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THE PATHOGENESIS OF HIGH ALTITUDE PULMONARY EDEMA (HAPE)

Research Project

Project/Area Number 05454251
Research Category

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

Allocation TypeSingle-year Grants
Research Field Respiratory organ internal medicine
Research InstitutionSHINSHU UNIVERSITY SCHOOL OF MEDICINE

Principal Investigator

TOSHIO Kobayashi  SHINSHU UNIV.SCH.of MED.ASSISTANT PROFESSOR, 医学部・附属病院, 講師 (80020775)

Co-Investigator(Kenkyū-buntansha) YOSHIMURA Kazuhiko  SHINSHU UNIV.SCH.of MED.ASSOCIATE PROFESSOR, 医学部・附属加齢適応研究センター, 助教授 (70174985)
HONDA Takayuki  SHINSHU UNIV.SCH.of MED.ASSISTANT PROFESSOR, 医学部・附属病院, 講師 (80238815)
FUJIMOTO Keisaku  SHINSHU UNIV.SCH.of MED.ASSISTANT, 医学部・附属病院, 助手 (70242691)
KUBO Keishi  SHINSHU UNIV.SCH.of MED.ASSISTANT PROFESSOR, 医学部, 講師 (80143965)
Project Period (FY) 1993 – 1994
Project Status Completed (Fiscal Year 1994)
Budget Amount *help
¥7,600,000 (Direct Cost: ¥7,600,000)
Fiscal Year 1994: ¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 1993: ¥5,100,000 (Direct Cost: ¥5,100,000)
KeywordsHigh altitude / Pulmonary edema / Hypoxia / Ventilatory control / Hypoxic ventilation response / Interleukin 6 / Interleukin 8 / 低酸素換気応答性
Research Abstract

In this project four studies were performed. The results are as follows ;
A The pathway of adaptation to high altitude in Tibetan :
We measured maxiamal O_2 uptake, minute ventilation, aneaerobic threshold, blood gases and blood lactateduring maximal exercise 17 lifelong Tibetan residents and 14 acclimatized Han Chinese newcomers living at the altitude of 4,700m. Although maximal oxygen uptake was significantly lower in the Tibetans than in the HAns, at maximal exercise effort the exercise workload was greater. The Tobetans showed lower blood lactate value than did the Hans both before and at the end of exercise. We conclude that the Tibetan natives have higher exercise performance but lower maximal oxygen uptake than do acclimatized Han newcomers. These results may reflect the effects of genetic or peripheral adaptation factors in the Tibetan natives.
B Inteleulin (IL) 6 and 8 in the bronchoalveolar largel fluid (BALF) in patients with high altitude pulmonary edema (HAPE)
We measured IL6 and IL8 in BALF in four patients with HAPE on admission and on recovery. The levels of both IL6 and IL8 of BALF on admission were much higher than those on recovery. These findings suggest that IL6 and IL8 play the important roles of pathogenesis of HAPE.
C Acute hypoxic ventilatory response and hypoxic depression in HAPE
We made a original machine which was able to measure acute ventiratory response and hypoxic depression. We measured them in susceptible subjects with HAPE,using the machine. The acute hypoxic ventilatory response of the susceptible subjects : with HAPE was lower than those of controls.

Report

(3 results)
  • 1994 Annual Research Report   Final Research Report Summary
  • 1993 Annual Research Report
  • Research Products

    (31 results)

All Other

All Publications (31 results)

