横山 顕

横山 顕Akira Yokoyama

  • 久里浜医療センター 臨床研究部部長
  • 慶應義塾大学医学部 内科客員講師

専門領域

  • アルコールによる臓器障害
  • アルコール依存症の治療

認定資格

  • 医学博士
    【受賞歴】
  • 平成7年度 慶應義塾大学医学部三四会「三四会賞」受賞
    「内視鏡的ヨード染色を用いたアルコール依存症における早期食道癌スクリーニングの成功」
  • 平成10年度 慶應義塾大学医学振興財団「特別奨励研究」受賞
    「アルコール代謝と発癌に関する研究」
  • 平成21年度 慶應義塾大学医学部三四会「北島賞」受賞
    「飲酒関連食道・頭頸部癌の危険因子と予防に関する研究」

所属学会、委員会、役職等

  • 日本アルコール・アディクション医学会
  • 日本癌学会
  • 日本消化器内視鏡学会
  • 平成13年より  慶應義塾大学医学部 内科客員講師
  • 平成12年-15年 厚労省がん助成金研究(12-12)主任研究者
  • 平成19年 Member of the WHO IARC Monograph Working Group('Alcoholic beverage consumption, acetaldehyde and urethane', Lyon, France, 6 - 13 February 2007)

主な論文、著作リスト

  • Yokoyama A,Yokoyama T,Omori T,et al : Endoscopic screening using esophageal iodine staining and genotypes of ADH1B and ALDH2 in Japanese alcohol-dependent women. PLoS One. 2019 Jan 14(1):e0210546.
  • Yokoyama A,Taniki N,Hara S,et al : Slow-metabolizing ADH1B and inactive heterozygous ALDH2 increase vulnerability to fatty liver in Japanese men with alcohol dependence. J Gastroenterol. 2018 53(5):660-669.
  • 横山顕 : 食道扁平上皮癌の危険因子と頭頚部・胃を含む field cancerization. 日本消化器病学会雑誌 2018 115:868-80.
  • 横山顕 : (著書) お酒を飲んで、がんになる人、ならない人. 星和書店. 2017
  • Yokoyama A,Hirata K,Nakamura R,et al : Presence of columnar-lined esophagus is negatively associated with the presence of esophageal varices in Japanese alcoholic men. World J Gastroenterol. 2017 Oct 21;23(39):7150-7159.
  • Yokoyama A,Katada C,Yokoyama T,et al : Alcohol abstinence and risk assessment for second esophageal cancer in Japanese men after mucosectomy for early esophageal cancer. PLoS One. 2017 Apr 12(4):e0175182.
  • Hirata K,Yokoyama A,Nakamura R,et al. : Soft palatal melanosis, a simple predictor for neoplasia in the upper aerodigestive tract in Japanese alcoholic men. Cancer Sci. 2017 108(5):1058-1064.
  • Yokoyama A,Brooks PJ,Yokoyama T,et al. : Recovery from anemia and leukocytopenia after abstinence in Japanese alcoholic men and their genetic polymorphisms of alcohol dehydrogenase-1B and aldehyde dehydrogenase-2. Jpn J Clin Oncol. 2017 Apr 47(4):306-312.
  • Mizukami T,Yokoyama A,Yokoyama T,et al : Screening by Total Colonoscopy Following Fecal Immunochemical Tests and Determinants of Colorectal Neoplasia in Japanese Men With Alcohol Dependence. Alcohol Alcohol. 2017 Mar 9;52(2):131-137.
  • Yokoyama A,Yokoyama T,Mizukami T,et al. : Platelet Counts and Genetic Polymorphisms of Alcohol Dehydrogenase-1B and Aldehyde Dehydrogenase-2 in Japanese Alcoholic Men. Alcohol Clin Exp Res. 2017 41(1):171-178.
2016年
  • Yokoyama A,Kamada Y,Imazeki H,et al. : Effects of ADH1B and ALDH2 Genetic Polymorphisms on Alcohol Elimination Rates and Salivary Acetaldehyde Levels in Intoxicated Japanese Alcoholic Men. Alcohol Clin Exp Res. 2016 40(6):1241-50.
  • Yokoyama A,Brooks PJ,Yokoyama T,et al. : Blood Leukocyte Counts and Genetic Polymorphisms of Alcohol Dehydrogenase-1B and Aldehyde Dehydrogenase-2 in Japanese Alcoholic Men. Alcohol Clin Exp Res. 2016 40(3):507-17.
  • Yokoyama A,Yokoyama T,Mizukami T,et al. : Alcohol Dehydrogenase-1B (rs1229984) and Aldehyde Dehydrogenase-2 (rs671) Genotypes and Alcoholic Ketosis Are Associated with the Serum Uric Acid Level in Japanese Alcoholic Men. Alcohol Alcohol. 2016 51(3):268-74.
