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A STUDY ON LIVER INJURY CAUSED BY LIVER ISCHEMIA AND SEPTICEMIA

Research Project

Project/Area Number 05671098
Research Category

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

Allocation TypeSingle-year Grants
Research Field Digestive surgery
Research InstitutionOSAKA MEDICAL COLLEGE

Principal Investigator

ISOZAKI Hiroshi  OSAKA MEDICAL COLLEGE,ASSOCIATE PROFESSOR, 医学部, 助教授 (50151436)

Co-Investigator(Kenkyū-buntansha) AKIMOTO Hiroshi  OSAKA MEDICAL COLLEGE, 医学部, 助手 (70278513)
HARA Hitoshi  OSAKA MEDICAL COLLEGE, 医学部, 助手 (40247846)
Project Period (FY) 1993 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1995: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1994: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1993: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsIschemic liver injury / Cirrhotic liver / Liver mitochondria / Calcium antagonist / Calcium concentration in hepatocytes / Septicemia / Endotoxemia / lipopolys accharide / 肝阻血 / 阻血加肝切除 / 細胞内カルシウム / Ca^<2+>拮抗剤 / lipopolysaccharide
Research Abstract

Experimental study of liver injury after partial hepatectomy with intermittent or continuous hepatic vascular occlusion : In normal and cirrhotic liver, rats, the total duration of clamping was 60 min and the liver damage following 3 ischemic modality were compared : a 15-min intermittent clamping group (Group I), a 30-min intermittent clamping group (Group II), and a 60-min continuous clamping group (Group III). The intracellular calcium concentration and hepatic enzyme were lowest in Group I.The recovery of ATP,energy charge and maintenance of phosphory lative efficiency of mitochondria was satisfactory in Group I,II in normal liver and Group I in cirrhotic liver. Therefore, when performing resection of a cirrhotic liver, a 15-min intermittent clamping should be adopted. On the other hand, calcium antagonist (Verapamil hydrochloride) revealed protective effect against ischemic liver injury.
Liver cell damage induced by experimental endotoxemia in rats and protective effect of the calc … More ium antagonist : Experimental liver injury was induced by the continuous intravenous administration of lipopolys accharide (LPS,L-group) in rats, and diltiazem was also injected simultaneously with LPS (LD-group). The involvement of Kupffer cells in LPS induced liver injury was assessed in rats pretreated with Gadolinium chloride (GdC13). In the L-group, the level of calcium concentration in the mitochondria was elevated, then that in cytoplasm was elevated. The level of calcium concentration of cytoplasm and mitochondria was reduced significantly in the LD-group. The elevation of serum liver enzymes and decrease of mitochondrial function were significantly inhibited in the Ld-Group. There were no differences of serum purine nucleoside phosphorylase (PNP) activity between the L and LD groups. On the other hand, the elevation of serum PNP activity and liver enzymes were significantly inhibited by GdC13 pretreatment. These results suggest that the Kupffer cells, activated by LPS,injured sinusoidal endothelial cells, and the damage of hepatocytes progressed. Diltiazem protected the hepatocytes during experimental endotoxemia by inhibiting elevation of calcium concentration in the cytoplasm and mitochondria. Diltiazem did not, however, appear to protect the endothelial cells. Less

Report

(4 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • 1993 Annual Research Report
  • Research Products

    (12 results)

All Other

All Publications (12 results)

  • [Publications] H. Isozaki, et al: "Experimental study of liver injury after partial hepatectomy with intermitlent or continuous hepatic vascular ocdusion" European Surgical Research. 27. 313-322 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 原 均,他: "阻血加肝切除後の残肝障害に対するカルシウム拮抗剤の効果" 日本消化器外科学会雑誌. 26. 1359-1364 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 原 均: "肝硬変ratにおける阻血を加えた肝切除後の肝細胞障害と肝再生に関する研究" 大阪医科大学雑誌. 53. 34-45 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 秋元 寛: "実験的エンドトキシン血症における肝障害発生機序に関する研究-肝細胞内カルシウム動態とカルシウム拮抗剤の肝保護効果について-" 大阪医科大学雑誌. 54. 50-62 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Isozaki H,Okajima K,Kobayashi M,Hara H,Akimoto H.: "Experimental study of liver injury after partial hepatectomy with intermittent or continuous hepatic vascular occulusion. Differences in tolerance to ischemia between normal and cirrhotic livers." European Surgical Research. 27. 313-322 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Hara H,Isozaki H,Okajima K.: "Effect of calcium antagonists on the liver remaining after hepatectomy following ischemia." The Japanese Journal of Gastroenterological Surgery. 26. 1359-1364 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Hara H.: "Hepatic damage and regeneration after hepatectomy involving hepatic vascular exclusion in rats with liver cirrhosis." The Journal of Osaka Medical College. 53. 34-45 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Akimoto H.: "Liver cell damage induced by experimental endotoxemia in rats. Changes of intracellular calcium concentration in hepatocytes and protective effect of diltiazem." The Journal of Osaka Medical College. 54. 50-62 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Hiroshi Isozaki: "Experimental Study of Liver lnjury ofter Partial Hepatectomy with intermittent or Continuous Hepatic Vascolar Ocdusion" European Surgical Research. 27. 313-322 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 秋元 寛: "実験的エンドトキシン血症における肝障害発生機序に関する研究-肝細胞内カルシウム動態とカルシウム拮抗剤の肝保護効果について-" 大阪医科大学雑誌. 54. 50-62 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 原 均: "肝硬変ratにおける阻血を加えた肝切除後の肝細胞障害と肝再生に関する研究" 大阪医大誌. 53. 34-45 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 原 均: "阻血加肝切除後の残肝障害に対するカルシウム拮抗剤の効果" 日本消化器外科学会雑誌. 26. 1359-1364 (1993)

    • Related Report
      1993 Annual Research Report

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

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