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Biomedical responses to changes in body temperature in ciritically ill patients

Research Project

Project/Area Number 10470248
Research Category

Grant-in-Aid for Scientific Research (B)

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

Principal Investigator

AIKAWA Naoki  Department of Emergency and Critical Care Medicine, School of Medicine, Keio University, Professor, 医学部, 教授 (40110879)

Co-Investigator(Kenkyū-buntansha) FUJISHIMA Seitaro  Keio University, School of Medicine, Assistant Professor, 医学部, 講師 (00173419)
AOKI Katsunori  Keio University, School of Medicine, Associate Professor, 医学部, 助教授 (20124927)
HORI Shingo  Keio University, School of Medicine, Associate Professor, 医学部, 助教授 (80129650)
SEKINE Kazuhiko  Keio University, School of Medicine, Instructor, 医学部, 助手 (90296715)
KIMURA Hiroyuki  Keio University, School of Medicine, Instructor, 医学部, 助手 (00225054)
山崎 元靖  慶應義塾大学, 医学部, 助手 (00296716)
堀口 崇  慶應義塾大学, 医学部, 助手 (70245520)
篠沢 洋太郎  慶應義塾大学, 医学部, 講師 (30129465)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥12,800,000 (Direct Cost: ¥12,800,000)
Fiscal Year 1999: ¥5,800,000 (Direct Cost: ¥5,800,000)
Fiscal Year 1998: ¥7,000,000 (Direct Cost: ¥7,000,000)
Keywordsinterleukin-8 / cytokine / body temperature / whole blood culture / hypothermia / hyperthermia / TNFα / IL-6
Research Abstract

We initially measured the plasma levels of cytokines, soluble receptors and examined their relationships to the degree of systemic infection and body temperature. In the presence of apparent infection, the plasma IL-6 and IL-8 levels were significantly increased. We found a significant correlation between body temperature and TNF-alpha, IL-6 and IL-8. We then analyzed the hyperthermic patients, whose consciousness was transiently disturbed and who did not show any signs of infection, and found that the plasma levels of IL-6, IL-8 and IL-10 were initially high and then decreased gradually, These data suggested that hyperthermia itself could induce the production of cytokines.
In the second experiment, we examined the effect of environmental temperature on IL-8 production in heparinized whole blood in vitro. Small volume of IL-8 was produced without any stimuli. Interestingly, IL-8 production, in response to endotoxin was rather inhibited when incubated at 42℃, 40℃, but not at 38℃. In combination with above in vivo findings, we speculated that cytokine or cytokine-stimulating factor may be produced by no hematological cells in hyperthermic patients. Additionally, we have made a system for future analysis of cell functions, such as calcium response, cell surface markers, etc.

Report

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

    (30 results)

All Other

All Publications (30 results)

  • [Publications] 中村守男、藤島清太郎、相川直樹ら: "Importance of interleukin-8 in the development of reexpression lung injury in rabbits"Am. J. Respir. Crit Care Med.. (in press). (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 藤島清太郎、堀進悟、相川直樹ら: "SIRS,ALI患者の重症度評価指標としてのAPACHE IIIスコア、PaO2/FlO2比の検討"日本救急医療研究会雑誌. 13. 119-124 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 堀口崇、堀進悟、相川直樹ら: "A case of traumatic shock complicated by methamphetamine intoxication"Intensive Care Medicine. 25. 758-760 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 相川直樹、青木克憲、山崎元靖: "重症熱傷患者の管理"日本外科学会雑誌. 100(7). 424-429 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 孫東、相川直樹: "The natural history of the SIRS and the evaluation of SIRS criteria as a predictor of severity in patients hospitalized through ES"Keio J. Med.. 48(1). 28-37 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 相川直樹、藤島清太郎、堀進悟ら: "感染症症候群-症候群から感染症単一疾患までを含めて-"日本臨床. 23別冊. 241-243 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 相川直樹: "ショックの重症度と合併症(in今日の治療指針)"医学書院. 2 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Nakamura M, Fujishima S, Aikawa N, et al.: "Importance of interleukin-8 in the development of reexpansion lung injury in rabbits"Am J Respir Crit care Med. (in press). (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Horiguchi T, Hori S, Aikawa N, et al.: "A case of traumatic shock complicated by methamphetamine intoxication"Intensive Care Med. 25. 758-760 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Sun D, Aikawa N: "The natural history of the SIRS and the evaluation of SIRS criteria as a predictor of severity in patients hospitalized through ES"Keio J Med. 48(1). 28-37 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hori S, Aikawa N: "Acute cardiovascular manifestations caused by poisoning"Asian Med. 42(12). 543-547 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Horiguchi T, Hori S, Aikawa N, et al.: "A case of traumatic shock complicated by methamphetamine intoxication"Intensive Care Med. 25. 758-760 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tham K-Y, Kimura H: "Retrospective review of emergency department patients with non-variceal upper gastrointestinal hemorrhage for potential outpatient management"Academic Emergency Med. 6(3). 196-201 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Makino S, Hori S, Ogawa S: "Cardiomyocyts can be generated from marrow stromal cells In vitro"J Clin Invest. 103(5). 697-705 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Pan J, Hori S, Ogawa S: "Involvement of gp130-mediated signaling in pressure overload induced activation of the JAK/STAT pathway in rodent heart"Heart Vessels. 13. 199-208 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Aikawa N: "Cytokine Storm; Pathogenetic mechanisms of organ failures following severe burns"Annual Bulletin-1998 of the Chinese Burn Association. 1-3 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Yoshii H, Aikawa N: "Usefulness and limitations of ultrasonography in the initial evaluation of blunt abdominal trauma"Injury, Infection and Critical Care. 25(1). 45-51 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 中村守男、藤島清太郎、相川直樹ら: "Importance of interleukin-8 in the development of reexpansion lung injury in rabbits"Am J Respir Cirt Care Med. (in press). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 藤島清太郎、堀進悟、相川直樹ら: "SIRS,ALI患者の重症度評価指標としてのAPACHE IIIスコア、PaO2/FIO2比の検討"日本救命医療研究会雑誌. 13. 119-124 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 堀口崇、堀進悟、相川直樹ら: "A case of traumatic shock complicated by methamphetamine intoxication"Intensive Care Medicine. 25. 758-760 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 相川直樹、青木克憲、山崎元靖: "重症熱傷患者の管理"日本外科学会雑誌. 100(7). 424-429 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 孫東、相川直樹: "The natural history of the SIRS and the evaluation of SIRS cirteria as a predictor of severty in patients hospitalized through ES"Keio J Med. 48(1). 28-37 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 相川直樹、藤島清太郎、堀進悟ら: "感染症症候群-症候群から感染性単一疾患までを含めて-"日本臨床. 23別冊. 241-243 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 相川直樹: "ショックの重症度と合併症(in今日の治療指診)"医学書院. 2 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 篠沢洋太郎: "気道熱傷の病態と呼吸管理" 集中治療. 10・2. 143-151 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 篠沢洋太郎: "広範囲熱傷と敗血症" 日本外科学会雑誌. 99・1. 31-39 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 篠沢洋太郎: "抗サイトカイン療法の現況と将来" 生物試料分析. 21・2. 130-141 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 相川直樹: "ショックのclinical entityの変遷と新しい治療法の展開" 現代医療. 30. 1-2 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 篠沢洋太郎: "敗血症性ショック,MOFとステロイド" 化学療法の領域. 14・9. 1545-1553 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 藤島清太郎: "炎症性肺疾患,多臓器不全病態へのIL-8の関与" 炎症. 18・6. 433-437 (1998)

    • Related Report
      1998 Annual Research Report

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

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