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Molecular and Physiological Bases of Endogenous Cerebral Anti-ischemic Mechanisms and Their Applications to Treatments of Brain Ischemia

Research Project

Project/Area Number 10307035
Research Category

Grant-in-Aid for Scientific Research (A).

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

Principal Investigator

SHIMOJI Koki  Niigata Univ., Sch. Of Med. Professor, 医学部, 教授 (30040158)

Co-Investigator(Kenkyū-buntansha) ZHAN Ren-zhi  Niigata Univ., Sch. Of Med., Assistant, 医学部, 助手 (20303125)
TAGA Kiichiro  Niigata Univ., Sch. Of Med., Associate Professor, 医学部, 助教授 (00163329)
KUMANISHI Toshiro  Niigata Univ., Brain Research Institute, Professor, 脳研究所, 教授 (40018601)
岡本 学  新潟大学, 医学部附属病院, 助手 (70303146)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥25,400,000 (Direct Cost: ¥25,400,000)
Fiscal Year 2000: ¥3,800,000 (Direct Cost: ¥3,800,000)
Fiscal Year 1999: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1998: ¥17,600,000 (Direct Cost: ¥17,600,000)
Keywordsischemic tolerance / ischemic preconditioning / brain microinjury / cyctochrome c / N-methyl-D-aspartate receptor / mitochondria / apoptosis / C57Black / Crj6 mouse / Bcl-XL / intravenous anesthetic / NMDA レセプター / チトクローム c / 脳虚血 / 抗脳虚血(虚血耐性) / 免疫組織化学 / 3-ニトロプロピオン酸 / NMDA受容体 / spreading depression / サイトカイン
Research Abstract

In the above mentioned project, following results were obtained.
1. Confirmation of the existence of cerebral anti-ischemic mechanisms by using several preconditioning methods
1) Although there are many kinds of cerebral ischemic preconditioning models available in the rat and gerbil, only a focal ischemic preconditioning model in mice has been reported Considering that most genetic alterations have been performed in mice, it is urgent to develop mouse ischemic preconditioning models for investigating the molecular mechanisms of ischemic preconditioning by using gene-altered mice. We have recently developed a forebrain ischemic preconditioning model in C57BL/6 mice. Forebrain ischemia was induced in C57BL/6 mice (8-10 weeks old) by bilateral common carotid artery occlusion (BCCAO) for 18 min. The conditioning ischemic insult lasting for 6 min was carried out 48 h before the 18-min BCCAO.On the seventh day after BCCAO, neuronal damage was visualized by microtubule-associated protein-2 imm … More unohistochemistry and quantified by cresyl violet staining. Ischemia for 18 min resulted in injury to the striatum, cortex as well as to the hippocampus. In comparison to the hippocampus, striatal neuronal injury was more severe and reproducible. Although the conditioning ischemia alone caused slight striatal neuronal damage in a part of animals, it significantly reduced striatal neuronal damage caused by the subsequent 18-min ischemia Considering many kinds of gene-altered C57BL/6 mice available, this preconditioning model may be useful for investigating the molecular mechanisms of ischemic preconditioning by using gene-altered mice.
2) Mitochondria are involved in the ischemic tolerance induced by brain microinjury in relation to an upregulation of Bcl-XL expression in the rat
On the basis of loss of cytochrome c (Cytc) which is important in mediating ischemic neuronal death, we examined if ischemic tolerance induced by microinjury preconditioning is associated with mitochondrial protection in a rat forebrain ischemia model. Six days before induction of cerebral ischemia, mild mechanical brain injury was induced in unilateral hippocampus or in bilateral hippocampi through the cortex with needle insertion (25 G), depending on experiment protocols. Sham surgery involved the same procedures without needle insertion. DNA fragmentation and ischemic neuronal damage in the hippocampal CAl region were examined on the 4^<th> and 7^<th> day after reperfusion, respectively.The levels of Cytc in the cytosolic fraction were examined 6 hours after reperfusion by Western blotting analysis. Expression of bcl-XL and bax, two apoptotic-related proteins after needle insertion was examined by immunohistochemical staining. The results showed that microinjury preconditioning with needle insertion histologically reduced neuronal damage in two spatial patterns : protection occurred in the areas around the needle tract or in the whole hippocampus ipsilateral to the injury site. In addition, microinjury preconditioning was found to attenuate the extent of DNA fragmentation caused by the 10-min ischemia The increased Cytc in the cytosol induced by ischemia was also attenuated by microinjury preconditioning. The expression of bcl-XL, an antiapoptotic protein was upregulaled by microinjury in the hippocampus ipilateral to the injury site.
The above results indicate that ischemic tolerance induced by microinjury preconditioning is associated with inducible responses that are capable of protecting mitochondria.
2. Intravenous anesthetics protect neurons against ischemic insult in vitro in an agent-dependent manner
Although intravenous anesthetics have been known to have protective effed against cerebral ischemia, the underlying mechanisms remain unclear. In an in vitro ischemic model, we found that the effects of intravenous anesthetics in protecting against ischemic neurotransmission damage were different from agent to agent in according to their actions on NMDA receptors.
Our results indicate that the upregulation of anti-apoptotic proteins and its related mitochondrial protection are involved in endogenous cerebral anti-ischemic mechanisms. Less

