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Basic Research of Heart Lung Transplantation

Research Project

Project/Area Number 02454325
Research Category

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

Allocation TypeSingle-year Grants
Research Field Thoracic surgery
Research InstitutionThe University of Tokyo

Principal Investigator

FURUSE Akira  Tokyo University, Dept. of Thoracic Surgery, Professor, 医学部(病), 教授 (70010163)

Co-Investigator(Kenkyū-buntansha) TAKEDA Makoto  Tokyo University, Dept. of Thoracic Surgery, Associate, 医学部(病), 助手 (10236482)
NAKAJIMA Jun  Tokyo University, Dept. of Thoracic, 医学部(病), 助手 (90188954)
MATHISON Megumi  Japanese Red Cross Medical Center, Dept. of Cardiovascular Surgery, Associate, 医員 (20164212)
KAWAUCHI Motohiro  Tokyo University, Dept. of Thoracic Surgery, Associate, 医学部(病), 助手 (00152918)
SHINDO Goki  Tokyo University, Dept. of Thoracic Surgery, Associate Professor, 医学部(病), 助教授 (70092244)
宮入 剛  東京大学, 医学部(病), 助手 (40200117)
関口 昭彦  東京大学, 医学部(病), 助手 (20187842)
五十嵐 寛  東京大学, 医学部・附属病院, 助手 (30193171)
Project Period (FY) 1990 – 1992
Project Status Completed (Fiscal Year 1992)
Budget Amount *help
¥5,800,000 (Direct Cost: ¥5,800,000)
Fiscal Year 1992: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1991: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1990: ¥2,800,000 (Direct Cost: ¥2,800,000)
Keywordspulmonary transplantation / Japanese monkey / xenotransplantation / FK506 / pleural lavage fluid / flow cytometry / MHC antigen / Immunofluoro staining / 同種肺移植 / 病理組織所見 / CD4 / CD8 / ニホンザル / フロ-サイトメトリ- / 拒絶反応 / 左肺同種同所性移植 / 急性拒絶反応 / FKー506 / 胸部X線所見 / 肺野不透明化 / 肺血管周囲円形細胞浸潤
Research Abstract

Immunological response to allo- and xeno-lung graft was studied in this project using single lung transplantation model with Japanese Macaque monkeys. (1) Monkeys with lung allograft without immunosuppression showed consolidation by chest roentgenogram within 7 days and microscopic examination revealed rejected allograft. Monkeys with FK506 immunosuppression survived from 5 to 182 days and 6 allograft out of seven were considered to be functioning at the time of animal death or sacrifice. FK506 was considered as effective immunosuppressant for allotransplantation of the lung. (2) The feasibility of pleural lavage fluid(PLF) for the diagnosis of pulmonary allo- and xenograft rejection was studied. The change of lymphocyte subsets in PLF was independent from that in peripheral blood, and that CD4+/CD8+ ratio of lymphocytes in PLF decreased as the grafted lung was rejected. (3) Allografted lungs were examined with immunofluorescent staining methods. The expression of the MHC class 1 and 2 antigens were recognized even under clinically sufficient immunosuppression. CD4(+) cells, CD8(+) cells, and CD20(+) cells in the allograft was considered to play important role in the allograft rejection.

Report

(4 results)
  • 1992 Annual Research Report   Final Research Report Summary
  • 1991 Annual Research Report
  • 1990 Annual Research Report
  • Research Products

    (29 results)

All Other

All Publications (29 results)

