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Pathophysiology and clinical meaning of physiologic cholestasis

Research Project

Project/Area Number 01480259
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Pediatrics
Research InstitutionTottori University

Principal Investigator

SHIRAKI Kazuo  Tottori Univ., Fac. Med. Professor, 医学部, 教授 (60010229)

Co-Investigator(Kenkyū-buntansha) SHINZAWA Takeshi  Tottori Univ., Fac. Med. Teaching Associate, 医学部, 助手 (70216216)
Project Period (FY) 1989 – 1991
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥6,500,000 (Direct Cost: ¥6,500,000)
Fiscal Year 1991: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1990: ¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 1989: ¥2,900,000 (Direct Cost: ¥2,900,000)
KeywordsPhysiologic cholestasis / Vitamin K deficiency / Breast milk jaundice / Neonatal hepatitis syndrome / Breast milk / Primary cultured hepatocyte / Epidermal growth factor / 新生児肝炎症候群 / 初代培養肝細胞 / 初代培養肝細胞系 / hepatocyte growth factor / 母乳 / 母乳性遷延性黄疸 / 胆汁うっ滞 / 増殖因子 / 臍帯血 / 新生児
Research Abstract

We studied the cholestasis which physiologically seen in many normal infants. The cholestasis was ordinarily seen in neonatal through infantile period, , and that reached the top level at late neonatal period of 4 weeks after birth.
We found that the diseases of infantile vitamin K deficiency, breast milk jaundice and neonatal hepatitis syndrome were occured mainly based on insufficiency of bile acid secretion into the intestine. These diseases were usually seen in breast-fed infants, so that we studied the effect of human milk on liver function, especially DNA synthesis in primary cultured neonatal rat he atocytes. Isolated hepatocytes in 5-oay old neonatal rats were cultured in a medium with human milk, or with controls. DNA syntheses of hepatocytes were measured by incorporation on P H)thysidine. Human milk promoted DNA synthesis in neonatal rat hepatocytes more than that of controls. The sitogenic activity of human milk shoved no correlation with the concentration of, human epidernal growth factor(HEGF). Anti-HEGF antibody did not inhibit the sitogenic activity completely. These results suggest the presense of sitogens other than HEGF in human milk.
From, our results, clinical course of physiologic cholestasis was elucidated. Hovever some problems, espegi 11 the association between the cholestasis and breast feeding, remains to be solved.

Report

(4 results)
  • 1991 Annual Research Report   Final Research Report Summary
  • 1990 Annual Research Report
  • 1989 Annual Research Report
  • Research Products

    (24 results)

All Other

All Publications (24 results)

  • [Publications] 新沢 毅: "乳児生理的胆汁うっ滞とその臨床的意義" 胆肝膵. 19. 563-569 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takashi Shinzawa: "Vitamin K absorption capacity and its association with vitamin K deficiency" American Journal of Diseases of Children. 143. 686-689 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 新沢 毅: "乳児ビタミンK欠乏性出血症発症例の血清脂質分析" 日本小児科学会雑誌. 94. 1414-1419 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 河野 由美: "初代培養新生仔ラット肝細胞の増殖および分化機能に与える人乳添加の影響ー第1報:growthーpromoting activityの存在" 日本小児科学会雑誌. 94. 1958-1965 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yumi Khono: "The effect of human milk on DAN synthesis of neonatal rat hepatocytes in primary culture" Pediatric Research. 29. 251-255 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 新沢 毅: "小児科学年鑑1990(PP111〜114)小児科の進歩(分担執筆)" 診断と治療社, 284 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi Shinzawa: "Biliary Atresia (Ed.Ryoji Ohi)(pp.15-19)" Professional Postgraduate Service,Tokyo, 301 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi Shinzawa, et al.: "Physiologic Cholestasis in Infancy and Its Clinical Implication" Kan Tan Sui. 19-3. 563-569 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi Shinzawa, et al.: "Vitamin K absorption capacity ant its association with vitamin K deficiency" American Journal Disease of Children. 143-6. 686-689 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi Shinzawa, et al.: "Fat metabolism in infantile vitamin K deficiency" The Journal of the Japan Pediatric Society. 94-6. 1414-1419 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yumi Kohno, et al.: "Effect of human milk on growth and differentiation of neonatal rat hepatocytes in primary culture -Growth-promoting activity in human" The Journal of the Japan Pediatric Society. 94-9. 1958-1965 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yumi KOHNO, et al.: "The effect of human milk on DNA synthesis of neonatal rat hepatocytes in primary culture" Pediatric Research. 29-3. 251-255 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi SHINZAWA, et al.: "Progress in Pediatrics 1990" Shindan-to-Chiryosha. Tokyo. 111-114 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Takeshi Shinzawa, et al.: "Changes of the value of various liver function in infants for the first year of life" Biliary Atresia (Ed. Ryoji Ohi) Professional Postgraduate Service. Tokyo. 15-19 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yumi Khono,Kazuo Shiraki,Tetsuo Mura: "The effect of human milk on DNA synthesis of neonatal rat hepatocytes in primary culture" Pediatric Research. 29. 251-255 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] Takeshi Shinzawa,Tsutomu Kadono,Kazuo Shiraki (Ed.Ryoji Ohi): "Biliary Atresia pp.15ー19" Professional Postgraduate Service,Tokyo, 301 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 新沢 毅,河野 由美,長田 郁夫,白木 和夫: "乳児ビタミンK欠乏性出血症発症例の血清脂質分析" 日本小児科学会雑誌. 94. 1414-1419 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 新沢 毅,長田 郁夫,白木 和夫: "小児の黄疸" 臨牀消化器内科. 5. 791-801 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 新沢 毅,門野 勉,常井 幹生,白木 和夫: "未熟児における新生児肝炎症候群の成因について" 周産期医学. 20. 1117-1120 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 河野 由美,白木 和夫 武良 哲雄,猪川 嗣朗: "初代培養新生仔ラット肝細胞の増殖および分化機能に与える人乳添加の影響 第1報:growthーpromoting activityの存在" 日本小児科学会雑誌. 94. 1958-1965 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 新沢 毅,門野 勉,武良 哲雄,白木 和夫: "小児科学年鑑1990 小児科の進歩(分担執筆)PP111〜114" 診断と治療社, 284 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] T.Shinzawa,T.Mura,M.Tsunei,K.Shiraki: "Vitamin K absorption capacity and its association with vitamin K deficiency" American Journal of Diseases of Children. 143. 686-689 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 新沢毅,白木和夫: "乳児生理的胆汁うっ滞とその臨床的意義" 肝胆膵. 19. 563-569 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 白木和夫,新沢毅: "新生児肝炎ー特にいわゆる「生理的胆汁うっ滞」との関連についてー" 小児科診療. 52. 2193-2199 (1989)

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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