIHARA, Masako, M.Sc., D.Med.Sc. (Yokohama City Univ.), 1. Socio-epidemiology; 2.Molecular epidemiology; 3.HIV prevention; 4.Behavior epidemiology; Assistant Professor: ZAMANI, Saman, M.D., Ph.D. (Kyoto Univ.), 1. Socio-epidemiology; 2. HIV prevention; 3 Reduction of drug-related harm; DEPARTMENT OF PUBLIC HEALTH AND INTERNATIONAL HEALTH The Department of Public Health and International Health was established in 1949 as the Department of Public Health, within the Faculty of Medicine. The Department was chaired successively by Professor Masashichi Nishio (1949-1973; medical care and welfare, toxicology of heavy 143 metals and organic solvents), Professor Seiyo Sano (1973-1987; lead poisoning, porphyrin and heme biosynthesis) and Professor Masayuki Ikeda (1988-1996; occupational and environmental health, organic solvent poisoning and predictive toxicology). Dr Toshitaka Nakahara was appointed as Professor and Chairman of the Department in 1997. At the time of the establishment of the School of Public Health in April 2000, the Department of Public Health became the Department of Public Health and Administration, which afresh became the Department of Public Health and International Health in May 2003. The Department is currently responsible for the courses offered to undergraduate students in medicine, graduate students in social medicine as well as graduate students enrolled in the School of Public Health. Professor: NAKAHARA, Toshitaka, M.D., D.Med.Sc. (Nihon Univ.), M.P.H. (Johns Hopkins Univ.), 1. Health policy and management; 2. International health; Associate Professor: SATOMURA, Kazunari, M.D., D. Med. Sc. (Kyoto Univ.), 1. Health education and promotion; 2. International health; 3. Food safety; Assistant Professor: IWANAGA, Suketaka, M.D., 1. Health education and promotion; 2. Health information; 3. International health; SCHOOL OF HUMAN HEALTH SCIENCES, FACULTY OF MEDICINE Head of School: SASADA, Masataka, M.D., D.Med.Sc. (Kyoto Univ.) 53, Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, JAPAN Tel: +81-75-751-3901 Fax: +81-75-751-3909 http://www.hs.med.kyoto-u.ac.jp/ DEPARTMENT OF NURSING Nursing is the practical science which supports the people of all healthy level of individual, family and community. The Department of Nursing was established in 2003, but the precursor goes back until 1989. This department has the responsibility for the education of registered nurse, public health nurse and nurse midwife, and the researches in the nursing study area. There are four areas, ‘Basic Nursing Science’, ‘Clinical Nursing Science’, ‘Family Nursing Science’ and ‘Community Health Nursing Science and Gerontological Nursing Science’ in this department. Basic Nursing Science is the fundamental area of nursing education. This area composed of Nursing theory, Environmental Health Nursing, Basic Nursing Techniques, and so on. This area aims to inspect for evidence of nursing practice and to develop the various method of evaluating the nursing techniques. Clinical Nursing Science is composed chronic and critical adult nursing and psychiatric nursing. The education and research of chronic and critical adult nursing are focused on pre-post operative and transplant care, psycho-social care, patient’s education and to development of nursing knowledge 144 and skill to maintain and promote for patient’s health. The psychiatric nursing is emphasized in psychiatric and health care and mental and physical rehabilitation care for both patients and their family to live at community. Family Nursing Science is composed of pediatric nursing, women’s health, maternity nursing and midwifery. The family nursing science is focused on sound growth and development of children, the safe and comfortable birth, and reproductive health/rights of women and so on, in order to keep and to promote physical, mental and social health of family members. Community Health Nursing Science covers diverse subjects such as introduction to community health nursing, community health assessment, community health nursing, and some other subjects, in particular, in order to provide curriculum for public health nurses. Gerontological Nursing Science covers diverse subjects such as gerontological nursing, home care nursing and community care system in order to provide curriculum for home care nurses. Basic Nursing Science Professors: MIYAJIMA, Asako, R.N., P.H.N., Ph.D., (Nara Women’s Univ.), 1. Environmental health nursing; 2. Studies of living environment for client/patient; 3. Consultation about living environment for home care patients; 4. Development of sign communication system in hospital and ward; 5. Nursing theory; 6. Basic nursing techniques; SUGA, Sawako, D.Ed. (Kyoto Univ.), Clinical psychology; Associate Professor: WAKAMURA, Tomoko, R.N., P.H.N., Ph.D. (Nara Women’s Univ.), 1. Basic nursing techniques; 2. Sleep managements (Chronobiology, thermal and clothing physiology in sleep, sleep Environment, QOL of sleep disorder patients); Assistant Professor: SUZUKI, Kazuyo, R.N., P.H.N., M.A., 1. Nursing in society; 2. Basic nursing techniques; Clinical Nursing Science Professors: EGAWA, Takako, R.N., M.S.N., Ph.D. (Osaka Univ.), 1. Area for education and research is self-care and foot care of diabetes and self-care of patient with dialysis treatment; 2. Clinical nursing for adults; HOSODA, Kiminori, M.D., Ph.D. (Kyoto Univ.), 1. Endocrinology and Metabolism; 2. Diabetes Mellitus; 3. Obesity; 4. Molecular Medicine; 5. Internal Medicine; HAYASHI, Yuko, R.N., P.H.N., M.S.N., Ph.D. (St.Luke’s College of Nursing), 1. Adult health nursing; 2. Transplantation nursing; NOMOTO, Shinichi, M.D., Ph.D. (Kyoto Univ.), 1. Cardiovascular Surgery; 2. Critical care medicine; SAITO, Yumi, R.N., M.S.N., Ph.D. (Jichi