2015年
  • Yokoyama A,Yokoyama T,Matsui T,et al. : Alcohol Dehydrogenase-1B (rs1229984) and Aldehyde Dehydrogenase-2 (rs671) Genotypes Are Strong Determinants of the Serum Triglyceride and Cholesterol Levels of Japanese Alcoholic Men. PLoS One. 2015 Aug 10(8):e0133460.
  • 横山顕、松下幸生、遠山朋海ほか : 認知行動療法後の再発アルコール依存症患者に対する再飲酒予防トレーニング -Coping Skills TrainingとCue Exposure Treatmentと手紙療法-. 日本アルコール・薬物医学会雑誌 2015 50(2):88-103
2014年
  • Yokoyama A,Yokoyama T,Brooks PJ,et al. : Macrocytosis,macrocytic anemia, and genetic polymorphisms of alcohol dehydrogenase-1B and aldehyde dehydrogenase-2 in Japanese alcoholic men. Alcohol Clin Exp Res. 2014 May;38(5):1237-46.
  • 横山顕、水上健、中山秀紀ほか : 禁煙治療プログラムを導入したアルコール依存症の入院治療とその治療成績. 日本アルコール・薬物医学会雑誌 2014 49(6):381-90.
2013年
  • Yokoyama A,Mizukami T,Matsui T,et al. : Genetic polymorphisms of alcohol dehydrogenase-1B and aldehyde dehydrogenase-2 and liver cirrhosis, chronic calcific pancreatitis, diabetes mellitus, and hypertension among Japanese alcoholic men. Alcohol Clin Exp Res. 2013 37(8):1391-401.
  • Yokoyama A,Yokoyama T,Matsui T,et al. : Alcohol dehydrogenase-1B genotype (rs1229984) is a strong determinant of the relationship between body weight and alcohol intake in Japanese alcoholic men. Alcohol Clin Exp Res. 2013 37(7):1123-32.
  • Yokoyama A,Yokoyama T,Matsui T,et al. : Trends in gastrectomy and ADH1B and ALDH2 genotypes in Japanese alcoholic men and their gene-gastrectomy, gene-gene and gene-age interactions for risk of alcoholism.  Alcohol Alcohol. 2013 Mar-Apr;48(2):146-52
2011年
  • Yokoyama A,Omori T,Tokoyama T. : Alcohol and aldehyde dehydrogenase polymorphisms and a new strategy for prevention and Screening for Cancer in the upper aerodigestive tract in East Asians. Keio J Med 59; 115-130, 2011.
  • Aida J,Yokoyama A,Izumiyama N,Nakamura K,Ishikawa N,Poon SS,Fujiwara M,Sawabe M,Matsuura M,Tomio A,Takubo K. : Alcoholics show reduced telomere length in the oesophagus. J Pathol 223; 410-416, 2011.
2010年
  • Yokoyama A,Tsustsumi E,Imazeki H,Suwa Y,Nakamura C,Yokoyama T. : Polymorphisms of alcohol dehydrogenase 1B and aldehyde dehydrogenase-2 and the blood and salivary ethanol and acetaldehyde concentrations of Japanese alcoholic men. Alcohol Clin Exp Res 34; 1246-1256, 2010
  • Yang SJ,Yokoyama A,Yokoyama T,Huang YC,Wu SY,Shao Y,Niu J,Wang J,Lui Y,Zhou XQ,Yang CX. : Relationship between genetic polymorphisms of ALDH2 and ADH1B and esophageal cancer risk: A meta-analysis. World J Gastroenterol 16; 4210-4220, 2010
  • Yokoyama A,Yokoyama T,Omori T. : Past and current tendency for facial flushing after a small dose of alcohol is a marker for increased risk of upper aerodigestive tract cancer. Cancer Sci 2497-2498, 2010
2009年
  • Yokoyama A,Kumagai Y,Yokoyama T,Omori T,Kato H,Igaki H,Tsujinaka T,Muto M,Yokoyama M,Watanabe H. : Health risk appraisal models for mass screeningfor esophageal and pharyngeal cancer: an endoscopic follow-up study of cancer-free Japanese men. Cancer Epidemiol Biomarkers Prev 18: 651-655, 2009