Report

(4 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (54 results)

All Other

All Publications (54 results)

  • [Publications] Ren-Zhi Zhan, 他: "Both caspase-dependent and. -independent pathways may be involved in hippocampal CA1 neuronal death because of loss of cytochrome c from mitochondria in a rat forebrain ischemia model"Journal of Cerebral Blood Flow and Metabolism. 25(5)(In press). (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Chaoran Wu, 他: "A forebrain ischemic preconditioning model established in C57Black/Crj6 strain mice"Journal of Neuroscience Methods. (In press). (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Ren-Zhi Zhan, 他: "Intravenous anesthetics differentially reduce neurontransmission damage induced by oxy gen-glucose deprivation in rat hippocampal slices in correlation with N-methyl-D-aspartate receptor ihnibition"Critical Care Medicine. 29(4)(In press). (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yasushi Kitahara, 他: "The effects of anesthetics on cortical spreading depression elicitation and c-fos expression in rats"Journal of Neurosurgical Anesthesiology. 13(1). 26-32 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kiichiro Taga, 他: "Ischemic tolerance preserves propagation of membrane depolarization"Neuroreport. 11(3). 2961-2964 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 下地恒毅 他: "中枢神経蘇生法の現況"蘇生. 19(2). 93-108 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Koki Shimoji, 他: "Regional Anesthesia and Pain Management : Current perspectives"B.I.Churchill Livingstone PVT Ltd. 7 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Fujiwara N, Zhan R-Z, Taga K, Shimoji K: "Acidosis induced by membrane depolarization of neurons : its mechanism and physiological significance."Jpn J Reanimatol. 17(1). 23-30 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yamakura T, Sakimura K, Mishina M, Shimoji K: "Sensitivity of the N-methl-D-asparte receptor channel to butyrophenones is dependent on the ε 2 subunit."Neurophamacology. 37(6). 709-717 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Fujiwara N, Taga K, Shimoji K: "Barbiturates dose-despondent inhibit voltage-dependent Ca^<2+> channel and NMDA receptor."Cerebral Blood Flow and Metabolism. 10(2). 222-223 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Watanabe I, Sato K, Endoh H, Yoshikawa K, Takahashi M, Shimoji K: "A case of generalized convulsion-like movements, asthmatic attack and arrhythmias after propofol infusion in ICU."ICU & CCU. 22(9). 681-685 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Fujiwara N, Yamakura T, Taga K, Fukuda S, Shimoji K: "Differential inhibitory effects of thiopental, thiamylal and phenobarbital on both voltage-gated calcium channels and NMDA receptors in rat hippocampal slices."Br J Anaesth. 81(6). 932-939 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Taga K, Kitahara Y, Shimoji K: "Why the clinical development of NMDA receptor blocker is still not successful."Clin Neurosci. 17(5). 95-97 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Kitahara Y, Taga K, Shomoji K: "The effects of various parameters on the temperature differences between brain and rectum during craniotomy."Neuroanesthesia & Critical Care 1998 (Procceing : 2nd annual meeting of Jpn Soc Neuroanesthesia & Critical Care). 72-73 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Shibue C, Takamatsu M, Shimizu M, Ogawa M, Qi S, Chen J, Kitahara Y, Nishimaki H, Kohno T, Kokubun S, Okamoto M, Kurokawa S, Hayatsu K, Tobita T, Zhan RZ, Fujihara H, Watanabe I, Tomita M, Taga K, Sato K, Fukuda S, Endoh H, Shimoji K: "Prediction of neurological outcome in patients with anoxic-ischaemic coma after cardiopulmonary resuscitation."J Clin Anes (Jpn). 23. 861-866 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yamakura T, Shimoji K: "Subunit-and site-specific pharmacology of the NMDA receptor channel."Prog Neurobiol. 59. 