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Development and Establishment of a New Therapeutic Strategy for Chronic Heart Failure due to Adenosine.

Research Project

Project/Area Number 10557068
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Circulatory organs internal medicine
Research InstitutionOsaka University

Principal Investigator

KITAKAZE Masafumi  Osaka University Graduate School of Medicine, Assistant Professor, 医学系研究科, 助手 (20294069)

Co-Investigator(Kenkyū-buntansha) SATO Hideyuki  Osaka University Graduate School of Medicine, Assistant Professor, 医学系研究科, 助手 (70167435)
TADA Michihiko  Osaka University Graduate School of Medicine, Professor, 医学系研究科, 教授 (90093434)
HORI Masatsugu  Osaka University Graduate School of Medicine, Professor, 医学系研究科, 教授 (20124779)
NISHIDA Masashi  Osaka University Graduate School of Medicine, Associate Professor, 医学系研究科, 助手 (40283783)
MASUYAMA Tohru  Osaka University Graduate School of Medicine, Assistant Professor, 医学系研究科, 助手 (70273670)
宮崎 純一  大阪大学, 医学部, 教授 (10200156)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥11,700,000 (Direct Cost: ¥11,700,000)
Fiscal Year 1999: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1998: ¥9,500,000 (Direct Cost: ¥9,500,000)
KeywordsAdenosine / Ecto-5'-Nucleotidase / Acute Myocardial Infarction / cDNA array / Adenosine Receptor Antagonists / Chronic Heart Failure / ecto-5' nucleotidase / 慢性心不全 / アデノシン産生増強薬 / 左室駆出率 / 運動耐容能 / ccto-5´-nuclcotidase / 遺伝子発現ラット
Research Abstract

We have previously revealed that adenosine mediates cardioprotection against ischemic and reperfusion injury. In the present study, we have been investigating the role of adenosine in ischemic and non- ischemic heart diseases from the basic and clinical aspects.
First of all, we tested the gene expression in the ischemic and non- ischemic heart failure and we tested the role of adenosine in the gene expression. This is because it is important to know the pathophysiology of ischemic hearts to protect the hearts against ischemic and reperfusion injury. However, many cardiologists have investigated only a few substances once using Northern or Western blot analysis to clarify the pharmacological effect on the diseased hearts. However, many substances simultaneously contribute to the pathophysiology of diseased hearts. cDNA array technique has recently developed as a novel method to evaluate much gene expression at once. We performed cDNA array to examine how many and what kind of genes are … More changed in the diseased hearts using cDNA array with and without administration of an adenosine receptor inhibitor. Cardiac expression of many genes was regulated by ischemic, mechanical and neurohumoral stress. Endogenous adenosine modulated almost half of these regulated genes in the ischemic hearts.
Second, we evaluated the effect of ATP, a precursor of adenosine, to limit the infarct size in the patients with acute myocardial infarction. Intracoronary injection of ATP was revealed to limit the infarct size.
Third, we investigated the role of adenosine in chronic heart failure because chronic heart failure is the final common end- stage of cardiovascular diseases. We evaluated the process of induction of ecto- 5' -nucleotidase during the development of heart failure with the heart failure model of Syrian Hamster. At the compensatory period of chronic heart failure ecto- 5' -nucleotidase activity is enhanced, but ecto- 5'- nucleotidase activity was decreased in decompensated heart failure.
Taken together, we have revealed that adenosine potently attenuates ischemic and non- ischemic heart failure, which may propose a new paradigm for the adenosine therapy of chronic heart failure. Less

Report

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

    (42 results)

All Other

All Publications (42 results)

