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THE TRIAL STUDY FOR THE MINIMUM INVASIVE DIAGNOSTIC TEST FOR MHS -THE EFFECTS OF CAFFEINE AND HALOTHANE ON CULTURED HUMAN SKELETAL MUSCLE CELL MESURING INTRA CELLULAR Ca CONCENTRATION CONCENTRATION AND GENETIC ANALYSIS-

Research Project

Project/Area Number 08407052
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionHiroshima University

Principal Investigator

YUGE Osafumi  Faculty of Medicine, Anesthesiology, Hiroshima University, Professor, 医学部, 教授 (40034128)

Co-Investigator(Kenkyū-buntansha) OHOSAWA Yasuhiro  Faculty of Medicine, Anesthesiology, Hiroshima University, Research Associate, 医学部(平成11年9月30日付辞職), 助手 (00263682)
HUJII Kohoku  Faculty of Medicine, Anesthesiology, Hiroshima University, Associate Professor, 医学部(平成11年3月31日付辞職), 講師 (60034021)
KAWAMOTO Masashi  Faculty of Medicine, Anesthesiology, Hiroshima University, Professor, 医学部, 助教授 (40127642)
MAEHARA Yasuhiro  Faculty of Medicine, Anesthesiology, Hiroshima University, Assistant Professor, 医学部・附属病院, 講師 (20238877)
Project Period (FY) 1996 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥25,000,000 (Direct Cost: ¥25,000,000)
Fiscal Year 1999: ¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1998: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1997: ¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 1996: ¥18,500,000 (Direct Cost: ¥18,500,000)
KeywordsMalignant Hyperthermia / Ca-induced-Ca Release Rate / Halothane / Caffeine / [CaィイD12+ィエD1]i / Caltured human skeletal muscle cell / Screening test of MH / Genetic linkage study / 骨格筋リアノジン遺伝子 / スクリーニングテスト
Research Abstract

1. CICR rate and genetic linkage studies
We have performed genetic linkage analysis with CICR test in 63 subjects who were referred to our hospital for investigation of MHS.
Eleven of them had a history of f-MH episode and 33 had a family history of f-MH, 9 had a history of mild MH reaction and I O had a family history of mild MH reaction.
We performed CICR test in 23 subjects. Ten of 11 f-MH subjects, 3 family members with f-MH and 2 unrelated subjects with mild MH reactions showed the accelerated changes in CICR test.
We isolated genomic DNA from all of 63 subjects. Analysis for a substitution of cytosine 1840 to thymine which is same mutation of porcine MHS, was performed in all 63 subjects. We also checked the several other one point mutations in some but not all. However, we din not find any alterations. From our results, we can say there remains a possibility of other point mutations. However, we found one MHS family, which carried infomative polymorphisms. The proband, blue square o … More ne, manifested f-MH during a neurosurgical operation. CICR test in his daughter and son showed acceralation.
In genetic linkage study they showed informative polymorphisms relating to MHS diagnosed with CICR test. In this family, linkage analysis of the RYR1 gene was very useful for further examination, including muscle biopsy
2. The pilot stud of screening test using caltured human skeletal muscle cell
We cultured normal human skeletal muscle cell (SRMC 2874, CloneticsィイD1RィエD1) on glass cover slips and loaded with 5 μ M Fura-2/AM. Cover slips were mounted on perfusion system which was perfused with HEPES solution. Caffeine (0.25-10mM) and Halothane (0.1-2mM), which were dissolved in HEPES solution in a gas-tight vial, was connected to this perfusion system just before these stimulations. The cover slip was placed on the stage of a fluorescence inverted microscope, combined with ARGUS-50 (Hamamatsu PhotonicsィイD1RィエD1). The fluorescence intensity ratio with excitation at 340/380 nm and emission at 510 nm was recorded every 5 sec.
As the results, 1)Caffeine (0.25-10mM) stimulations increased [CaィイD12+ィエD1]i in a concentration- dependent manner. 2)Also ,halothane (0.1-2mM) stimulations increased [CaィイD12+ィエD1]i in a concentration-dependent manner. Less

Report

(5 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • 1996 Annual Research Report
  • Research Products

    (53 results)

All Other

All Publications (53 results)