  • Boccia S,Hashibe M,Galli P,De Feo E,Asakage T,Hashimoto T,Hiraki A,Katoh T,Nomura T,Yokoyama A,van Duijn CM,Ricciardi G,Boffetta P. Aldehyde : dehydrogenase 2 and head and neck cancer: a meta-analysis implementing a Mendlian randomization approach. Cancer Epidemiol Biomarkers Prev 18: 248-254, 2009
  • Brooks PJ,Enoch MA,Doldman D,Li TK,Yokoyama A. : The alcohol flushing response : an unrecognized risk factor of esophageal cancer from alcohol consumption. PLoS Med 6:e50, 258-263, 2009
  • Yokoyama A,Omori T,Yokoyama T,Kawakubo H,Mori S,Matsui T,Maruyama K. : Chronic atrophic gastritis and metachrnous gastric cancer in Japanese alcoholic men with esophageal squamous cell carcinoma. Alcohol Clin Exp Res 33: 898-905, 2009
2008年
  • Yokoyama A,Tsutsumi E,Imazeki H,Suwa Y,Nakamura C,Mizukami T,Yokoyama T. : Salivary acetaldehyde concentration according to alcoholic beverage consumed and aldehyde dehydrogenase-2 genotype. Alcohol Clin Exp Res 32: 1607-1614, 2008
  • Yokoyama A,Omori T,Yokoyama T,Sato Y,Kawakubo H,Maruyama K. : Risk of metachronous squamous cell carcinoma in the upper aerodigestive tract of Japanese alcoholic men with esophageal squamous cell carcinoma: A long-term endoscopic follow-up study. Cancer Sci 99: 1164-1171, 2008
  • Yokoyama T,Yokoyama A,Kumagai Y,Omori T,Kato H,Igaki H,Tsujinaka T,Muto M,Yokoyama M,Watanabe H. : Health Risk Appraisal Models for Mass Screening of Esophageal Cancer in Japanese Men. Cancer Epidemiol Biomarkers Prev 17: 2846-2854, 2008
  • Shimizu Y,Omori T,Yokoyama A,Yoshida T,Hirota J,Ono Y,Yamamoto J,Kato M,Asaka M. : Endoscopic diagnosis of early squamous neoplasia of the esophagus with iodine staining: high-grade intra-epithelial neoplasia turns pink within a few minutes. J Gastroenterol Hepatol 23: 546-550, 2008
2007年
  • Yokoyama A,Omori T,Tanaka Y,Yokoyama T,Sugiura H,Mizukami T,Matsushita S,Higuchi S,Maruyama K,Ishii H,Hibi T. : p53 protein accumulation, cancer multiplicity, and aldehyde dehydrogenase-2 genotype in Japanese alcoholic men with early esophageal squamous cell carcinoma. Cancer Lett 247: 243-252, 2007
  • Yokoyama A,Tsutsumi E,Imazeki H,Suwa Y,Nakamura C,Yokoyama T. : Contribution of the alcohol dehydrogenase-1B genotype and oral microorganisms to high salivary acetaldehyde concentrations in Japanese alcoholic men. Int J Cancer 121: 1047-1054, 2007
  • Yokoyama A,Yokoyama T,Omori T,Matsushita S,Mizukami T,Takahashi H,Higuchi S,Maruyama K,Ishii H,Hibi T. : Helicobacter pylori, chronic atrophic gastritis, inactive aldehyde dehydrogenase-2, macrocytosis, and multiple upper aerodigestive tract cancers and the risk for gastric cancer in alcoholic Japanese men. J Gastroenterol Hepatol 22: 210-217, 2007
  • Asakage T,Yokoyama A,Haneda T,Yamazaki M,Muto M,Yokoyama T,Kato H,Igaki H,Tsujinaka T,Kumagai Y,Yokoyama M,Omori T,Watanabe H. : Genetic polymorphisms of alcohol and aldehyde dehydrogenases and drinking, smoking, and diet in Japanese men with oral and pharyngeal squamous cell carcinoma. Carcinogenesis 28: 865-874, 2007

メッセージ

昭和62年よりアルコール依存症の離脱期病棟の担当医として勤務。患者教育、認知行動療法、禁煙プログラム、身体疾患の診断治療など総合的なアルコール依存症の治療に関わっています。
1995年に赤くなる人の飲酒が食道がんの原因となることを発見して以来、アルコール代謝酵素の遺伝子多型の影響についての多方面にわたる研究報告を行い、慶應義塾大学医学部の三四会賞, 医学振興基金特別奨励研究、北島賞を受賞しました。

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