Prof. Toshihiro Nukiwa

A tribute by Dr Asif Mujtaba Mahmud


Prof. Nukiwa

Prof. Toshihiro Nukiwa graduated from the Department of Medicine, Tokyo University in 1973, and joined the Graduate course of Biochemistry at Kyoto University in 1974. After completion of his senior residency in pulmonary medicine at the Jiichi Medical University, Prof. Nukiwa dedicated himself to research in molecular biology. He studied as a Visiting Associate from 1984 to 1987 at the pulmonary branch of the National Heart Lung and Blood Institute of the National Institutes of Health, USA. He pioneered the mutational analysis of the alpha 1 anti-trypsin (A1AT) gene under the supervision of Prof. R G Crystal. He also identified the A1ATSiiyama deficiency gene back in Japan.

In 1993, he took over as Professor and Chairman of the department of Respiratory Medicine of the Institute of Development, Aging and Cancer, Tohoku University – the same year of my induction as a doctoral student. In order to stay abreast of the advances in molecular biology taking place in the 90's, he brought about sweeping reforms in the department renaming it as the Department of Respiratory Oncology and Molecular Medicine. He has been an invaluable source of inspiration since then and I feel greatly privileged to have received the able tutelage of Prof. Nukiwa. He guided and motivated me while fondly referring to me as his first ryugakusei (foreign student). I was particularly impressed by his innovative chart rounds for thorough discussion on patients. To overcome clinically challenging problems like IPF, he strongly emphasized on the role of a multidisciplinary approach, which has become the standard of care today

As we see our IPF patients responding to Pirfenidone, I am reminded of Prof. Nukiwa's outstanding contribution as the Chair of the Japan national project which conducted RCT on pirfenidone, paving the way for its global acceptance as an anti-fibrotic drug. He is acknowledged as an expert on IPF worldwide.

By launching the North East Japan Study Group which promoted precision medicine using targeted therapy for NSCLC, he has set up a fine example of taking research from the bench to the bedside for the welfare of patients.

During an extensive academic career, which culminated in his appointment as Emeritus Professor of Tohoku University in 2011, he has mentored a vast number of doctoral students and fellows from Japan, Indonesia and other countries. His academic footprints are thereby visible all across the Asia-Pacific region.

Prof. Nukiwa has eagerly facilitated the promotion of scientific exchange and clinical expertise by inviting pulmonologists from Bangladesh during his tenure as Chairperson of the Japanese Respiratory Society (JRS) Congress in Tokyo in 2007, and President of the APSR Congress in Yokohama in 2013, in addition to his big role as the Treasurer of the APSR from 2011 to 2012. His kind active participation at International Conferences on Lung Health organized by the Bangladesh Lung Foundation in Dhaka has served as a source of inspiration to many budding pulmonologists of Bangladesh.

As the Editor in Chief of Respiratory Investigation, the official English journal of the JRS, he has made significant contributions to the advancement of science. He has authored around 300 papers. From 2014 to 2017, he also led research on TB at the Research Institute of Tuberculosis, managed by Japan Anti-TB Association (JATA).

He received the Kumagai Award of the JRS in 1992 and the Michiyoshi Harasawa Award of the APSR in 2007 as recognition of his outstanding contribution to respiratory medicine. He has served as a role model to many pulmonologists as the Chairman of the Board of Directors of the JRS (2008–2010).


Dr Mahmud

Prepared by Dr Asif Mujtaba Mahmud, MBBS, DTCD, PhD
Consultant, Respiratory Medicine, Asgar Ali Hospital, Dhaka
Secretary General, Bangladesh Lung Foundation
Former Associate Professor of Respiratory Medicine, Institute of Epidemiology, Disease Control and Research (IEDCR), Mahakhali, Dhaka, Bangladesh

Dr Mahmud retired as Associate Professor of Respiratory Medicine in 2017. He obtained his doctoral degree from Tohoku University Graduate School of Medicine in 1997 under the tutelage of Prof. Toshihiro Nukiwa. Dr Mahmud has served as an Advisor on the Regional Advisory Committee for MDR-TB of the WHO South East Asia Region and is the current Secretary General of the Bangladesh Lung Foundation; a partner of the APSR as an en bloc member society.

A tribute by Dr Laksmi Sita Andarini


Prof. Nukiwa

Tribute to Professor Toshihiro Nukiwa – a respiratory physician-scientist leader.

Professor Toshihiro Nukiwa graduated from Tokyo University in 1973, and took a graduate course at the Department of Medical Chemistry, Kyoto University Faculty of Medicine in 1974, with his study on indoleamine 2, 3 deoxygenase (IDO), important in immunobiology. He finished his residency at Tokyo University Hospital and Jiichi Medical College Hospital as a respiratory physician. From 1983 to 1987 he was appointed as a guest researcher and later a visiting associate at the Prof. Ronald G Crystal laboratory of Pulmonary Branch NHLBI, National Institute of Health, USA, where he pioneered mutational analysis of alpha 1-antitrypsin gene. In 1988 he was appointed as associate professor at the Department of Respiratory Medicine, School of Medicine Juntendo University, and on April 1993 he was appointed as professor at the Respiratory Oncology and Molecular Medicine, Division of Cancer Control, Institute of Development, Aging and Cancer, Tohoku University. In April 2000 he was elected as a chief at the Respiratory Medicine and Translational Research Clinic, Tohoku University Hospital.