  • [Publications] O.Yuge,et al.: "Clinical Classification and Incidence of Malignant Hyperthermia in Japan"Proc.of the 3rd Symposium on MH. 49-56 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 大澤恭浩、他: "我が国の悪性高熱症の集計(1995年)"麻酔と蘇生. 32. 1-4 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 向井圭子、他: "激症悪性高熱症の麻酔歴の検討"麻酔と蘇生. 32. 49-56 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 弓削孟文、他: "a-MHはやはりMHか?"麻酔と蘇生. 32. 81-84 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 弓削孟文、他: "手術中止診断基準について"麻酔と蘇生. 103-106 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 前原康宏、他: "悪性高熱症における遺伝子診断の可能性"医学のあゆみ. 176. 190-191 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 弓削孟文、他: "悪性高熱症"麻酔・蘇生学展望. 5. 1-5 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 向井圭子、他: "咬筋強直とCICR速度の関連性についての検討"麻酔と蘇生. 33. 77-82 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 弓削孟文、他: "悪性高熱症"救急医学. 21. 1060-1065 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 河本昌志、他: "悪性高熱症の診断予測式の可能性"麻酔と蘇生. 33. 9-10 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 奥史郎、他: "生検筋による悪性高熱症診断のための出張検査"日本臨床麻酔学会誌. 19. 574-578 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 奥史郎、他: "カフェイン・ハロタン拘縮試験とカルシウム誘発性カルシウム遊離試験のすりあわせ研究"麻酔と蘇生. 33. 83-85 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 前原康宏: "専門医のための麻酔科学レビュー'96 悪性高熱症"天羽敬祐 編集,総合医学社,. 216 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 前原康宏: "専門医のための麻酔科学レビュー'97 悪性高熱症"天羽敬祐 編集,総合医学社. 214 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 前原康宏: "専門医のための麻酔科学レビュー'98 悪性高熱症"天羽敬祐 編集,総合医学社. 244 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 前原康宏: "専門医のための麻酔科学レビュー'99 悪性高熱症"天羽敬祐 編集,総合医学社. 254 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] O Yuge, M Morio, H Kikuchi, K Mukaida, Y Maehara, M Nakao, M Kawamoto: "Clinical Classification and Incidence of Malignant Hyperthermia in Japan"Proc. of the 3nd Symposium on MH. 49-56 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y Ohsawa, K Mukaida, Y Maehara, M Kawamoto, O Yuge, M Morio: "Statistical Review of MH in Japan(1995)"Anesthesia and Resuscitation. 32(Suppl). 1-4 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] K Mukaida, Y Ohosawa, Y Maehara, O Yuge: "Study on the History of Anesthesia in f-MH Patients in Japan"Anesthesia and Resuscitation. 32(Suppl). 9-12 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] O Yuge: "How to Decide to Stop the Operation for the Anesthesiologist, When He/She Notices the Increase of Body Temperature(0.5°C/15min)?"Anesthesia and Resuscitation. 32(Suppl). 103-103 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] O Yuge, K Mukaida, Y Ohosawa, M Kawamoto: "Is a-MH MH?"Anesthesia and Resuscitation. 32(Suppl). 81-84 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] K Kawamoto, O Yuge, Y Maehara, Y Ohosawa, K Mukaida: "Prediction of MH during Anesthesia"Anesthesia and Resuscitation. 33(Suppl). 9-10 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] K Mukaida, Y Maehara, Y Ohosawa, O Yuge: "A Relatronship between Masseter Muscle Rigidity and CICR Rate."Anesthesia and Resuscitation. 33(Suppl). 77-82 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] O Yuge, Yasuhiro Maehara: "Malignant Hyperthermia"Emergency Medicine. 21. 1060-1065 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Y Maehara, K Mukaida, E Hiyama, M Morio, M Kawamoto, O Yuge: "Genetic Analysis with Calcium-inducede Calcium Release Test in Japanese Malignant Hyperthermia Susceptible(MHS) Families"Hiroshima J of Medical Science. 48(1). 