  • [Publications] Kitakaze M, Koichi: "A novel Ca Channel blocker, benidipine, increases coronary blood flow and attenuates the severity of myocardial ischemia via NO dependent mechanisms in the dogs."J Am Coll Cardiol. 33. 242-249 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minamino T, Kitakaze M et al.: "Plasma adenosine levels and platelet activation in patients with atrial fibrillation."Am J Cardiol. 83. 194-198 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Inoue K, Hiroshi Sato et al.: "Antecedent angina pectoris restrains development of right ventricular dysfunction and atrioventricular block in an inferior myocardial infarction."Am J Cardiol. 83. 159-163 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ueda Y, Kitakaze M et al.: "Glycoprotein IIb/IIIa antagonist FK633 could not prevent neointimal thickening in stent implantation model of canine coronary artery."Arterioscler Thromb Vasc Biol. 19. 343-347 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Yoshida K, Mizukami Y et al.: "Nitric oxide mediates protein kinase C-isoform translocation in rat heart during postischemic reperfusion."Biochimica Biophysica Acta. 1453. 230-238 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kitakaze M, Hori M et al.: "Beneficial effects of AICA riboside on myocardial stunning in dogs : Role of enhancements of adenosine."Jpn Circ J. 63. 542-553 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 北風政史、葛谷恒彦、堀正二: "岩波講座-現代医学の基礎"萩原俊男、重井清一郎 編集. 128-147 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Tetsuo Minamino, Koichi Node et al.: "Elevation of plasma adenosine levels may attenuate the severity of chronic heart failure."Cardiovascular Drugs and Therapy. 12. 307-309 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Koichi Node, Masafumi Kitakaze et al.: "Increased release of nitric oxide in ischemic hearts after exercise in patients with effort angina."J Am Coll Cardiol.. 32. 63-8 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Koichi Node et al.: "lnhibition of angiotensin-converting enzyme increases the nitric oxide levels in canine ischemic myocardium."J Mol Cell Cardiol. 30. 2461-2466 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze and Masatsugu Hori.: "It is time to ask what adenosine can do for cardioprotection (Brief Review)."Heart and Vessels. 13. 211-228 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tetsuo Minamino, Masafumi Kitakaze et al.: "Increased expression of P-selectin on platelets is a risk factor for silent cerebral infarction in patients with atrial fibrillation. Role of nitric oxide."Circulation. 98. 1721-1727 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Taetsuo Minamino, Masafumi Kitakaze, Hiroshi Asanuma et al.: "Endogenous adenosine inhibits P-selectin-dependent formation of coronary thrombi during hypoperfusion in dogs."J.Clin.Invest.. 101. 1643-1653 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tetsuo Minamino, Masafumi Kitakaze, Yasushi Matsumura et al.: "Impacts of coronary risk factors on contributions of metabolic coronary vasodilation in humans."J.Am.Coll.Cardiol.. 31. 1274-1279 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tetsuo Minamino, Masafumi Kitakaze, Hiroshi Sato et al.: "Effects of ischemic preconditioning on contractile and metabolic dysfunction during coronary hypoperfusion in dogs."Am.J.Physiol.. 43. H684-H693 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Koichi Node, et al.: "Intracoronary administration of adenosine triphosphate increases coronary blood flow and attenuates the severity of myocardial ischemic injury in dogs."Cardiovascular Drugs and Therapy. 13. 407-414 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze.: "It is the time to ask what adenosine can do for cardioprotection in ischemic heart disease."Internal Medicine. 38. 305-306 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Tetsuo Minamino, Koichi Node: "Adenosine and Cardioprotection in the Diseased Heart (Brief Review)."Jpn Circ.J.. 63. 231-243 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Masatsugu Hori et al.: "Beneficial effects of AICA riboside on myocardial stunning in dogs : Role of enhancements of adenosine."Jpn Circ J. 63. 542-553 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Yasunori Ueda, Masafumi Kitakaze et al.: "Pravastatin restored the infarct size-limiting effect of ischemic preconditioning blunted by hypercholesterolemia in the rabbit model of myocardial infarction."J Am Coll.Cardiol.. 34. 2120-2125 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ken-ichi Yoshida, Yo-ichi Mizukami et al.: "Nitric oxide mediates protein kinase C-isoform translocation in rat heart during postischemic reperfusion."Biochimica Biophysica Acta. 1453. 