Med. School), 1. Hospital infection control; 2. Infection control nursing; 3. Immuno-psycho-oncology nursing; 4. Nursing theory 5. Basic nursing techniques; S AKURABA, Shigeru, R.N., Ph.D. (Yamagata Univ.), 1. Patients with mental illness Care; 2. Psychiatric and mental health nursing; 3. Mental health; 4. Patient advice and liaison service; 5. Alexithymia; 6. Suicide; 7. Psychopharmacol- ogy; 8. Social welfare services; Associate Professor: AKAZAWA, Chiharu, R.N., M.S.N., Ph.D. (Kyoto Univ.), 1. Clinical nursing for adults; 2. Critical care; 3. Trans-plantation nursing care; 4. Stress-coping; HONDA, Ikumi, R.N., C.N.M., Ph.D. (Osaka Univ.), 1. Clinical nursing for adult with diabetes; 2. Foot care for the adult and the elderly; 3. Health behavior and health education; SAKUDA, Hiromi, R.N., P.H.N., Ph.D. (Hiroshima Univ.), 1. Cancer nursing; 2. Lymphedema care; 3. Nursing technical education methodology; Assistant Professors: SUMIKA, Masuko, R.N., P.H.N., M.S.N., Ph.D. (Osaka Univ.), 1. Practicum in adult nursing; TAKAHASHI, Miwa, R.N., P.H.N., M.S., 1. Practicum in fundamental nursing; KONISHI, Nami, R.N., P.H.N., Ph.D., (Yamanashi Univ.), 1. Practicum in mental health nursing; Teaching Associate: FUKUDA, Risa, R.N., P.H.N., M.P.H., 1. Practicum in adult nursing; Family Nursing Science Professors: KABEYAMA, Kiyoko, R.N., R.M., M.S.N., Ph.D. (Nara Women’s Univ.), 1. Midwifery; 2. Maternal and child health nursing; 3.Women’s health; 4. Human sexuality; SUGANUMA, Nobuhiko, M.D., Ph.D., 1. Obstetrics and gynecology; 2. Reproductive medicine; 3. Assisted reproductive technology; 4. Hormonal disorders; Associate Professors: YAGI, Keiko, R.N., N.M., P.H.N., M.N.S., 1. Midwifery; 2. Maternal and child health nursing; 3. Women's health nursing; TANIGUCHI, Hatsumi, R.N., R.M., M.P.H., M.S.N., Ph.D.(Univ. of Hawaii at Manoa), 1. Women’s health; 2. Midwifery; 3. Maternal and child health; Senior Lecturer: WATANABE, Hiroko, R.N., R.M., M.S.N., M.H.S., Ph.D.(Tokyo Univ.), 1. Midwifery; 2. Maternal and child health nursing; Assistant Professors: CHIBA, Yoko, R.N., R.M., M.P.H. (Boston Univ.), 1. Practicum in midwifery ; 2. Practicum in maternal and child health nursing; KIYOKAWA, Kanako, R.N., P.H.N., M.S.N., 1. Practicum in pediatric nursing; YAMAGUCHI, Kotomi, R.N., R.M., P.H.N., M.S.N., 1. Practicum in maternal and child health nursing; 2. Midwifery; Community Health Nursing Science and Gerontological Nursing Science Professors: KATSURA, Toshiki, R.N., P.H.N., Ph.D. (Yamagata Univ.), 1. Medicine Lifestyle and metabolic syndrome; 2. Visual information processing relating to falls in elderly; 3. Successful aging 4. Cardiovascular disease prevention; KINOSHITA, Ayae, M.D., D.Med.Sci. (Kyoto Univ.), 1. Neurology, Internal medicine; 2. Alzheimer’s disease and related disorders; 3. Gerontological nursing; Associate Professor: HOSHINO, Akiko, R.N., P.H.N., Ph.D. (Tohoku Gakuin Univ.), 1. Community organization; 2. Health behavior; 3. Health promotion; 4. Community health care system; Assistant Professors: USUI, Kanae, R.N., P.H.N., M.Health Sci. (Osaka Univ.), 1. Community health care system; 2. Supporting techniques of public health nurse; KUBOTA, Masakazu, R.N., P.H.N., M.Med.Sci., Ph.D. (Nagoya Univ.), 1. Alzheimer’s disease and related disorders; 2. Gerontological nursing; 3. Dementia care system; DEPARTMENT OF LABORATORY SCIENCE Department of laboratory science has three courses as shown below. The outline of those courses is presented as follows. Analysis of basic pathological information on organisms: In the course, you will extract information from the genetic and molecular levels of organisms to the cellular and organic levels of animal body, and analyze the information from a wide variety of angles. As the basis for it, you will profoundly learn the functions and pathological conditions of the organisms concerned. You will thus equip yourself with the power of observation and thinking, as well as creativity for the analysis. Analysis of clinical pathological information on organisms: In the course, you will learn how to apply the information obtained from organisms to clinical diagnosis and therapy. You will also learn the fundamental theory and technology of advanced medical treatment, in order to contribute particularly to the promotion and establishment of implantation, reproduction, and genetic treatment. At the same time you will equip yourself with the ability to positively overcome various clinical problems. Engineering of advanced information technologies for medicine: This course is consisted of the following three groups: Medical Informatics group, Medical Devices for Diagnosis group, and Innovative Medical Imaging Technology group. In the course, you will learn information technologies for clinical diagnosis from their basic principles to their applications. Main target of the course is the sensing, imaging, and image processing technologies. Further, you can engage in the researches for developments of new hardware systems used ultrasound and electro-magnetic wave technologies, and of new image processing methods or systems. Professors: SASADA, Masataka, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hematology, internal medicine, infectious disease; 2. Analysis of 145 the mechanisms of host defense 3. Developing a new approach for the treatment of infectious diseases; 4. Analysis of the pathophysiology of inflammation mediated by neutrophils FUKUDA, Yoshihiro, M.D., D.Med.Sc. (Kyoto Univ.), 1. Hepatology & gastroenterology; 2. Clinical immunology FUJITA, Masatoshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Cardiology, coronary circulation, integrated physiology; 2. Clinical studies on coronary collateral circulation; 3. Congestive