  • [Publications] Kubo K,et al.: "Effects of ONO-5046,a specific neutrophil elastase inhibixor on endosoxin-induced lung injury in sheep." J.Appl.Physiol.77. 1330-1340 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Koizumi T,et al.: "Radio graphic and hemo dynamic changes during recovery from high-altitude pulmonay edema." Internal Medicine. 33. 525-528 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Ge R-L,et al.: "Higher exercise performance and lower Vo_2max in Tibetan than Han residents at 4,700m altitude." J.Appl.Physiol.77. 684-691 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Matzuzawa Y,et al.: "No ctwnal plriodie breathing and arterial oxygen desaturation in acute mountain sickness" J.Wldness Med.5. 269-281 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yoshimura K,et al.: "Roles of neutrophil elastase and superoxide anion in leukotriene B_4-inducld lung injury in Rabbit." J.Appl.Physiol.76. 91-96 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Nakagawa K,et al.: "High-altitude pulmorary edema with pulmonacy Hromboembolism." Chest. 103. 948-950 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] 小林俊夫他: "呼吸器疾患-state of Arts-肺水腫" 原沢道夫,北村諭編 医歯薬出版, 551 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] 小林俊夫他: "図説病態内科講座 パラコート肺" 北村諭編 メディカルビュー社, 329 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Fijimoto, K,et al: "Neutrophil elastase inhibitor reduces asthmatic responses in allergic sheep" Respiration Physiology. (In press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Kubo, K.et al: "Effects of ONO-5046, a specific neutrophil elastase inhibitor, on endotoxin-induced lung injury in sheep" J.Appl.Physiol.77. 1333-1340 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yoshimura, K.et al: "Roles of neutrophil elastase and superoxide anion in leukofriene B_4-induced lung injury in rabbit" J.Appl.Physiol.76. 91-96 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Matsuzawa, Y.et al: "Nocturnal periodic breathing and arterial oxygen desatulation in acute mountain sickness" J.Wildness Med.5. 269-281 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yoshimura, K.et al: "Leukoriene B_4 induced lung in the rabbit : role of neutrophils and effect of indomethacin" J.Appl.Physiol.74. 2174-2179 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Amari, T.et al: "Effects of recombinant human superoxide dismutase on tumor necrosis factor-induced lung injury in awake sheep" J.Appl.Physiol.74. 2641-2648 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Koizumi, T.et al: "Granulocyte colony-stimulation factor does not exacerbate endotoxin-induced lung injury in sheep" Am.Rev.Respir.Dis.148. 132-137 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Ge R-L,et al: "Higher exercise performance and lower VO_2 max in Tibetan than Han residents at 4,700m altitude" J.Appl.Physiol.77. 684-691 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Koizumi, T.et al: "Pharmacokinetic evaluation of (glysolato-O,O') diammine platinum (II) in lung lymph in sheep" Jpn.J.Cancer Res. 84. 468-473 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Nakagawa, K.et al: "High-altitude pulmonary edema with pulmonary thromboembolism" Chest. 103. 948-950 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Kubo K,et al.: "Effects of ONO-5046,a specific neutrophil elastase inhibitor on endotoxin‐inducced lung injurg in sheep." J.Appl.Physiol.77. 1330-1340 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Koizumi T,et al.: "Radio graphic and hemodynamic changls during recovery from high‐altitude palmonary edema." Internal Medicine. 33. 525-528 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Ge R‐L,et al.: "Higher exercise performance and lower Vo_2max in Tibetan than Han residents at 4,700m altitude." J.Appl.Physiol.77. 684-691 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Matzuzawa Y,et al.: "Noctwnal periodic breathing and arterial oxygen desaturation in acute moantain sickness" J.Wldness Med.5. 269-281 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Yoshimura K,et al.: "Roles of neutrophil elastase and superoxide anior in leupotrlrne B_4‐induced lung injury in Rabbit." J.Appl.Physiol.76. 91-96 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Nakazawa K,et al.: "High‐altitude palmorary edema with pulmonary thromboembolism." Chest. 103. 948-950 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] 小林俊夫他: "呼吸器疾患-state of Arts-肺水腫" 原沢道美,北村諭編 医歯薬出版, 551 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 小林俊夫他: "図説病態内科講座 パラコート肺" 北村諭編 メディカルビュー社, 329 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 小林俊夫,滝沢和子: "常念岳における中学校の集団登山の保健管理" 登山医学. 12. 191-196 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 松沢幸範,藤本圭作,小林俊夫: "高地肺水腫の1例-呼吸調節障害の関与を中心に-" 登山医学. 12. 105-112 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 松沢幸範,小林俊夫: "高地環境暴露" 日胸疾会誌. 30. 139-146 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Nakagawa S,Kubo K et.al.: "Nigh-altitude Pulmonary edema with pulmonary thromboembolism" Chest. 103. 948-950 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] ge-Rili,Wang Li Hau et.al: "Higher exercise porformunce,Power maximal oxygen uptake in Tibetom" L.Appl.Physiol. (in press).

    • Related Report
      1993 Annual Research Report

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Published: 1993-04-01   Modified: 2016-04-21  

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