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Analysis of pathophysiology in acute pancreatitis from the stand point of second attack theory

Research Project

Project/Area Number 09470254
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field General surgery
Research InstitutionKumamoto University

Principal Investigator

OGAWA Michio  Kumamoto University Medical School, Professor, 医学部, 教授 (30028691)

Co-Investigator(Kenkyū-buntansha) HIROTA Masahiko  Kumamoto University Medical School, 医学部・附属病院, 助手 (80284769)
YAMAGUCHI Yasuo  Kumamoto University Medical School, Associate Professor, 医学部, 助教授 (90253757)
MORI Katsutaka  Kumamoto University College of Medical Science, Professor, 医療技術短期大学部, 教授 (10040213)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥8,900,000 (Direct Cost: ¥8,900,000)
Fiscal Year 1998: ¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 1997: ¥6,100,000 (Direct Cost: ¥6,100,000)
Keywordsacute pancreatitis / SIRS / cytokine / organ dysfunction / infection / neutrophil / second attack / 重症度評価 / scond attack / 臓器傷害
Research Abstract

Acute pancreatitis is accompanied by destruction and digestion of tissues, causing hvpercytokinemia and hyperreactivity of leukocytes (macrophages and neutrophils) and vascular endothelia! cells. As one of the biological defense mechanisms in this condition, neutrophils infiltrate vital organs, such as lung, liver, and digestive organs. When acute pancreatitis is complicated by infection, hyperreactive macrophages release a large amount of proinflammatory cytokines that activate primed neutrophils as a second attack". Utilizing proteolytic enzymes and oxidant, neutrophils injure the infiltrated vital organs, causing cellular damage and dysfunction of vital organs distant from the pancreas. Multiple organ failure in acute pancreatitis with septic complications can develop, at least in part, by inflammatory cytokine and neutrophil activation.

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (31 results)

All Other

All Publications (31 results)

  • [Publications] Ogawa M.: "Systemic inflammatory response syndrome-a concept for avoiding organ dysfunction induced by a"Second Attack"" Surg Today. 28. 679-681 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ogawa M.: "Acute pancreatitis and cytokines;"Second Attack"by septic complication leads to organ failure." Pancreas. 16. 312-315 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ikei S,et al.: "Blood concentrations of polymorphonuclear leukocyte elastase and interleukin-6 are indicators for the occurrence of multiple organ failures at the early stage of acute parcreat" J Gastroentrol Hepatol. 13. 1274-1283 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小川道雄: "急性膵炎の重症化機序とサイトカイン" 今月の治療. 6. 86-92 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小川道雄,他: "急性膵炎の新しい「重症度スコア」" Mebio. 15. 110-115 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 広田昌彦,他: "急性膵炎と活性酸素" 肝胆膵. 36. 787-797 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小川道雄: "異物識別と生体反応-新しい規点を求めて" 菜根出版(東京), 244-261 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小川道雄,他: "臨床侵襲学" へるす出版(東京), 1-680 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Hirota M,et al.: "Determination of serum levels of circulating solible E-selectin in patients after major surgery and in those with acute pancreatitis." The Immune Consequences of Trauma, Shock and Sepsis.Faist E (ed.). Monduzzi Editore (Bologna). 431-434 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sakamoto K.et al.: "Cytokine response to surical trauma and its relation with SIRS and DOF." The Immune Consequences of Trauma, Shock and Sepsis.Faist E (ed.), Monduzzi Editore (Bologna). 123-127 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sugita, M.et al.: "Effects of propentofylline on tumor necrosis factor-alpha and cytokine-induced neutrophil chemoattractant production in rats with cerulein-induced pancreatitis and endotoxemia." Pancreas. 14. 267-275 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Sugita M,et al.: "Enhanced expression of cytokine-induced neutrophil chemoattractant (CINC) by bronchoalveolar macrophages in cerulein-induced pancreatitis rats." Dig.Dis.Sci.42. 154-160 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ikei S,et al.: "Blood concentrations of polymorphonuclear leukocyte elastase and interleukin-6 are indicators for the occurrence of multiple organ failures at the early stage of acute pancreatitis." J.Gastrogenterol.Hepatol.13. 1274-1283 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ogawa M: "Systemic inflammatory response syndrome-a concept for avoiding organ dysfunction induced by a "second attack"" Surg.Today. 28. 679-681 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ogawa M: "Acute pancreatitis and cytokines ; "second attack" by septic complication leads to organ failure." Pancreas. 16. 312-315 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ogawa M.: "Systemic inflammatory response syndrome-a concept for avoiding organ dystunction induced by a “Second Attack"" Surg Today. 28. 679-681 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ogawa M.: "Acute pancreatitis and cytokines:“Second Attack"by septic complication leads to organ failure." Pancreas. 16. 312-315 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ikei S,et al.: "Blood concentrations of polymorphonuclear leukocyte elastase and interleukin-6 are indicators for the occurrence of multiple organ failures at the early stage of acute pancreat" J Gastroentrol Hepatol. 13. 1274-1283 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小川道雄: "急性膵炎の重症化機序とサイトカイン" 今月の治療. 6. 86-92 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小川道雄,他: "急性膵炎の新しい「重症度スコア」" Mebio. 15. 110-115 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 広田昌彦,他: "急性膵炎と活性酸素" 肝胆膵. 36. 787-797 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小川道雄: "異物識別と生体反応-新しい視点を求めて" 菜根出版(東京), 224-261 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小川道雄,他: "臨床侵襲学" へるす出版(東京), 1-680 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Sugita H. et al.: "Effect of propentofylline on tumor necrosis factor-alpha and cytokine-induced neutrophil chemoattractant production in rats with cerulein-induced pancreatitis and andtoxeuia." Pancreas. 14. 267-275 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Sugita H. et al.: "Enhanced expression of cytokine-induced neutrophil chemoattractant (CINC) by prochoalvealar inacroplages in cerulein-induced paucuatitis rats." Dig. Dis. Sci.42. 154-160 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 池井 聡、他: "急性膵炎とSIRS" 医学のあゆみ. 181. 52-56 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 小川 道雄: "SIRS-重症急性疾患をとらえる新しい指標-" 医学のあゆみ. 181. 1-2 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 小川 道雄: "急性膵炎とサイトカイン" Frontiers in Gastroeuterology. 2. 33-44 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 小川 道雄: "急性膵炎の重症化機序" 消化器外科. 20. 565-572 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Ogawa M. et al.: "The Immure Consequences of Trauma, Shock and Sepsis" Monduzzi Editore (Bologna), 931-934 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Hirata H. et al.: "The Immure Consequences of Trauma, Shock and Sepsis" Monduzzi Editore(Bologua), 431-434 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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