heart failure and coronary artery disease OKA, Shogo, D. Pharm. Sci. (Kyoto Univ.), 1. Biochemistry, glycobiology, molecular biology, neuroscience; 2. Functional analysis of neural specific carbohydrate; 3. Glycobiological approach for the development of the nervous system SAITO, Kuniaki, D.Med.Sci. (Fujita Health Univ.), 1. L-Tryptophan metabolisms; 2. HIV-related encephalopathy; 3. Analytical biochemistry SUGIMOTO, Naozo, D.Eng. (Kyoto Univ.), 1. Biomedical Imaging and Image Processing; 2. Computer Aided Diagnosis Systems SEIYAMA, Akitoshi, D.Sc. (Hokkaido Univ.), 1. Neuroscience; 2. Biophysics; 3. Biomedical Engineering TAKAKUWA, Tetsuya, M.D., D.Med.Sc. (Osaka Univ.), 1. Experimental pathology, Oncology; 2. Experimental study on Lymphomagenesis arising in chronic inflammation SHIINA, Tsuyoshi, D.Eng. (Univ. of Tokyo), 1. Biomedical Engineering; 2. Development of Biomedical Imaging Technologies and Diagnosis Systems; 3. Medical Ultrasonics Associate Professors: IKEMOTO, Masaki, M.T., D.Med.Sc. (Kyoto Univ.), 1. Clinical chemistry, biochemistry, clinical biochemistry; 2. Clinical and biochemical enzymology, immunopathology; 3. Study on human liver-type arginase and its clinical significance; 4. Study on a myeloid-related protein complex (MRP8/14) as an acute inflammatory marker OTSUKA, Kenichi, D. Sc. (Kyoto Univ), 1. Partial differential equations; 2. Positivity of fundamental solutions for partial differential operators, asymptotic distribution of eigenvalues of elliptic partial differential operators SASAYAMA, Satoshi, D.Med.Sc (Univ. of Tokyo), 1. Biomedical informatics, ergonomics; 2. Construction of pathogenic bacteria database system utilizing web technology; 3. Application of continuous measurements of blood pressure waveform during operation and exercise to the evaluation of cardiovascular responses IBUKI, Kentaro, D.V.M., D.Med.Sc. (Kyoto Univ.), 1. Virology and Immunology; Assistant Professors: ITOH, Hiroshi, M.T., M.Med.Lab.Sc. (Tokyo Med Dent Univ.), 1. Host defense; 2. Hematology; 3. The effects of purines on neutrophil functions UENO, Tomohiro, Ph.D. (Kyoto Univ.), 1. Low temperature physics; 2. MRI; 3. NMR YAMAMOTO, Yasuko, M.T., C.T. (IAC), D.Med.Lab.Sc. (Osaka Univ.), 1. Molecular pathology DEPARTMENT OF PHYSICAL THERAPY Department of Physical Therapy is established with the aim of producing able physical therapists with international expertise, foresight and intelligence. It is also engaged in the study and development of innovative technology in the field of physical therapy, which is one of the key modalities of rehabilitation medicine. Besides professional education and 146 training, priority is given to the development of sound medical ethics. Students are also provided with opportunities to broaden their horizons by realizing the latest frontiers of medicine at Kyoto University Hospital. Professors: TSUBOYAMA, Tadao, M.D., D.M.Sc. (Kyoto Univ.), 1. Orthopedics; 2. Bone metabolism; 3. Osteoporosis; 4. Musculoskeletal oncology; KUROKI, Hiroshi, R.P.T., D.Med.Sc. (Kyoto Univ.), 1. Histology and bio-mechanics on articular cartilage; 2.Physical therapy; 3. Rehabilitation for knee osteoarthritis; ICHIHASHI, Noriaki, R.P.T., D.Med.Sc. (Fujita Health Univ.), 1. Orthopaedic physical therapy; 2. Clinical kinesiology; 3. Physical fitness and sports medicine; ISHIBASHI, Makoto, M.D.,Ph.D. (Kyoto Univ.), 1. Development of the central nervous system; 2. Head morphogenesis; 3. Analysis of gene regulation; 4. Cell-to-cell communication during development; Associate Professors: TAMAKI, Akira, R.P.T., Ph.D. (Hyogo College of Med.), 1. Pulmonary physical therapy; 2. Respiratory physiology; 4. Neural protection against ischemia; 5. Brain functional improvement induced by rehabilitation; TOICHI, Motomi, M.D., Ph.D. (Kyoto Univ.), 1. Clinical cognitive neuroscience of psychiatric disorder (autism, Asperger’s disorder, schizophrenia, bipolar disorder); 2. Child and adolescent psychiatry; 3. Electrophysiology (Near-infrared spectroscopy of the brain, electroencephalogram, analyses of autonomic nervous system function); 4. Forensic psychiatry; FUTAKI, Toshiko, M.S., Ph.D. (Showa Univ.), O.T.R.,1. Occupational therapy for physical disabilities; 2. Occupational therapy for geriatrics; Rehabilitation for cognitive disorders; Associate Professors: KATO, Toshihiro, M.Ed., O.T.R., 1. Occupational therapy for developmental disabilities; 2. Occupational therapy for educationally handicapped children; Assistant Professors: KOSHIHARA, Kikue, M.S. (Occupational Therapy), O.T.R., 1. Occupational therapy for mental disorders; 2. Activity adaptation for O.T.; KASAHARA, Katsuyuki, M.D., D.Med.Sc. (Kyoto Univ.), 1. Orthopedics; 2. Oncology; 3. Immunology; SAKAI, Hiroshi, M.S. (Occupational Therapy), O.T.R., 1. Occupational therapy for physiological disabilities; 2. Rehabilitation for higher brain dysfunctions; Senior Lecturers: OHATA, Koji, R.P.T., M.S. (Osaka Kyoiku Univ.), 1. Pediatric physical therapy; 2. Neurological physical therapy SHOJI, Mikiko, B.A.