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Diagnosis of malignant hyperthermia susceptibility : by measuring change in myoplasmic calcium concentration in cultured human skeletal muscle cells and genetic analysis

Research Project

Project/Area Number 12470321
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionHIROSHIMA UNIVERSITY

Principal Investigator

YUGE Osafumi  Hiroshima University, Medical and Dental Hospital, Professor, 医学部・歯学部附属病院, 教授 (40034128)

Co-Investigator(Kenkyū-buntansha) FUKUDA Hideki  Hiroshima University, Medical and Dental Hospital, Research Associate, 医学部・歯学部附属病院, 助手 (00294588)
NIINAI Hiroshi  Hiroshima University, Medical and Dental Hospital, Assistant Professor, 医学部・歯学部附属病院, 講師 (50208112)
KAWAMOTO Masashi  Hiroshima University, Graduated of Biomedical Science, Associate Professor, 大学院・医歯薬学総合研究科, 助教授 (40127642)
前原 康宏  広島大学, 医学部・附属病院, 講師 (20238877)
Project Period (FY) 2000 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥11,600,000 (Direct Cost: ¥11,600,000)
Fiscal Year 2003: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2002: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2001: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2000: ¥6,500,000 (Direct Cost: ¥6,500,000)
KeywordsMalignant Hyperthermia / Skeletal muscle / Ca-induced Ca release / Cell culture / Calcium homeostasis
Research Abstract

We measured the rate of CICR (Ca-induced Ca release) in 65 patients who had anesthesia-related malignant hyperthermia(MH) history, MH family history or diseases associated with MH. There were 18 patients with accelerated CICR rate and 47 patients with normal CICR rate. We succeeded to culture myoblast from 41 muscle strips. We studied the effect of caffeine on the calcium concentration in human myotubes made up of cultured skeletal muscle cells from 4 patients of accelerated CICR rate and 6 patients of normal CICR rate. The caffeine induced increase in calcium concentration of accelerated CICR rate group was significantly higher than normal CICR rate group. We studied the effect of halothane on the calcium concentration in human myotubes made up of cultured skeletal muscle cells from 2 patients of accelerated CICR rate and 4 patients of normal CICR rate. There was no significant difference of halothane-induced calcium increase between these two groups, because we guessed that 6 subjects was so few. We made genetic analysis of six mutations of the ryanodine receptor (RYR1) in 8 patients, but we didn't find out any mutations of the RYR1. We need much time and cost to search MH-linked mutations of RYR1, because RYR1 consists of 5000 amino acids and A7H related mutations on RYTR1 were reported almost 40 points.

Report

(5 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • Research Products

    (39 results)

All Other

All Publications (39 results)

