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Pathophysiological Role of Adrenomedullin in Cardiovascular Disease and Therapeutic Application of Adrenomedullin

Research Project

Project/Area Number 10218208
Research Category

Grant-in-Aid for Scientific Research on Priority Areas

Allocation TypeSingle-year Grants
Review Section Biological Sciences
Research InstitutionMiyazaki Medical College

Principal Investigator

ETO Tanenao  Miyazaki Medical College, 1st Dept Intern Med, Professor, 医学部, 教授 (10038854)

Co-Investigator(Kenkyū-buntansha) KATO Johji  Miyazaki Medical College, 1st Dept Intern Med, Research Associate, 医学部, 助手 (20274780)
IMAMURA Takuroh  Miyazaki Medical College, 1st Dept Intern Med, Lecturer, 医学部, 講師 (60203329)
KANNAN Hiroshi  Miyazaki Medical College, 1st Dept Physiol, Professor, 医学部, 教授 (00049058)
KURIHARA Hiroki  Kumamoto University, Dept. Embryogenesis, Professor, 発生医学研究センター, 教授 (20221947)
Project Period (FY) 1998 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥135,900,000 (Direct Cost: ¥135,900,000)
Fiscal Year 2002: ¥29,700,000 (Direct Cost: ¥29,700,000)
Fiscal Year 2001: ¥29,700,000 (Direct Cost: ¥29,700,000)
Fiscal Year 2000: ¥22,500,000 (Direct Cost: ¥22,500,000)
Fiscal Year 1999: ¥27,000,000 (Direct Cost: ¥27,000,000)
Fiscal Year 1998: ¥27,000,000 (Direct Cost: ¥27,000,000)
Keywordsadrenomedullin / locally-acting hormone / central action / gene manipulation / intermediate form / CRLR / RAMP / therapeutic application / アミド化酵素 / 局所調節因子 / AM遺伝子過剰発現マウス / 心筋細胞 / 心線維芽細胞 / AM遺伝子欠損マウス / コンビナントAM / IRMA / PAMP / 生理活性ペプチド / 新規生理活性ペプチド / アンジオテンシンII / C-キナーゼ / AM-Gly(iAM) / 心筋の蛋白合成 / 受容体 / ラジオイムノアッセイ / 循環調節因子 / 血管作動性ペプチド / C末端アミド化
Research Abstract

Aim of this study : This research project was planned to clarify the pathophysiological role of adrenomedullin (AM) in cardiovascular diseases and to test the possibility of this peptide being used for these diseases. Results : (1) The in vitro and in vivo studies showed that AM acts as an autocrine or paracrine factor inhibiting hypertrophy of cardiomyocytes and proliferation of cardiac fibroblasts and that AM production in cardiac ventricle is increased by angiotensin II and by mechanical load to the heart. (2) Cerebroventricular infusion of AM increased blood pressure and heart rate in conscious rats, suggesting a central role of AM in the cardiovascular regulation. (3) The findings from AM gene transgenic and knockout mice showed that AM is essential in embryonic development of the vascular system and that endogenous AM functions to protect the cardiovascular system in hypertension, septic shock and progression of atherosclerosis. (4) Extracellular domains of RAMPs essential for receptor binding were identified, and the mutant RAMPs without these portions were found to act as dominant negative RAMPs. (5) The major molecular form of AM in human plasma was found to be AM-Gly, an intermediate form. The ex vivo experiments showed that the intermediate form AM-Gly dilates rat aorta following conversion to mature AM in aortic tissue. (6) Both the mature and intermediate form of AM was found to increase in plasma of patients with hypertension and heart failure. (7) Chronic infusion of recombinant AM inhibited left ventricular remodeling, improving cardiac function in rats with myocardial infarction. Conclusion : The present findings suggest that AM function as a locally-acting or circulating hormone counteracting progression of cardiovascular diseases, suggesting a possibility of therapeutic application of this peptide.