(Literature), O.T.R., 1. Occupational therapy for children; 2. Supporting families of children with disability; MAEDA, Yuko, M.A. (Kyoto Univ.), 1. Medical Education 2.Public Health 3.Social Psychology SHIRAI, Haruna, M.S. (Health Science), O.T.R., 1. Well-being in dementia; 2.Occupational therapy for geriatrics; Assistant Professors: IKEZOE, Tome, R.P.T., D.Sc. (Kobe Univ.), 1. Physical therapy for geriatrics; TATEUCHI, Hiroshige, R.P.T., M.S. (Kobe Univ.), 1. Orthopaedic physical therapy; Teaching Associate: YAMADA, Minoru, R.P.T., M.S. (Kobe Univ.), 1. Orthopaedic physical therapy; 2. Physical therapy for geriatrics DEPARTMENT OF OCCUPATIONAL THERAPY Education outline Occupational therapy is believed to play very important role for the rehabilitation. But in order to be recognized the importance of this profession, the effect of the occupational activities should be proved systematically, and scientifically. Our program aims at the cultivation of the occupational therapist as a profession who will be able to problem solve and further develop the profession. Professors: YAMANE, Hiroshi, Ph.D. (Kansai Med. Univ.), O.T.R., 1. Occupational therapy for mental disorders; 2. Group dynamics and communication; MITANI, Akira, Ph.D. (Kyoto Univ.), 1. Physiology; 2. Neuroscience; 3. Methodology of research; health neuroscience; MATSUBAYASHI, Jun, M.S. (Science), 1. Basic research for neurological rehabilitation of physical disabilities; 2. Functional brain imaging (magnetoencephalography and electroencephalography); Teaching Associate: ARAI, Noriko, O.T.R., 1. Occupational therapy for developmental disabilities; CONTRIBUTED CHAIRS DEPARTMENT ONCOLOGY OF TRANSLATIONAL CLINICAL Dept. of Translational Clinical Oncology has launched in October, 2003 to facilitate translation of the scientific progress made during the past decade in the field of clinical research onto daily practice of clinical oncology. Outline of Research Activities: Our research aims are development of better chemotherapeutic regimens in order to provide better quality of care for cancer patients. To achieve this goal, we have constructed an infrastructure for clinical trials in medical oncology. Examples are the clinical trial data managing system (Cyber Oncology ) and other clinical trial supporting tools. We are ac- Medicine tively conducting and supervising many high quality clinical trials conducted at the Outpatient Oncology Unit of Kyoto University Hospital. Outline of Teaching Activities: Medical oncology lecture courses for physicians, pharmacists and nurses are in preparation. Graduate and undergraduate courses of medical oncology will start soon. Outline of Clinical Activities: We are responsible for the patients care in the Outpatient Oncology Unit of Kyoto University Hospital, where more than 30 patients, on daily average, receive infusional chemotherapy as outpatient. The Unit is managed by full-time staffs including medical oncologists, oncology pharmacists and oncology nurses. Various clinical trials are ongoing, along with the standard regimens for each cancer at the Unit. Deputy Director and Program-Specific Associate Professor (Endowed Chair): YANAGIHARA, Kazuhiro, M.D., D.Med.Sc. (Kyoto Univ.), 1.Medical Oncology; 2.Thoracic Surgery Program-Specific Assistant Professors (Endowed Chair): MATSUMOTO, Shigemi, M.D., 1. Medical Oncology; 2.Gastroenterology KITANO, Toshiyuki, M.D., 1. Medical Oncology; 2.Hematology Program-Specific Senior Lecturer (Endowed Chair); NISHIMURA, Takafumi, M.D., Med.Sc. (Kyoto Univ.), 1. Medical Oncology; 2. Tumor Biology 147 and function of lymphocytes, focusing on two important questions: 1) Class switch recombination (CSR) and AID: B lymphocytes switch antibody isotypes from IgM to others adding diverse effecter functions to Ig with a given antigen specificity. We revealed this phenomenon is mediated by a region-specific recombination accompanied by deletion of Ig constant region genes from chromosomes, which is now called CSR. More recently we identified an RNA-editing enzyme AID, which we showed critical for not only CSR but also SHM, a mechanism for Ig affinity maturation. How does single AID molecule control the two totally different processes, CSR and SHM? Accumulating evidence suggests that AID binds to two separate co-factors to edit yet-to-be-identified target mRNAs required for CSR or SHM. We are now poised to discover such target mRNAs and co-factors to unveil the molecular mechanism of CSR. 2) Autoimmunity and PD-1: We showed mice deficient in PD-1, a negative regulator for immune responses, develop autoimmune diseases such as dilated cardiomyopathy and systemic lupus erythematosus. As these symptoms vary depending on genetic backgrounds of mice, we are trying to identify genes which cooperate with PD-1 and control development of autoimmune diseases. Professor: HONJO, Tasuku, M.D., D.Med.Sc. (Kyoto Univ.), Regulatory mechanism of lymphocyte differentiation; Associate Professors: NAGAOKA, Hitoshi, M.D., D.Med.Sc. (Kyoto Univ), B lymphocyte biology; DEPARTMENT OF IMMUNOLOGY AND GENOMIC MEDICINE SHINKURA, Reiko, M.D., D.Med.Sc. (Kyoto Univ.), Molecular mechanism of class switch recombination; Immune system can react against virtually unlimited variety of foreign antigens in highly regulated manner. This phenomenon has been one of the biggest mysteries in biology. Recent advances in immunology and molecular biology are shedding light on molecular mechanisms that are operating in the system. Because they are related with various diseases, such as autoimmune, tumorigenesis, etc., the research on this field is expected to benefit clinical science as well as basic biology. The Department of Immunology and Genomic Medicine was founded in April 2005 as a contributed chair sponsored by Ono Pharmaceutical Co., Ltd. The department aims to perform basic and translational research in Immunology and Genomic Medicine, thereby making significant contributions to bioscience and medicine. Dr. Tasuku Honjo was appointed as the professor. He is a world wide leader in the immunogenetics who received the Asahi Award, the Kihara Award of Japanese Genetic Society, the Takeda Medical Award, the Behring-Kitasato Prize, the Uehara Award and the Imperial Prize from Japan Academy. Also, he is a foreign associate of National Academy of Sciences, U.S., and honored as a person of cultural merit by Japanese government Assistant Professors: BEGUM, Nasim A., Ph.D. (Visvabharati