ONO Masanori
School of Medicine Obstetrics Professor
Research Overview
We conduct integrated research spanning basic science to clinical application, with the goal of elucidating the mechanisms underlying female reproductive function and uterine disorders. Our work focuses particularly on uterine smooth muscle stem/progenitor cells, hormonal and signaling pathways, and circadian rhythms, aiming to generate new insights that contribute to women¡¯s health and reproductive medicine. We have successfully identified and isolated stem/progenitor cell populations from human uterine smooth muscle and demonstrated their capacity for differentiation and tissue reconstruction. In the context of uterine fibroids, we have shown that under sex steroid stimulation, surrounding cells secrete WNT ligands that activate these stem cells, promoting tumor growth. Furthermore, we demonstrated that inhibition of WNT signaling suppresses fibroid cell proliferation, highlighting a potential therapeutic target. In parallel, we are investigating the role of circadian biology in reproductive function. We have demonstrated that clock genes are expressed in a rhythmic manner in the uterus and that feeding behavior serves as a key regulator of this uterine clock. Using a uterus-specific Bmal1 knockout model, we showed that disruption of circadian regulation leads to implantation failure and pregnancy loss, indicating that circadian genes are essential for successful reproduction. Translating these findings into clinical research, we have also observed an association between regular breakfast consumption and improved live birth rates in assisted reproductive technology (ART). In addition, we have reported that the clock gene BMAL1 plays a role in steroidogenesis and estrogen production in human granulosa cells, further supporting the link between circadian regulation and ovarian function. We are also actively engaged in research on fertility preservation. Our studies have identified unmet needs for fertility preservation in patients undergoing treatments such as chemotherapy or endocrine therapy for cancer, contributing to the expansion of public support systems. In addition, we have developed and evaluated educational programs for healthcare professionals, promoting the dissemination and standardization of fertility preservation practices. Building on these achievements, we aim to further advance translational research by integrating basic and clinical sciences. Leveraging the strong collaborative environment at ´ºÓêÖ±²¥app, including its extensive clinical network and access to human samples and large-scale clinical data, we will promote multicenter studies and accelerate the development of novel diagnostic and therapeutic strategies. We are also committed to advancing innovative approaches such as medical device development and non-invasive evaluation technologies.
Specialty
minimally invasive surgery, reproductive surgery, perinatal medicine, reproductive medicine, genetic medicine, endocrinology
Thesis Guide Qualification
Thesis Guide Qualification in the Graduate School of Medicine
Master/Doctor