Report

(6 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (55 results)

All Other

All Publications (55 results)

  • [Publications] Imai Y, et al.: "Resistance to neointimal hyperplasia and fatty streak formation in mice with adrenomedullin overexpression"Arteriodcler Thromb Vasc Biol. 22. 1310-1315 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kuwasako K., et al.: "Novel calcitonin-(8-32)-sensitive adrenomedullin receptors derived from co-expression of calcitonin receptor with receptor activity-modifying proteins"Biochem Biophys Res Commun. 301. 460-464 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Hamada H., et al.: "Adrenomedullin stimulates the growth of cultured normal human osteoblasts as an autocrine/paracine regulator"Peptides. 23. 2163-2168 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nakamura R., et al.: "Beneficial effects of adrenomedullin on left ventricular remodeling after myocardial infarction in rats"Cardiovasc Res. 56. 373-380 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Yuchi H., et al.: "Cryofixation processing is an excellent method to improve the retention of adrenomedullin antigenicity"Histochem Cell Biol. 118. 259-265 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nagoski Y., et al.: "The calcitonin receptor-like receptor/receptor activity-modifying protein 1 heterodimer can function as a calcitonin gene-related peptide-(8-37)-sensitive adrenomedullin receptor"Eur J Pharmacol. 450. 237-243 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Cao, Y., Kitamura, K., Ito, K., Kato, J., Hashida, S., Morishita, K., and Eto, T.: "Glycine-extended adrenomedullin exerts vasodilator effect through amidation in the rat aorta"Regul. Pept.. 2918. 1-7 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nakamura, R., Kato, J., Kitamura, K., Onitsuka, H., Imamura, T., Marutsuka, K., Asada, Y., Kangawa, K., and Eto, T.: "Beneficial effects of adrenomedullin on left ventricular remodeling after myocardial infarction in rats"Cardiovasc. Res.. 56. 373-380 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nagoshi, Y., Kuwasako, K., Ito, K., Uemura, T., Kato, J., Kitamura, K., and Eto, T.: "The calcitonin receptor-like receptor/receptor activity-modifying protein 1 heterodimer can function as a calcitonin gene-related peptide-(8-37)-sensitive adrenomedullin receptor"Eur. J. Pharmacol.. 450. 237-243 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kuwasako, K., Kitamura, K., Onitsuka, H., Uemura, T., Nagoshi, Y., Kato, J., and Eto, T.: "Rat RAMP domains involved in adrenomedullin binding specificity"FEBS Lett.. 519. 113-116 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Uemura, T., Kato, J., Kuwasako, K., Kitamura, K., Kangawa, K., and Eto, T.: "Aldosterone augments adrenomedullin production without stimulating pro-adrenomedullin N-terminal 20 peptide secretion in vascular smooth muscle cells"J. Hypertens.. 20. 1209-1214 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Yuchi, H., Suganuma, T., Sawaguchi, A., Ide, S., Kawano, J., Aoki, T., Kitamura, K., and Eto, T.: "Cryofixation processing is an excellent method to improve the retention of adrenomedullin antigenicity"Histochem. Cell. Biol.. 118. 259-265 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Imai, Y., Shindo, T., Sata, M., Memura, K., Saito, Y., Akishita, M., Osuga, J., Ishibashi, S., Tobe, K., Maekawa, H., Oh-hashi, Y., Morita, H., Kurihara, Y., Yazaki, Y.,Nagai, R., Kurihara, H.: "Resistance to neointimal hyperplasia and fatty streak formation in adrenomedullin overexpression mice"Arterioscler. Thromb. Vasc. Biol.. 22. 1310-1315 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tsuruda, T., Kato, J., Kitamura, K., Mishima, K., Imamura, T., Koiwaya, Y., Kangawa, K., and Eto, T.: "Roles of protein kinase C and Ca^<2+>-dependent signaling in angiotensin II-induced adrenomedullin production in rat cardiac myocytes"J. Hypertens. 19. 757-763 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Mishima, K., Kato, J., Kuwasako, K., Ito, K., Imamura, T., Kitamura, K., and Eto, T.: "Effects of endothelin on adrenomedullin secretion and expression of adrenomedullin receptors in rat cardiomyocytes"Biochem. Biophys. Res. Commun.. 287. 264-269 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Shindo, T., Kurihara, Y., Nishimatsu, H., Moriyama, N., Kakoki, M., Wang, Y., Imai, Y., Ebihara, A., Kuwaki, T., Ju, K-H., Minamino, N., Kangawa, K., Ishikawa, T., Fukuda, M., Akimoto, Y., Kawakami, H., Imai, T., Morita, H., Yazaki, Y, Nagai, R., Hirata, Y., and Kurihara, H.: "Vascular abnormalities and elevated blood pressure in mice lacking adrenomedullin gene"Circulation. 