Univ., India), Molecular mechanism of class switch recombination; Outline of Teaching Activities: Teaching activities cover the following: 1. Regulation of immune response; 2. Mechanism for antibody diversification; 3. Function of cytokines; 4. Genome stability. Outline of Research Activities: We study molecular mechanisms controlling development CHIKUMA, Shunsuke, D.V.M., Ph.D. (Medicine; Hokkaido Univ.), Genetic mechanisms of autoimmune diseases; DEPARTMENT OF ORGAN PRESERVATION TECHNOLOGY TEL : +81-75-751-4975 FAX : +81-75-751-4974 e-mail : orpteckuhp.kyoto-u.ac.jp Research and Education Transplantation of various organs including the lungs, heart, liver, kidney, islets, and small intestine has been established as a solo therapeutic option for end-stage organ dysfunction. Additionally, various therapies including bone marrow transplantation for leukemia, immunotherapy for cancer, and replantation of amputated digits are emerging. However, the quality and quantity of organs, tissues and cells transplanted after preservation is not yet satisfactory. Therefore, elucidating the mechanisms of functional deterioration after preservation and improving the quality of organs, tissues, and cells would directly benefit patients for those advanced therapies. Reliable methods of preservation would enable the use of marginal donors and alleviate the shortage of donor organs. Good function of preserved organs, tissues, 148 and cells would lessen complications after therapies and contribute to medical economy. Further, knowledge on organ, tissue and cell preservation would also provide better results in regenerative medicine. Our department would like to support collaborations between many researches, and perform basic as well as pre-clinical studies. Associate Professor: BANDO, Toru, M.D., Ph.D. (Kyoto Univ.), Thoracic surgery Assistant Professors: FUJINAGA, Takuji, M.D., Ph.D. (Kyoto Univ.), Thoracic surgery CHEN, Fengshi, M.D., Ph.D. (Kyoto Univ.), Thoracic surgery 1.Respiratory Insufficiency, 2.Sleep disordered breathing, 3. Respiratory medicine Senior Lecturer: OGA, Toru, M.D., D.Med.Sc. (Kyoto Univ.), Respiratory medicine Assistant Professor: SUGIYAMA, Hanako, M.D. 1.Clinical Neurophysiology, 2.Brain Pathophysiology CAREER-PATH PROMOTION UNIT FOR YOUNG LIFE SCIENTISTS See “CAREER-PATH PROMOTION UNIT FOR YOUNG LIFE SCIENTSTS” in CENTERS pages for details. DEPARTMENT OF RESPIRATORY CARE AND SLEEP CONTROL MEDICINE 5. RESEARCH FACILITIES The department of respiratory care and sleep control medicine was newly established in Kyoto University, Faculty of Medicine, in April 2008. The purpose of this department is to investigate the best respiratory care and the pathophysiology and pathogenesis of sleep disturbance and sleep-disordered breathing that have significant effects on systemic diseases. INSTITUTE OF LABORATORY ANIMALS Outline of Research Activities: The major fields in research are follows: 1. Respiratory care for acute and chronic respiratory failure 2. Pathophysiology of sleep disturbance and sleep-disordered breathing 3. Diagnosis and treatment for sleep-disordered breathing and sleep disturbance 4. Noninvasive and invasive ventilatory support 5. Development of new strategy for respiratory care and sleep medicine Outline of Teaching Activities: This department is responsible for teaching respiratory failure and sleep medicine to undergraduate students and for instructing basic and clinical studies in respiratory care and sleep medicine, especially sleep disordered breathing to graduate students. For the respiratory care and sleep disordered breathing, we are also responsible for clinical training of clinical fellows and residents in the department of University Hospital. Outline of Clinical Activities: In cooperation with the other departments, we provide the proper respiratory care for the in-patients during awake and sleeping time including perioperative stage in the University Hospital. The department undertakes diagnosis and treatment of sleep-disordered breathing and sleep disturbance. We are also responsible for out-patient wards in the University Hospital, and taking care of patients with respiratory failure, sleep disturbance and/or sleep-disordered breathing who use noninvasive ventilator with or without the home oxygen therapy. Professor: CHIN, Kazuo, M.D., M.Med.Sc. (Kyoto Univ.), 1.Respiratory Insufficiency, 2.Sleep disordered breathing, 3. Respiratory medicine Associate Professor: TSUBOI, Tomomasa, M.D., M.Med.Sc. (Kyoto Univ.), Director: SERIKAWA, Tadao, D.V.M., D. Agr. Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 Tel. +81-75-753-4489 Fax. +81-75-753-4409 The Institute of Laboratory Animals was established as one of the research institutes in the Faculty of Medicine, Kyoto University in 1972, and a new building was constructed in 2003. The building includes 6 floors covering an area of 9,400 m2, and has extensive facilities for animals, laboratory experiments and operations. There are a number of caged animal rooms for mice and rats. In addition, the animal-keeping facilities have a racked cage system equipped with automatic waste-disposal, watering and feeding devices, maintaining healthy and sanitary conditions, as well as saving labor. The Institute is a core center of National BioResource Project for the Rat in Japan. The Institute is dedicated to and actively engaged in: 1. performing animal experiments, primarily with mice, rats, hamsters, guinea pigs, rabbits, cats, dogs, and non-human primates 2. keeping and supplying various inbred and mutant strains of rats 3. carrying out education and research in laboratory animal sciences 4. offering advice on animal experiments and information on laboratory animals to medical doctors and scientists. Professor: SERIKAWA, Tadao, D.V. M., D. Agr. (Osaka Prefecture Univ.), Laboratory animal science Associate Professor: KURAMOTO, Takashi, D. Med.Sc. (Kyoto Univ.), Laboratory animal science CONGENITAL ANOMALY RESEARCH CENTER Director: KANEKO, Takeshi, M.D., Ph.D. Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 Tel. +81-75-753-4345 Fax. +81-75-753-4621 The Congenital Anomaly Research Center was established Medicine on April 1, 1975 in the Faculty of Medicine. The founder and the first Director of the Center, the late Professor Hideo Nishimura, initiated systematic collection of human embryonic and fetal specimens, especially those at the period of major organogenesis. The collection of human conceptuses was initiated in 1961 and various aspects of normal and abnormal human prenatal development have been investigated. This effort has been energetically continued in collaboration with a number of obstetricians, pediatricians, and other physicians. Most of the human prenatal specimens have been procured after termination of pregnancy for social reasons and therefore the embryo population can be regarded as a representative of the total intrauterine population in Japan. The total number of specimens collected so far exceeds 44,000. Of those specimens, approximately 1,000 cases have been histologically prepared in serial sections. The human embryo collection and associated clinical data are made available for scientific research and medical education. The main purposes of the Center are: 1. to establish normal standards of human prenatal development; 2. to investigate the initiating processes and pathogenetic mechanisms of various congenital malformations; 3. to make genetic epidemiological studies of human congenital malformations and identify genetic and environmental factors responsible for human birth defects; 4. to make the human embryo data available for birth defects monitoring; 5. to make the Center's collection of human conceptuses available for scientific research; 6. to furnish embryonic and fetal specimens for education in medical embryology and teratology for graduate and undergraduate students; and 7. to give advice to clinicians and scientists in related fields concerning the problems of human birth defects. In addition to the studies with human embryos and fetuses, experimental studies using animal models are also conducted to elucidate the mechanisms of abnormal development. Associate Professor: YAMADA, Shigehito, M.D., D.Med.Sc. (Kyoto Univ.), 1. Normal and abnormal human development; 2. Imaging of human embryos; 3. Clinical dysmorphology; 4. 3D visualization of human embryos; CENTER FOR ANATOMICAL STUDIES (FORMERLY STUDY CENTER FOR HUMAN REMAINS) Director: MANABE, Toshiaki, M.D., FCAP. Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 Tel. +81-75-753-4496 This center was founded in 1981 as a model institution to conduct integrated research and education for gross anatomy and pathologic and forensic medicine. The building has a basement and four floors covering an area of 5,065m2. The eastern wing consists of two autopsy rooms for forensic medicine and pathology, a research laboratory and exhibition rooms for medical history, and valuable autopsy specimens. The western wing consists of a room for gross anatomy, an auditorium and two rooms for histology practice and audio-visual education. The computer-assisted educational room of the center for information and multimedia studies is also located on the 2th Floor. There is a large collection of microscopic/macroscopic specimens and pathology case records since 1900. 149 Professor: MANABE, Toshiaki, M.D., FCAP., 1. Surgical pathology; 2. Pulmonary pathology; 3. Dermatopathology Assistant Professor: KOTANI, Hirokazu, M.D., D.Med.Sc. (Mie Univ.), Anatomic pathology; CENTER FOR GENOMIC MEDICINE CENTER FOR GENOMIC MEDICINE Director: MATSUDA, Fumihiko, D.Med.Sc. (Kyoto Univ.) Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501 Tel. +81-75-753-4661 Fax. +81-75-753-9314 The center was established in April 2004 by converting Center for Molecular Biology and Genetics that directly was belonging to the University to join to the Graduated School of Medicine. A part of Department of Genome Epidemiology in the Graduate curriculum of Public Health was also converted to join to this center. Major research aim of the center is to identify the genes responsible for the onset and progression of human multigenetic disorders and to analyze their function. The center consists of two units, Unit of Human Disease Genomics and Unit of Genome Informatics. The third unit, Unit of Statistical Genetics will soon be created. In January 2007, a research unit for trans-ethnic genetic studies of multigenetic disorders (Unit 852) was created with financial support of Institute National de la Santé et de la Rechérche Médicale (INSERM) in France to further reinforce international collaboration in the field of genomics. The Center mainly occupies approximately 500 in the departments in the graduate curriculum in the Medical School. Unit of Human Disease Genomics Study of human diseases based on genetic information is one of the most important subjects in the Post Genome Project. In particular, to overcome human multigenetic disorders, it is essential to perform trans-ethnic genetic analyses of human genome variations. In our unit, we perform genome wide association studies (GWAS) of a variety of diseases with SNP arrays using DNA samples (at the order of 1,000) of disease patients and control subjects from different ethnic origins. The projects include rheumatoid arthritis, chronic HCV disease, radiation-induced childhood thyroid cancer, lung cancer and adult T-cell leukemia. We try to establish a new generation