  • [Publications] Kawauchi M.et al: "Diagnosis of Cardiac allograft rejection by the detoction of circulating plasma cardioc myosin light choins" Japanese J,Surg. 20. 212-216 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 川内 基裕他2名: "心臓移植の現況と人工心臓のbridge use" 外科診寮. 32. 1282-1288 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 中島 淳他8名: "肺移植における水素電極方式による気管支粘膜絶対血流測定" 移植. 27. 294-299 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 中島 淳他9名: "肺移植における細腔内洗浄液による拒絶モータリングの試み" 移植. 27. 559-565 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 中島 淳他8名: "抗白血球モノクローナル抗体を用いたニホンザル肺移植拒絶反応の免疫病理組織学的検討" 日胸外会誌. 39. 1980-1986 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 中島 淳他2名: "心臓移植の歴史と現況" ハートナーシング. 5. 78-84 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kawauchi M, Yazaki, M, Oka T, et.al.: "Diagnosis of cardiac allograft rejection by the detection of circulating plasma cardiac myosin light chains." Jap J Surg. 20. 212-216 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Kawauchi M, Nakajima J, Furuse A: "Heart transplantation and the bridge use of the artificial heart" Gekasinryo. 32. 1282-1288 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Nakajima J, Shindo G, Miyairi T, et.al.: "Single lung allotransplatation of Japanese monkeys." J Jap Association Thorac Surg. 1980-1986 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Nakajima J, Shindo G, Miyairi T, et.al.: "Estimation of bronchial musosal absolute blood flow for detecting the acute rejection" Ishoku. 27. 294-299 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Nakajima J, Shindo G, Miyairi T, et.al.: "Immunological appraisal of pleural lavage fluid after lung transplantation." Ishoku. 27. 559-565 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Nakajima J, Shindo G, Furuse A.: "History and Present Status of Heart Transplantation." Heart Nursing. 5. 78-84 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 中島 淳 他2名: "心臓移植の歴史と現況" ハートナーシング. 5. 78-84 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 進藤 剛毅: "肺移植最近の進歩" 医学のあゆみ. 160. 186 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 中島 淳 他8名: "肺移植のおける水素電極方式による気管支粘膜絶対血流測定" 移植. 27. 294-299 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 中島 淳 他9名: "肺移植における胸腔内洗浄液による拒絶モニタリングの試み" 移植. 27. 559-565 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 中島 淳,古瀬 彰,進藤 剛毅,宮入 剛,他: "抗白血球モノクロ-ナル抗体を用いたニホンザル肺移植拒絶反応の免疫病理組織学的検討" 日本胸部外科学会雑誌. 39. 1980-1986 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 中島 淳,進藤 剛毅,古瀬 彰: "心臓移植研究の歴史と現況" ハ-トナ-シング. 5. 78-84 (1992)

    • Related Report
      1991 Annual Research Report
  • [Publications] 中島 淳,古瀬 彰,進藤 剛毅,竹田 誠,他: "肺移植における水素電極方式による気管支粘膜絶対血流測定の意義" 日本外科学会雑誌. 92(Suppl). 105 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 竹田 誠,古瀬 彰,進藤 剛毅,中島 淳,宮入 剛,他: "ニホンザル肺移植後の血中エンドセリン濃度の変動" 移植. 26(Suppl). 364 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 中島 淳,古瀬 彰,進藤 剛毅,宮入 剛,竹田 誠,他: "肺移植における胸腔内洗浄液による拒絶モニタリングの試みーサルを用いた同種ならびに異種肺移植実験による検討ー" 移植. 26(Suppl). 390 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 大岩 博,古瀬 彰,進藤 剛毅,中島 淳,宮入 剛,他: "FK506の血中及び臓器別濃度ー日本猿肺移植における実験的検討ー" 移植. 26(Suppl). 392 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 川内 基裕、中島 淳、古瀬 彰: "心臓移植の現況と人工心臓のbridge use" 外科診療. 32. 1282-1288 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Kawauchi M.,Yazaki Y.,NakaJima J.,Furuse A.,et al.: "Diagnosis of cardiac allograft rejection by the detection of circulating plasma cardiac myosin light chains." Japanese Journal of Surgery. 20. 212-216 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 中島 淳、進藤 剛毅、河口 剛、竹田 誠、近田 正英、大岩 博、古瀬 彰: "抗白血球モノクロ-ナル抗体を用いた日本猿肺移植の免疫病理組織学的検討" 日本胸部外科学会雑誌. 38(suppl). 332 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 柳生 邦良、古瀬 彰、Borst,llG.: "心エコ-法による移植心の急性拒絶反応の診断" 日本胸部外科学会雑誌. 38(suppl). 287 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 古瀬 彰、中島 淳: "ドナ-とレシピエントの連携(臓器移植ネットワ-クシステム)" 「心臓移植のための指針」 1990年度版 日本心臓移植研究会編. 56-60 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 古瀬 彰、中島 淳: "アフタ-ケア-" 「肺・心肺移植マニュアル」 1990年度版 文部省科学研究費肺及び心肺移植研究班編. 42-44 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 古瀬 彰: "心肺同時移植に関する基礎的研究 昭和62年度〜平成元年度 科学研究費補助金(一般研究B)研究成果報告書 No.62480292" 59 (1990)

    • Related Report
      1990 Annual Research Report

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Published: 1990-04-01   Modified: 2016-04-21  

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