104. 1964-1971 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kitamura, K., Matsui, E., Kato, J., Kato, F., Kite, T., Tsuji, T., Kangawa, K., and Eto, T.: "Adrenomedullin(11-26) : a novel endogenous hypertensive peptide isolated from bovine adrenal medulla"Peptide. 22. 1713-1718 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kuwasako, K., Kitamura, K., Ito, K., Uemura, T., Yanagita, Y., Kato, J., Sakata, T., and Eto, T.: "The seven amino acids of human RAMP2(86-92) and RAMP3(59-65) are critical for agonist binding to human adrenomedullin receptors"J. Biol. Chem.. 276. 49459-49465 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tsuruda, T., Kato, J., Kitamura, K., Imamura, T., Koiwaya, Y., Kangawa, K., Komuro, I., Yazaki, Y., and Eto, T.: "Enhanced adrenomedullin production by mechanical stretching in cultured rat cardiomyocytes"Hypertension. 35. 1210-1214 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Yamakawa, H., Imamura, T., Matsuo, T., Onitsuka, H., Tsumori, Y., Kato, J., Kitamura, K., Koiwaya, Y., and Eto, T.: "Diastolic wall stress and ANG II in cardiac hypertrophy and gene expression induced by volume overload"Am. J. Physiol.. 279. H2939-H2946 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Imai Y, et al.: "Resistance to neointimal hyperplasia and fatty streak formation in mice with adrenomedullin overexpression"Arteriodcler Thromb Vasc Biol. 22. 1310-1315 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kuwasako K.. et al.: "Novel calcitonin-(8-32)-sensitive adrenomedullin receptors derived from co-expression of calcitonin receptor with receptor activity-modifying proteins"Biochem Biophys Res Commun. 301. 460-464 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] Hamada H., et al.: "Adrenomedullin stimulates the growth of cultured normal human osteoblasts as an autocrine/paracine regulator"Peptides. 23. 2163-2168 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Nakamura R., et al.: "Beneficial effects of adrenomedullin on left ventricular remodeling after myocardial infarction in rats"Cardiovasc Res. 56. 373-380 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Yuchi H., et al.: "Cryofixation processing is an excellent method to improve the retention of adrenomedullin antigenicity"Histochem Cell Biol. 118. 259-265 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Nagoshi Y., et al.: "The calcitonin receptor-like receptor/receptor activity-modifying protein 1 heterodimer can function as a calcitonin gene-related peptide-(8-37)-sensitive adrenomedullin receptor"Eur J Pharmacol. 450. 237-243 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] TSURUDA, T., et al.: "Roles of protein kinase C and Ca^<2+>-dependent signaling in angiotensin II-induced adrenomedullin production in rat cardiac myocytes"J. Hypertens.. 19. 757-763 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] TSURUDA, T., et al.: "Secretion of proadrenomedullin N-terminal 20 peptide from cultured neonatal rat cardiac cells"Life Sci.. 69. 239-245 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] MISHIMA, K., et al.: "Effects of endothelin on adrenomedullin secretion and expression of adrenomedullin receptors in rat cardiomyocytes"Biochem. Biophys. Res. Commun.. 287. 264-269 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] KUWASAKO, K., et al.: "The seven amino acids of human RAMP2(86-92) and RAMP3(59-65) are critical for agonist binding to human adrenomedullin receptors"J. Biol. Chem.. 276. 264-269 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] KITAMURA, K., et al.: "Adrenomedullin(11-26) : a novel endogenous hypertensive peptide isolated from bovine adrenal medulla"Peptide.. 22. 1713-1718 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] MATSUI, E., et al.: "Biosynthesis and secretion of adrenomedullin and proadrenomedullin N-terminal 20 peptide in a rat model of endotoxin shock"Hypertens. Res.. 24. 543-549 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] TSURUDA,T., et al.: "Roles of protein kinase C and Ca2+-dependent signaling in angiotensin II-induced adrenomedullin production in rat cardiac"J Hypertens. (in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] TSURUDA,T., et al.: "Secretion of proadrenomedullin N-teminal 20 peptide from cultured neonatal rat cardiac cells."Life Sci. (in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] YAMAKAWA,H., et al.: "Diastolic wall stress and ANG II in cardiac hypertrophy and gene expression induced by volume overload."Am J Physiol.. 