genome variation-based genomic strategy which will be directly linked to clinical research and therapeutics. Professor: MATSUDA, Fumihiko, D.Med.Sc. (Kyoto Univ.), 1. Molecular biology; 2. Human genetics; Associate Professor: KADOTANI, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.), 1. Sleep Research; 2. Epidemiology; Associate Professor of Industry-Government-Academia Collaboration: MURAKAMI, Yoshiki, M.D., Ph.D. (Kyoto Prefectural Uni- 150 versity of Medicine), 1.Virology; 2.Hepatology; Research Associate: TAKAHASHI, Meiko, Ph.D. (University of London), Cancer genetics; Research Scientist: TAKIGAWA-IMAMURA, Hisako, D. Sc. (The Graduate University of Advanced Studies), 1. Mathematical biology; 2. Molecular biology; Unit of Genome Informatics Major goal of research in this unit is (1) to establish bioinformatics system which can handle large-scale disease genomics studies such as GWAS, prospective cohort studies and whole genome sequencing approaches. This includes the construction of a comprehensive SNP database of different multigenetic diseases which integrates genetic and clinical information. (2) to understand molecular mechanisms underlying gene regulation and genome evolution by comparative genomic approaches. The projects involve (i) identification of regulatory elements, such as transcription factor binding sites and splicing regulators, and (ii) molecular evolutionary analyses of gene duplications and genome rearrangements. Professor: SEKINE, Akihiro, D.Med.Sc. (Kyoto Univ.), Human Genetics; Associate Professor: SUYAMA, Mikita, D.Agr.Sc. (Kyoto Univ.), Comparative Genomics; Research Scientist: MIZUSAWA, Seiho, M.Sc. (Tsukuba Univ.), Human Genetics; CENTER FOR MEDICAL EDUCATION Director: HIRAIDE, Atsushi, M.D., D.Med.Sc. (Osaka Univ.) Yoshida Konoe-cho, Sakyo-ku, Kyoto 606-8501 Tel: +81-75-753-9338 Fax: +81-75-753-9339 http://plaza.umin.ac.jp/~cme/index.html In these days, topics concerning about medical education became one of important issues for our community. Traditional style of medical education has been carried out mainly by the effort of individual department of medical school. It has been, however, impossible nowadays that we provide a qualified medical education without coordination of the effort of individual section. Center for Medical Education has been newly established in 2004 to act a central role for promotion of a qualified medical education. Outline of Teaching and Research Activities: Center for Medical Education is not one of departments in medical school. It has been established in order to promote medical education as a faculty. Therefore it is not for a specific research or an education carried out in individual department. Now the center is revising the framework of curriculum of basic medicine for biomedical science and public health. We are also changing our clinical training course to a clinical clerkship-based new pathway instead of a traditional bed-side learning curriculum. Our activity is also concerned with the post-graduate resident course. Not only in making a better system for medical education, the center is also engaged in a development of programs for learning, such as a new program for Medical English in basic field, and a practical resuscitation program for sudden cardiac arrest patients in clinical field. Professor: HIRAIDE, Atsushi, M.D., D.Med.Sc. (Osaka Univ.), 1.Medical education; 2.Emergency medicine; 3.Resuscitation; Senior Lecturer: MORIMOTO, Takeshi, M.D., D.Med.Sc. (Kyoto Univ.), M.P.H.(Harvard Univ.), 1. Medical Education; 2. Clinical Epidemiology; 3. Patient Safety; 4. General Internal Medicine; Assistant Professors: SAKUMA, Mio, M.D., D.Med.Sc. (Jikei Univ. school of Medicine), M.P.H.(Harvard Univ.), 1. Medical Education; 2. Clinical Epidemiology; 3. Pediatrics; Teaching Associate: SEKI, Susumu, 1. Medical Education; 2. Human Interface; HUMAN BRAIN RESEARCH CENTER In April 2000, the Human Brain Research Center was newly founded in affiliation with the Graduate School of Medicine in order to further advance the studies of human brain functions using various modern technologies such as electrophysiology, magnetoencephalography, positron emission tomography, single photon emission computed tomography, functional magnetic resonance imaging, and transcranial magnetic stimulation. The Center is formed of three Departments; Brain Pathophysiology, Functional Brain Imaging, and Psychophysiology. Professor Hidenao Fukuyama, M.D. is serving as the Director of the Research Center. The Department of Brain Pathophysiology which belonged to the Graduate School of Medicine moved to this Center, becoming its principal constituent. The Department of Functional Brain Imaging is mainly developing the methods of magnetic resonance imaging of the human brain and detecting functional brain activation by metabolic or blood flow change. The Department of Psychophysiology invites a foreign scientist each year. In order to explore more widened view of human brain function, this center is actively collaborating with faculties of letters, pharmaceutical sciences, and engineering. Department of Brain Pathophysiology This Department was founded in April 1990 as one of the three core sub-departments forming a new post-graduate course in the Faculty of Medicine called the Division of Integrative Brain Medical Science. Since 1995 it belonged to the Section of Clinical Neuroscience as a result of a change from the Faculty of Medicine to the Post-Graduate Course of Medical Science. The primary aim of this Department is to clarify the mechanisms underlying brain activities such as Medicine cognitive, motor and memory functions in normal humans and their disturbances in patients with various diseases affecting the higher