279-298 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Fujiwara N, Taga K, Fukuda S, Shimoji K: "The different protective effects of NMDA receptor antagonists on in vitro ischemia-induced neurotransmission failure in the visual cortex of the rat."Brain Hypoxia. 13. 25-31 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Sakuma K, Maruyama M, Tsuchida M, Nakayama N, Shimoji K: "Glufosinate intoxication complicates with brain infarction : a case report."ICU & CCU. 23(9). 705-708 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yamakura T, Sakimura K, Shimoji K: "Direct inhibition of the N-methyl-D-aspartate receptor channel by high concentrations of opioids."Anesthesiology. 91(4). 1053-1063 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Endoh H, Honda T, Komura N, Shibue C, Watanabe I, Shimoji K: "Effects of nicardipine-nitroglycerin-, and prostaglandin E1-induced hypotension on human cerebrovascular carbon dioxide reactivity during propofol-fentanyl anesthesia."J Clin Anesth. 11(9). 545-549 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Denda S, Shimoji K: "Auditory brainstem response (Brainstem auditory evoked potentials)."Anesthesia 21 Century. 2(1-5). 240-245 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Shimoji K, Taga K, Zhan RZ, Fujihara H, Honda T, Endoh H Fukuda S: "Current review on CNS resuscitation."Jpn J Reanimatol. 19(2). 93-108 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Chen J, Qi S, Fuhihara H, Taga K, Shimoji K: "Redistribution of cytochrome c contributes to hippocampal CA1 neuronal death in rat forebrain ischemia model."Brain Hypoxia. 14. 35-40 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yamakura T, Sakimura K, Shimoji K: "The stereoselective effects of ketamine isomers on heteromeric N-methyl-D-aspartate receptor channels."Anesth & Analg. 91. 225-229 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Denda S, Ataka T, Tobita T, Shimizu M, Shimoji K: "The physiology of spinal cord potential in human 1. Somatosensory evoked spinal cord potential."Clin Electroencephal. 42(9). 584-590 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Shimoji K, Taga K, Fujihara H, Qi S, Wu C: "Microinjury preconditioning protects against subsequent ischemia in association with an attenuation of cytochrome c release from mitochondria in the rat."Neuroscience. (in submission).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Wu C, Fujihara H, Taga K, Qi S, Naito M, Shimoji K: J Cereb Blood Flow Metab. 21 (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Wu C, Zhan RZ, Qi S, Fujihara H, Taga K, Shimoji K: "A forebrain ischemic preconditioning model established in C57Black/Crj6 strain mice."J Neurosci Methods. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Qi S, Wu C, Fujihara H, Taga K, Shimoji K: "Intravenous anesthetics differentially reduce neurontransmission damage induced by oxygen-glucose deprivation in rat hippocampal slices in correlation with N-methyl-D-aspartate receptor inhibition."Crit Care Med. 29 (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Qi S, Zhan RZ, Wu C, Fujihara H, Taga K, Shimoji K: "The effects of thiopental and propofol on cell swelling induced by oxygen-glucose deprivation in the CA1 pyramidal cell layer of rat hippocampal slices."Anes & Analg. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Nakakimura K, Shimoji K, Taga K, Kawata K, Sakabe T.: "A prior brain microinjury attenuates hypermetabolism induced by brain ischemiareperfusion in the mouse."Crit Care Med. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yamakura T, Sakimura K, Shimoji K: "Reduced ketamine sensitivities in mice lacking NMDA receptor ε 1 subunit. New Balanced Anesthesia (ed by K Mori et al)"Elsevier Science BV, the Netherlands. 279-280 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Zhan RZ, Fujiwara N, Okamoto M, Yamakura T, Fukuda S, Shimoji K.: "The correlation between intravenous anaesthetics atternuating ischaemic neuronal damage and their actions on NMDA receptor in rat hippocampus in vitro. New Balanced Anesthesia (ed by K Mori et al)"Elsevier Science BV, the Netherlands. 273-274 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Ren-Zhi Zhan. 