  • [Publications] Yuge O.: "Overview of malignant hyperthermia in japan"Proc. 6^<th> AJSA. 15-18 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 須山豪通, 河本昌志, 弓削孟文: "悪性高熱症の治療に関するアンケート調査の結果報告"麻酔と蘇生. 36(2). 47-48 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 藤中和三, 倉迫敏明, 多田恵一, 向田圭子, 弓削孟文: "初発症状が帝王切開術前の高CPK血症であった筋緊張性ジストロフィーの一例"臨床麻酔. 24(5). 828-831 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 前原康弘, 向田圭子, 河本昌志, 弓削孟文: "本邦における1990年以降の悪性高熱症死亡症例の検討"臨床麻酔学会誌. 20(6). 385-389 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 向田圭子, 弓削孟文: "悪性高熱症の診断と治療"綜合臨床. 50(1). 137-138 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 弓削孟文, 向田圭子: "悪性高熱症-いつ発症したと診断し,治療を開始するか?-"麻酔. 50(増). S137-S143 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kawamoto M, Mukaida K, Maehara Y, Yuge O: "Prediction of accelerated Ca-induced Ca release rate by clinical findings in malignant hyperthermia susceptible subjects"in vivo. 15. 45-48 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 弓削孟文, 向田圭子: "悪性高熱症"現代医療. 33. 52-58 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 弓削孟文, 向田圭子: "悪性高熱症 本邦臨床統計集(3)"日本臨床. 60(増1). 635-642 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Suyama H., Kawamoto H., Yuge O.: "Prevention and treatment of malignant hyperthermia in certified training hospital in Japan"J Anesth. 16. 207-210 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 分担執筆 河本昌志: "麻酔科診療プラクティス1 悪性高熱症を疑われる患者 (編集者 高崎真弓,弓削孟文,稲田英一,岩崎寛)"発行者 浅井 宏祐 発行所 文光堂. 247 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 分担執筆 弓削孟文: "麻酔科診療プラクティス5 ワンポイントアドバイス-骨格筋の構造- (編集者 高崎真弓,弓削孟文,稲田英一,岩崎寛)"発行者 浅井 宏祐 発行所 文光堂.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuge O.: "Overview of malignant hyperthermia In Japan"Proc.of 6^<th> AJSA. 15-18 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Maehara Y., Mukaida K., Kawamoto M., Yuge O.: "An analysis of fatal malignant hyperthermia cases after 1990 in Japan"J Japan Society for Clin.Anesth. 20. 385-390 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kawamoto M., Mukaida K., Maehara Y., Yuge 0.: "Prediction of accelerated Ca-induced Ca release rate by clinical findings in malignant hyperthermia susceptible subjects"in vivo. 15. 45-48 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuge O.: "Malignant hyperthermia -When do we diagnose and begin to treatment malignant hyperthermia? -"Masui. 50. S137-S143 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuge O., Mukaida K.: "Malignant hyperthermia up to date"New Horizon for Medicine. 33. 52-58 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuge O., Mukaida K.: "Malignant hyperthermia Clinical statistics in Japan"Nippon Rinsho. 60. 635-642 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Suyama H., Kawamoto M., Yuge O.: "Prevention and treatment of malignant hyperthermia in certified training hospitals in Japan : a questionnaire"J Anesth. 16. 207-210 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 向田圭子 他: "ヒト骨格筋培養細胞における診断法の研究"麻酔と蘇生. 39・1. 29 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 岡崎賢治 他: "酸素-空気-イソフルランによる全身麻酔からの覚醒時に悪性高熱症が疑われた一症例"麻酔と蘇生. 39・1. 29 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 向田圭子 他: "わが国の悪性高熱症(劇症型)の集計(2002年)"麻酔と蘇生. 39・1. 30 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 向田圭子 他: "悪性高熱症および類似疾患におけるCICR(Ca-induced Ca release)速度の検討"臨床麻酔学会誌. 23・8. S406 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Hidemichi Suyama et al.: "Prevention and treatment of malignant hyperthermia in certified training hospitals in Japan ; a questionnaire"J Anesth. 16. 207-210 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 弓削孟文: "ワンポイントアドバイス-骨格筋の構造-"麻酔科診療プラクティス5(麻酔科医に必要な局所解剖). 160-161 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 向田圭子 他: "悪性高熱症劇症型の臨床症状は発症年齢で差があるか?"J Anesth. 16(supl). 413 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 弓削孟文, 向田圭子: "悪性高熱症up to date"現代医療. 33(3). 52-58 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 弓削孟文: "悪性高熱症 -いつ発症したと診断し,治療を開始するか?-"麻酔. 50(増). S137-S143 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 弓削孟文, 向田圭子: "悪性高熱症 本邦臨床統計集(3)"日本臨牀. 60(増1). 635-642 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 向田圭子, 弓削孟文: "悪性高熱症診断基準の見直しは必要か?"麻酔と蘇生. 37(3・4). 103 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 弓削孟文, 河本昌志, 向田圭子, 前原康宏: "わが国の悪性高熱症(劇症型)の集計(2001年)"麻酔と蘇生. 37(3・4). 103 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 向田圭子, 前原康宏, 大下恭子, 弓削孟文: "Bリンパ球の悪性高熱症に関連するカルシウム動態の検討"麻酔と蘇生. 37(3・4). 103 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 弓削孟文,佐伯昇,前原康宏,河本昌志,向田圭子: "ヒト培養骨格筋細胞を用いた悪性高熱症の診断の誌み-カフェインとハロタン刺激によるカルシウム動態の検討-"Journal of Anesthesia. 14(sup.). 5 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Kawamoto M,Mukaida K,Maehara Y,Yuge O: "Prediction of Ca-induced Ca release rate by clinical findings in malignant hyperthermia susceptible humans"in vivo. 15(1)(in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 前原康宏,向田圭子,河本昌志,弓削孟文: "本邦における1990年以降の悪性高症死亡症例の検討"臨床麻酔学会誌. 20(6). 385-389 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 向田圭子,弓削孟文: "悪性高熱症の診断と治療"総合臨牀. 50(1). 137-138 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 藤中和三,倉迫敏明,多田恵一,向田圭子,弓削孟文: "初発症状が帝王切開術前の高CPK血症であった筋緊張性ジストロフィーの一例"臨床麻酔. 24(5). 828-831 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 須山豪通,河本昌志,弓削孟文: "悪性高熱症の治療に関するアンケート調査の結果報告"麻酔と蘇生. 36(2). 47-48 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 分担執筆 前原康宏: "専門医のための麻酔科学レビュー2000,20.悪性高熱症"監修者 天羽敬祐 発行者 渡辺嘉之 発行所 総合医学所. 284 (2000)

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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