brain functions. In order to accomplish this aim, this department mainly utilizes electrophysiological measures which preferentially resolve temporal profiles of brain activities. As described above, the Department has belonged to the newly founded Human Brain Research Center since April 2000. Associate Professor: MIMA, Tatsuya, M.D., D.Med.Sc. (Kyoto Univ.), Electrophysiology of the central nervous system and motor control; Assistant Professor: SAWAMOTO, Nobukatsu, M.D., D.Med.Sc. (Kyoto Univ.), Basal ganglia function and its dysfunction; 151 and seminars in cooperation with the Management of Technology in Medical Science Course and provided much support to faculties and laboratories in promoting their research and developing the relationship with industry. LIAISON AND COORDINATION KUMBL provide supports for Industry-Academia relations (1) by excavating and collating the seed technology (both disclosed and undisclosed), which may potentially become the subject of collaboration with industry, (2) by disclosing the latest information at Kyoto University on research activities, drug-development/ clinical investigation, life and medical ethics, and on other information as may be requested by the public, and (3) by providing advice and support to each industry-academia collaborations (e.g. development of a new drug or medical instrument). Department of Functional Brain Imaging PATENT PROSECUTION The Department of Functional Brain Imaging was newly developed at the beginning of this center. Professor Fukuyama, M.D. was affiliated as the chairman of this department since January 1st, 2001. This department is dedicated to the examination and research works on the neurological disorders and neuronal functions using brain imaging techniques, such as positron emission tomography, single photon emission CT and MRI. These measures are specifically adequate to unravel brain functions from the viewpoint of spatial extent and its connectivity. In collaboration with the Department of Brain Pathophysiology, we try to disclose functional aspect of neurological disorders as well as the neuronal mechanisms in the healthy human subjects. In cooperation with the Office of Society-Academia Collaboration for Innovation (SACI), administration office, and Innovative Collaboration Center (ICC), KUMBL provides administrative supports for filing of patent by coordinating between researchers and administration. Professor: FUKUYAMA, Hidenao, M.D., D.Med.Sc. (Kyoto Univ.), PET studies on neurological disorders and brain functions; MATERIAL TRANSFER Associate Professor: YAMAUCHI, Hiroshi, M.D., D.Med.Sc. (Kyoto Univ.) PET examinations on Neurological disorders; LICENSING In cooperation with Shirankai Business Liaison Office, KUMBL discloses newly filed patents selected by the Invention Evaluation Committee (Medical and Bioscience Division) of Kyoto University to Shiran Society (a membership society consisting mainly of pharmaceutical companies). KUMBL supports the execution of MTA (Material Transfer Agreement) for provision and receipt of research materials (e.g. cells, DNA etc.) to and from other universities or companies in and outside Japan. EDUCATION Assistant Professor: URAYAMA, Shin-ichi, M.Sc. (Kyoto Univ.), Development of analytical procedures for neuroimaging studies; KUMBL (Kyoto University Medical Science and Business Liaison Organization) -THE BRIDGE BETWEEN LABORATORY AND INDUSTRY IN THE FIELD OF MEDICINE- Through hosting seminars and symposiums, KUMBL provides latest information from in and outside Japan relating to research and intellectual property. KUMBL also supports Management of Technology and Intellectual Property, which fosters human resources who are capable of working for industry-academia relations. START-UP SUPPORT (INCUBATION PLAZA) As a run-up to the incorporation of national university, in April 2002, Graduate School of Medicine set up a Business Liaison Office (which formed a part of KUMBL) as one of its measure to promote the exploitation its research outcome; one of the three important missions to be fulfilled along with its mission of education and research. Since the incorporation in April 2004, it continued to grow to provide wider support for academia-industry relations not only for Graduate School of Medicine but also for other schools and institutes in the field of medical science. In April 2005, it launched its sub-wing, Incubation Plaza to support the establishment of spin-out companies. Till date, it has held a number of national and international symposiums To promote the return of research outcome to society, Mitsubishi UFJ Capital Co., Ltd. and Sumitomo Corporation together take part to form Incubation Program Committee set up within KUMBL. From April 2005, operating under the name “Incubation Plaza”, it selects projects to invest and form university spin-out companies. The spin-out will collaborate with university to further develop the research base for business application. Director-General: MITSUYAMA, Masao, M.D., Ph.D. Professor (Kyoto Univ.), Dean, Kyoto University Graduate School of Medicine 152 Deputy Director: TERANISHI, Yutaka, D. Eng. (Kyoto Univ.), Professor, Management of Technology and Intellectual Property,, School of Public Health, Graduate School of Medicine; Industrial Relations Manager, Business Liaison Office of Faculty of Medicine Email: URL: http://www.med.kyoto-u.ac.jp/J/KUMBL *The name “medical science field” indicates Faculty of Medicine, Graduate School of Medicine, Faculty of Pharmacy, Graduate School of Pharmacy, Graduate School of Biostudies, Institute for Virus Research, Institute for Frontier Medical Science, Kyoto University Hospital, and related field such as Primate Research Institute and Radium Biology-Center.