9-15 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] S Oku, K Mukaida, N Makise, S Nosaka, Y Maehara, O Yuge: "Two Cases of Remote Testing for MH."The J. of JSCA. 19(9). 574-578 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] O Yuge: "Overview of Malignant Hyperthermia in Japan."Proc. of 6th AJAC Meeting in Honolulu. 15-18 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] S Oku, K Mukaida, S Nosaka, Y Sai, Y Maehara, O Yuge: "Comparison of the In Vitro Caffeine Halothane Contracture Test with the Ca-induced Ca Release Rate Test in Patients suspected of having Malignant hyperthemia Susceptibility."J. of Anesthesia. 14. 6-13 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 奥司郎 向田圭子 牧瀬則子 佐井義和 野坂修一 前原康宏 弓削孟文: "生検筋による悪性高熱症診断のための出張検査"日本臨床麻酔学会誌. 19(9). 574-577 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 前原康宏 向田圭子 河本昌志 弓削孟文: "1990年以降の悪性高熱症死亡例の検討"日本臨床麻酔学会誌. 19(8). S156 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 向田圭子 前原康宏 弓削孟文: "1990年以降の劇症悪性高熱症の特徴"日本臨床麻酔学会誌. 19(8). S157 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 弓削孟文 佐伯昇 前原康宏 向田圭子: "培養骨格筋細胞を用いたMH診断への試み-ラット筋芽細胞のカフェインに対するカルシウム動態-"麻酔と蘇生. 35(1). 21 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 向田圭子 前原康宏 弓削孟文: "CGS(Clinical GradingScale)を指標としたCICR検査のsensitivityの検討"麻酔と蘇生. 35(1). 21 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 前原康宏 河本昌志 弓削孟文 向田圭子 讃岐美智義: "広島大学悪性高熱症Webサイトの紹介と問い合わせ状況について"麻酔と蘇生. 35(1). 22 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 分担執筆 前原康宏: "専門医のための麻酔科学レビュー'99 19.悪性高熱症"監修者 天羽敬祐 発行者 渡辺嘉之 発行所 総合医学社. 254 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 前原康宏 弓削孟文 他: "一般手術症例における術中体温変化" 麻酔と蘇生. 34・3. 182- (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 向田圭子 前原康宏 弓削孟文: "4chloro-m-cresolのヒト骨格筋CICR機構に対する影響" 麻酔と蘇生. 34・3. 183- (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 弓削孟文 前原康宏 他: "わが国の悪性高熱症の集計(1997年)" 麻酔と蘇生. 34・3. 185- (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 向田圭子 前原康宏 弓削孟文: "悪性高熱症患者のCICR(Ca-induced Ca release)速度" Journal of Anesthesia. 12・(Sup). 454- (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 向田圭子 前原康宏 弓削孟文: "劇症悪性高熱症患者の病因としての中枢性発熱の検討" 臨床麻酔学会誌. 18・8. S321- (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 弓削孟文: "優れた臨床麻酔科医となるための戦略 悪性高熱症について" 進行交易出版部, 139 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 分担執筆 前原康宏: "専門医のための麻酔科学レビュー'98 21.悪性高熱症" 監修者 天羽敬祐 発行者 渡辺嘉之 発行所 総合医学社, 244 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 弓削孟文, 前原康宏: "悪性高熱症" 救急医学. 21・9. 1060-1065 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 河本昌志, 弓削孟文, 他: "悪性高熱症の診断予測式の可能性" 麻酔と蘇生. 33・別. 9-10 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 前原康宏, 向田圭子, 他: "わが国の悪性高熱症の集計(1996年)" 麻酔と蘇生. 33・別. 11-14 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 向田圭子, 前原康宏, 他: "咬筋強直とCICR速度の関連性についての検討" 麻酔と蘇生. 33・別. 77-82 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 分担執筆 前原康宏: "専門医のための麻酔科学レビュー'97 18.悪性高熱症" 監修者 天羽敬祐 発行者 渡辺嘉之 発行所 総合医学社, 214 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 弓削孟文・他: "α-MHはやはりMHか?" 麻酔と蘇生. 32(別). 81-84 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 弓削孟文: "悪性高熱症のすべてに関するQ&A:手術中止診断基準について" 麻酔と蘇生. 32(別). 103-106 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 弓削孟文・他: "悪性高熱症" 麻酔・蘇生学展望. 5. 1-4 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 大澤恭浩・他: "わが国の悪性高熱症の集計(1995年)" 麻酔と蘇生. 32(別). 1-4 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 向田圭子・他: "劇症悪性高熱漿患者の麻酔歴の検討" 麻酔と蘇生. 32(別). 9-12 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 河本昌志・他: "悪性高熱症の臨床診断基準の試作" 日本臨床麻酔学会誌. 16(8). S244- (1996)

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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