I was given the opportunity from the Department of Pulmonology and Respiratory Medicine, Faculty of Medicine University of Indonesia to expand respiratory medicine in Indonesia by the recommendation of Prof. Faisal Yunus and Prof. Anwar Jusuf, to the prestigious respiratory molecular laboratory in Japan, at the Department of Respiratory Oncology and Molecular Medicine, Institute of Development, Aging and Cancer Tohoku University-Sendai, Japan in 2001, lead by Prof. Nukiwa.

I first met Prof. Nukiwa on Saturday evening, 6 October 2001 when I had just arrived at his lab in Sendai, Japan, as a research student. I am honoured and grateful to have be given the privilege to learn immuno-oncology and gene therapy at Prof. Nukiwa's lab under the direct supervision of Dr Toshiaki Kikuchi (now Prof. Toshiaki Kikuchi, Niigata University).

As a graduate student from a developing country, mostly working in a clinical setting, I have been impressed to be in the sophisticated laboratory led by physician-scientists, and I was working hard to catch not only a new climate, language, but also basic immunology, oncology, laboratory technique, managing mouse model at an animal lab, and joining multidisciplinary discussions and ward rounds. A lab tradition on Monday morning journal reading, Wednesday morning book reading (JB West Lung Physiology, Molecular Biology of the Cell or Cellular and Molecular Immunology), weekly research progress reports, and lunch time reading new table-of-contents (TOC) of Nature, Science, Blue Journal, Red Journal, NEJM, Cell, and up to now, he is still sending the digital journal club for his students worldwide.

To study and learn in his lab was an lifetime inspiring experience, a key to opening the door to the world of respiratory medicine. I was directly supervised by Dr Kikuchi, and surrounded by great respiratory physician scientists led by Prof. Nukiwa. In 2002, the Department moved to the 3rd floor of the new Institute of Development, Aging and Cancer, new, larger, more complete research facilities, and more research students from the Asia-Pacific region (Bangladesh, China, Indonesia, Syria) and Europe (Poland).

Under his leadership, Respiratory Oncology and Molecular Medicine Department made great achievements in high impact factor publications on clinical research, (studies on pirfenidone on IPF, studies of lung cancer by North East Japan Study Group, etc); basic research (gene therapy, immuno-oncology, cancer biology, etc); and translational research (gene therapy in cancer patients, etc). During 1999 to 2013 Prof. Nukiwa's lab commenced PhD graduates, including Dr Prasenohadi, Dr Jamal Zaini, Dr Triya Damayanti, Dr Arif Santoso and myself, from Indonesia.

As a foreign student, I was lucky to be invited to a summer retreat in the beautiful Japanese countryside to join a Japanese traditional ceremony, and was invited to his house during the New Year celebrations.

In December 2007 he was appointed as Professor of Respiratory Medicine (Respiratory Biology, Bioinformatics, and Medicine), Graduate School of Medicine, Tohoku University. Prof. Nukiwa has also served on the editorial boards of many respiratory journals, including the American Journal of Respiratory Cell and Molecular Biology, International Journal of Clinical Oncology, Respirology, and Respiratory Investigation.

As the Emeritus Professor of Tohoku University 2011, Prof. Nukiwa was then appointed as Executive Director, Japan Anti-Tuberculosis Association. He is also an active organiser and respiratory leader. He was the president for the 47th Annual Meeting of Japanese Respiratory Society (JRS) in Tokyo, chair of the Board of Directors of the Japanese Respiratory Society (JRS), and president of the 18th Congress of the APSR held in 2013 in Yokohama. In his organizational activities, he promotes scientific exchange from Asia-Pacific countries, and during his several visit to Indonesia, he has always given Respiratory Masterclass to inspire our respiratory medicine residents. Throughout his career, he has mastered biochemistry, genetics, emphysema, pulmonary fibrosis, cancer biology, immunology, gene therapy to tuberculosis research. In his free time, he enjoys mountain climbing (for example, Mount Kilimanjaro in Africa with Mrs Nukiwa), writing, and as an international instructor of Nishino Breathing Method, visiting the EU every year.

He is the true respiratory physician scientist leader, and he will always be an inspiration and our role model. May God bless Professor Nukiwa and his family, and all of our teachers.


Left to right: Prof. Ryushi Tazawa, Mrs Ebina, Prof. Masahito Ebina, Dr Jamal Zaini, Prof. Toshihiro Nukiwa, Prof. Koichi Hagiwara, myself, Prof. Arata Azuma, Prof. Toshiaki Kikuchi, during the 19th Congress of the APSR Bali in 2014

Dr Andarini

Prepared by
Dr Laksmi Sita Andarini, Ph.D,
Assistant Professor and Program Director of the Department of Pulmonology and Respiratory Medicine Faculty of Medicine University of Indonesia

In 2014, she was Executive Secretary (Secretary General) at the 19th Congress of the APSR in Bali, Indonesia, representing the Indonesian Society of Respirology as the host society to lead the success of the congress, and currently Head-Elect of the APSR Lung Cancer Assembly.