279. H2939-H2946 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] TSURUDA,T., et al.: "Enhanced adrenomedullin production by mechanical stretch in cultured rat cardiomyocytes."Hypertension. 35. 1210-1214 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] HIRANO,S., et al.: "Differential responses of circulating and tissue adrenomedullin and gene expression to volume overload."J Card Fail. 6. 120-129 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] KUWASAKO,K., et al.: "Visualization of the calcitonin receptor-like receptor and its receptor activity-modifying proteins during internalization and recycling."J Biol Chem. 275. 29602-29609 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 北俊弘,江藤胤尚: "高血圧クリーゼ"南江堂. 397-401 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 江藤胤尚: "Vascular Compliance"メディカルレビュー社. 110-113 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tsuruda,T.,et al.: "An autocrine or a paracrine role of adrenomedullin in modulating cardiac fibroblast growth."Cardiovasc.Res.. 43. 958-967 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hirayama,N.,et al.: "Molecular forms of circulating adrenomedullin in patients with congestive heart failure."J.Endocrinol.. 160. 297-303 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ishihara,T.,et al.: "Increased plasma levels of mature form of adrenomedullin in patients with chronic renal failure."Clin.Nephrol.. 52. 119-123 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kitani,M.,et al.: "Cell density of adrenomedullin-immunoreactive cells in the gastric endocrine cells decreases in antral atrophic gastritis."Histopathology. 34. 134-139 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Eto T., Kitamura K., Kato J.: "Biological and clinical roles of adrenomedullin in circlation control and cardiovascular diseases"Clin. Exp. Pharmacol. Physiol.. 26. 371-380 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kinoshita K., Fujimoto S., Kitamura K., Yokota N., Kawamoto M., Tokura T., Hisanaga S., Eto T.: "Plasma and urine levels of adrenomedullin and proadrenomedullin N-terminal 20 peptide in chronic glomerulonephritis"Am. J. Kid. Dis. 34. 114-119 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 北俊弘、江藤胤尚: "高血圧の診断と治療"医書出版社. 9 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tsuruda T,Kato J,Kitamura K,Kuwasako K,Imamura T,Koiwaya Y,Tsuji T,Kanagawa K,Eto T: "Adrenomedullin : a possible autocrine or paracrine inhibitor of hypertrophy of cardiomyocytes." Hypertension. 31(1Pt2). 505-510 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitamura K,Kato J,Kawamoto M,Tanaka M,Chino N,Kangawa K,Eto T: "The intermediate form of glycine-extended adrenomedullin in the major circulating molecular form in human plasma." Biochem Biophys Res Commun. 244(2). 551-555 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Saita M,Shimokawa A,Kunitake T,Kato K,Hanamori T,Kitamura K,Eto T,Kannan H: "Central actions of adrenomedullin on cardiovascular parameters and sympathetic outflow in conscious rats." Am J Physiol. 274(4Pt2). R979-984 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hirano S,Ishiyama Y,Matsuo T,Imamura T,Sakata J,Kitamura K,Koiwaya Y,Eto T: "Decrease in circulating and urine adrenomedullin concentrations in stroke-prone spontaneously hypertensive rats." Hypertens Res. 21(1). 23-28 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Saita M,Ishizuka Y,Kato K,Kunitake T,Hanamori T,Kitamura K,Eto T,Kannan H: "Cardiovascular and sympathetic effects of proadrenomedullin NH2-terminal 20 peptide in conscious rats." Regul Pept. 77(1-3). 147-153 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kita T,Kitamura K,Kuwasako K,Kawamoto M,Eto T: "Short-term modulation of the renin-angiotensin system does not alter plasma adrenomedullin concentration in humans." J Hypertens. 16(12Pt2). 2057-2062 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kazuo Kitamura,Kenji Kangawa,Hisayuki Matsuo,Tanenao Eto: "Adrenomedullin" IOS Press, 27-36 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitamura K: "Aggiornamento II" Uses-firenze Press, 108-113 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2018-03-28  

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