他6名: "Both caspase-dependent and-independent pathways may be involved in hippocampal CA1 neuronal death because of loss of cytochrome c from mitochondria in a rat forebrain ischemia model"Journal of Cerebral Blood Flow and Metabolism. 21(5)(In press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Chaoran Wu. 他5名: "A forebrain ischemic preconditioning model established in C57Black/Crj6 strain mice"Journal of Neuroscience Methods. (In press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Ren-Zhi Zhan. 他5名: "Intravenous anesthetics differentially reduce neurontransmission damage induced by oxygen-glucose deprivation in rat hippocampal slices in correlation with N-methyl-D-aspartate receptor inhibition"Critical Care Medicine. 29(4)(In press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yasushi Kitahara. 他3名: "The effects of anesthetics on cortical spreading depression elicitation and c-fos expression in rats"Journal of Neurosurgical Anesthesiology. 13(1). 26-32 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kiichiro Taga. 他2名: "Ischemic tolerance preserves propagation of membrane depolarization"NeuroReport. 11(13). 2961-2964 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Koki Shimoji. 他6名: "中枢神経蘇生法の現況"蘇生. 19(2). 93-108 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Koki Shimoji. 他5名: "Regional Anesthesia and Pain Management : Current Perspectives"B.I.Churchill Livinstone PVT Ltd. 319 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Baba H,他: "Norepinephrine facilitaties inhibitory transmission in substantia gelatinosa of adult rat spinal cord (Part 1)"Anesthesiology. 92.2. 473-484 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Baba H,他: "Norepinephrine facilitaties inhibitory transmission in substantia gelatinosa of adult rat spinal cord (Part 2)"Anesthesiology. 92。2. 485-492 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kohno T,他: "Actions of Midazolam on GABAergic transmission in substantia gelatinosa Neurons of adult rat spinal cord"Anesthesiology. 92。2. 507-515 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yamakura T,他: "Subunit- and site-specific pharmacology of the NMDA receptor channel"Prog Neurobiol. 59。3. 279-298 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Zhan R-Z,他: "The different protective effects of NMDA receptor antagonists on in vitro ischemia-induced neurotransmission failure in the visual cortex of the rat"Brain Hypoxia. 13. 25-31 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yamakura T,他: "Amino acid volume and hydropathy of a transmembrance site determine glycine and anesthetic sensitivity of glycine receptors"J Biol Chem. 274。33. 23006-23012 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Zhan R-Z他: "Differential inhibitory effects of thiopental,thiamylal,and phenobarbital on both voltage-gated calcium channels and NMDA receptors in rat hippocampal slices" British Journal of Anaesthesia. 81・6. 932-939 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Zhan R-Z他: "Thiopental inhibits increases in [Ca2+]i induced by membrane depolarization,NMDA receptor activation,and ischemia in rata hippocampal and cortical slices" Anesthesiology. 89・2. 456-466 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Zhan R-Z他: "Intracellular acidification induced by membrane depolarization in rat hippocampal slices" Brain Research. 780・1. 86-94 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 多賀紀一郎 他: "NMDAレセプター遮断薬の臨床開発はなぜ成功しないか" Clinical Neuroscience. (in press). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 藤原直士 他: "ニューロン膜脱分極によるアシドーシスの発生機序とその意義" 蘇生. 17・1. 23-30 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Aida S他: "Headache after attempted epidural block" Anesthesiology. 88・1. 76-81 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 多賀紀一郎 他: "麻酔科シラバス&チェック" (in press), (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 多賀紀一郎 他: "麻酔緊急" 花岡一雄(編集), 2 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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