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Development of Bionic Baroreflex System for Treatment of Orthostatic Hypotension due to Shy-Drager Syndrome

Research Project

Project/Area Number 11694337
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Biomedical engineering/Biological material science
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

SUNAGAWA Kenji  National Cardiovascular Center Research Institute, Cardiovascular Dynamics, Director, 循環動態機能部, 部長 (50163043)

Co-Investigator(Kenkyū-buntansha) SATO Takayuki  Kochi Medical School, Medicine, Professor, 第二生理学, 教授 (90205930)
KAWADA Toru  National Cardiovascular Center Research Institute, Cardiovascular Dynamics, Senior staff, 循環動態機能部, 室長 (30243752)
SUGIMACHI Masaru  National Cardiovascular Center Research Institute, Cardiovascular Dynamics, Senior staff, 循環動態機能部, 室長 (40250261)
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥9,100,000 (Direct Cost: ¥9,100,000)
Fiscal Year 2001: ¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2000: ¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 1999: ¥3,300,000 (Direct Cost: ¥3,300,000)
Keywordsarterial baroreflex / Shy-Drager syndrome / dynamics / sympathetic nerve / orthostatic hypotension / bionics / systems physiology / バイオニック / フィードバックシステム
Research Abstract

Background : We developed a bionic technology for the treatment of baroreflex failure, and tested its efficacy in restoration of arterial pressure against head-up tilt (HUT) in rats with baroreflex failure.
Methods and Results : The bionic baroreflex system (BBS) was a negative feedback system controlled by a computer, the artificial vasomotor center. It sensed systemic arterial pressure (SAP) through a micromanometer placed in the aortic arch and automatically computed the frequency of a pulse train to stimulate sympathetic efferent nerves. We selected the celiac ganglion as the sympathetic vasomotor interface for the BBS, because the abdominal vascular bed innervated by the greater splanchnic nerve is a major effector mechanism for the baroreflex control of arterial pressure. To make this system to be BIONIC, the operational rule of the artificial vasomotor center (H_<BRP→STM>) was actively matched to that of the native center. First, we identified the open-loop transfer functions of the native baroreflex control of SAP (H_<Native>) and the response of SAP to electrical stimulation of the celiac ganglion (H_<STM→SAP>). We computed H_<BRP→STM> from H_<Native>/H_<STM→SAP>, and transplanted the operational rule into the computer. In 10 rats with baroreflex failure, we evaluated the performance of the BBS during rapid hypotension induced by HUT. Abrupt head-up tilting dropped SAP by 34±6 mmHg in 2 sec, and by 52±5 mmHg in 10 sec. During real-time execution of the BBS, on the other hand, the fall in SAP was 21±5 mmHg at 2 sec, and 15±6 mmHg at 10 sec after HUT. These arterial responses controlled by the BBS were indistinguishable from those by the native baroreflex.
Conclusions : We concluded that the BBS revitalized the native baroreflex function in rats with baroreflex failure.

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (30 results)

All Other

All Publications (30 results)