230-238 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tetsuo Minamino, Masafumi Kitakaze et al.: "Increased membrane and soluble P-selectin in atrial fibrillation."Circulation. 100. e86-e87 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Yasunori Ueda, Masafumi Kitakaze et al.: "Glycoprotein II b/ III a antagonist FK633 could not prevent neointimal thickening in stent implantation model of canine coronary artery."Arterioscler Thromb.Vasc.Biol.. 19. 343-347 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kouichi Inoue, Hiroshi Ito, Masafumi Kitakaze et al.: "Antecedent angina pectoris restains development of right ventricular dysfunction and atrioventricular block in an inferior myocardial infarction : New Clinical insight of ischemic preconditioning."Am.J.Cardiol.. 83. 159-163 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tetsuo Minamino, Masafumi Kitakaze et al.: "Plasma adenosine levels and platelet activation in patients with atrial fibrillation."Am J Cardiol.. 83. 194-198 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Koichi Node et al.: "A novel Ca Channel blocker, benidipine, increases coronary blood flow and attenuates the severity of myocardial ischemia via NO dependent mechanisms in the dogs."J Am Coll.Cardiol.. 33. 242-249 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Masafumi Kitakaze, Hiroshi Asanuma et al.: "Nitedipine-induced coronary vasodilation in ischemic hearts is attributable to bradykinin-and NO- dependent mechanisms in dogs."Circulation. 101. 311-317 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kitakaze M,Koichi Node et al.: "A novel Ca Channel blocker ,benidipine,increases coronary blood flow and attenuates the severity of myocardial ischemia via NO dependent mechanisms in the dogs"J Am Coll Cardiol. 33. 242-249 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Minamino T,Kitakaze M et al.: "Plasma adenosine levels and platelet activation in patients with atrial fibrillation"Am J Cardiol. 83. 194-198 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Inoue K,Hiroshi Sato et al.: "Antecedent angina pectoris.restrains development of right ventricular dysfunction and atrioventricular block in an interior myocardial infarction"Am J Cardiol. 83. 159-163 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ueda Y,Kitakaze M et al.: "Glycoprotein IIb/IIIa antagonist FK633 could not prevent neointimal thickening in stent implication model of canine coronary artery"Arterioscler Thromb Vasc Biol. 19. 343-347 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yoshida K,Mizukami Y et al.: "Nitric oxide mediates protein kinase C-isoform translocation in rat heart during postischemic reperfusion"Biochemica Biophysica Acta. 1453. 230-238 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kitakaze M,Hori M et al.: "Beneficial effects of AICA riboside on myocardial stunning in dogs : Role of enhancements of adenosine"Jpn Circ J. 63. 542-553 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 北風政史、葛谷恒彦、堀正二: "岩波講座-現代医学の基礎"萩原俊男、重井清一郎 編集. 20 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kitakaze M et al.: "Elevation of plasma adenosine levels may attenuate the severity of chronic heart failure." Cardiovascular Drugs and Therapy. 12. 307-309 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Minamino T et al.: "Endogenous adenosine inhibits P-selectin-dependent formation of coronary thromboembolism during hypoperfusion in dogs." J Clin Invest. 101. 1643-1653 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Node K et al.: "Role of Ca2+ activated K+ channels in the protective effect of ACE inhibition against ischemic myocardial injury." Hypertension. 31. 1290-1298 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Minamino T et al.: "Increased expression of P-selectin is a risk factor for silent cerebral infarction in patient with atrial fibrilation.Role of nitric oxide." Circulation. 98. 1721-1727 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Minamino T et al.: "Plasma adenosine levels and platelet activation in patients with atrial fibrillation." Am J Cardiol. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitakaze M et al.: "A novel Ca channel blocker,benidipine,increases coronary blood flow and attenuates the severity of myocardial ischemia via NO-dependent Mechanisms in the dogs." J Am Coll Cardiol. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitakaze M et al.: "Ecto-5´-nucleotidase and cardioprotection-Ischemic Heart" Mochizuki S,Dhalla NS,Morgan HE,Poole-Wilson AP,Taniguchi M., 441-450 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 北風政史: "Osaka Heart Club-慢性心不全の治療に関する最近の考え方" Osaka Heart Club, 13-14 (1998)

    • Related Report
      1998 Annual Research Report

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

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