  • [Publications] Toru Kawada: "New strategy to estimate total baroreflex gain using an equilibrium diagram of arterial baroreflex"J Appl Physiol. (In press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toru Kawada: "High-cut characteristics of the baroreflex neural arc preserve baroreflex gain against pulsatile pressure"Am J Physiol (Heart Circ Physiol). 282・3. H1149-H1156 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yasunori Nakayama: "Heart rate-independent vagal effect on end-systolic elastance of the canine left ventricle under various levels of sympathetic tone"Circulation. 104・19. 2277-2279 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toru Kawada: "In vivo assessment of acetylcholine-releasing function at cardiac vagal nerve terminals"Am J Physiol (Heart Circ Physiol). 281・1. H139-H145 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toshiaki Shishido: "Single-beat estimation of end-systolic elastance using bilinearly approximated time-varying elastance curve"Circulation. 102・16. 1983-1989 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Takayuki Sato: "Novel therapeutic strategy against central baroreflex failure : a bionic baroreflex system"Circulation. 100・3. 299-304 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toru Kawada et al: "New strategy to estimate total baroreflex gain using an equilibrium diagram of arterial baroreflex"J appl Physiol. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Tolru Kawada et al: "High-cut characteristics of the baroreflex neural arc preserve baroreflex gain against pulsatile pressure"Am J Physiol (Heart Circ Physiol). 283(3). H1149-H1156 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yasunori Nakayama et al: "Heart rate-independent vagal effect on end-systolic elastance of the canine left ventricle under various levels of sympathetic tone"Circulation. 104(19). 2277-2279 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toru Kawada et al: "In vivo assessment of acetylcholine-releasing function at cardiac vagal nerve terminals"Am J Physiol (Heart Circ Physiol). 281(1). H139-H145 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toshiaki Shinshido et al: "Single-beat estimation of end-systolic elastance using bilinearly approximated time-varying elastance curve"Circulation. 102(16). 1983-1989 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Takayuki Sato et al: "Novel therapeutic strategy against central baroreflex failure : a bionic baroreflex system"Circulation. 100 (3). 299-304 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Toru Kawada: "A novel photocurable insulator material for autonomic nerve activity recording"Biomaterials. (in press).

    • Related Report
      2001 Annual Research Report
  • [Publications] Toru Kawada: "New strategy to estimate total baroreflex gain using an equilibrium diagram of arterial baroreflex."J Appl Physiol. (in press).

    • Related Report
      2001 Annual Research Report
  • [Publications] Toni Kawada: "High-cut characteristics of the baroreflex neural arc preserve baroreflex gain against pulsatile pressure"Am J Physiol (Heart Circ Physiol).. 282・3. H1149-H1156 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yasunori Nakayama: "Heart rate-independent vagal effect on end-systolic elastance of the canine left ventricle under various levels of sympathetic tone"Circulation. 104・19. 2277-2279 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yasunori Nakayama: "Laterality in direct and indirect inotropic effects of sympathetic stimulation in isolated canine heart"Jpn J Physiol. 51・3. 365-370 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Toru Kawada: "In vivo assessment of acetylcholine-releasing function at cardiac vagal nerve terminals."Am J Physiol (Heart Circ Physiol). 281・1. H139-H145 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kawada T: "Dynamic sympathetic control of atrioventricular conduction time and heart period."Am J Physiol (Heart Circ Physiol.). 280. H1602-H1607 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawada T: "Differential dynamic baroreflex regulation of cardiac and renal sympathetic nerve activities."Am J Physiol (Heart Circ Physiol.). 280. H1581-H1590 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawada T: "Vagosympathetic interactions in ischemia-induced myocardial norepinephrine and acetylcholine release."Am J Physiol (Heart Circ Physiol.). 280. H216-212 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawada T: "Counteraction of aortic baroreflex to carotid sinus baroreflex in a neck suction model."J Appl Physiol.. 89. 1979-1984 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Shishido T: "Single-beat estimation of end-systolic elastance using bilinearly approximated time-varying elastance curve."Circulation.. 102. 1983-1989 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawada T: "Local epinephrine release in the rabbit myocardial interstitium in vivo."J Auton Nerv Syst.. 78. 94-98 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawada T: "Summation of dynamic transfer characteristics of left and right carotid sinus baroreflexes in rabbits"Am J Physiol. 277. H857-H865 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Sato T: "Novel therapeutic strategy against central baroreflex failure : a bionic baroreflex system"Circulation. 100. 299-304 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nakahara T: "Neuronal uptake affects dynamic characteristics of heart rate response to sympathetic stimulation"Am J Physiol. 277. R140-R146 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Sato T: "New analytic framework for understanding sympathetic baroreflex control of arterial pressure"Am J Physiol. 276. H2251-H2261 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kawada T: "Simultaneous identification of static and dynamic vagosympathetic interactions in regulating heart rate"Am J Physiol. 276. R782-R789 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Sato T: "New simple methods for isolating baroreceptor regions of carotid sinus and aortic depressor nerves in rats"Am J Physiol. 276. H326-H332 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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