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Liquid ventilation as a bridging to lung transplantation

Research Project

Project/Area Number 12557110
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Thoracic surgery
Research InstitutionTohoku University

Principal Investigator

KONDO Takashi  Institute of Development, Aging and Cancer, Tohoku University, Department of Thoracic Surgery, Professor, 加齢医学研究所, 教授 (10195901)

Co-Investigator(Kenkyū-buntansha) ENDO Chiaki  Tohoku University School of Medicine, Department of Thoracic Surgery, Assistant Professor, 医学部附属病院, 助手 (80333813)
OKADA Yoshinori  Institute of Development, Aging and Cancer, Tohoku University, Department of Thoracic Surgery, Assistant Professor, 加齢医学研究所, 助手 (90323104)
MATSUMURA Yuji  Tohoku University School of Medicine, Department of Thoracic Surgery, Assistant Professor, 医学部附属病院, 助手 (80281997)
HOSHIKAWA Yasushi  Tohoku University School of Medicine, Department of Thoracic Surgery, Assistant Professor, 医学部附属病院, 助手 (90333814)
佐藤 雅美  東北大学, 加齢医学研究所, 助教授 (30250830)
佐川 元保  東北大学, 医学部・附属病院, 講師 (70292274)
谷田 達男  東北大学, 加齢医学研究所, 助教授 (20217144)
Project Period (FY) 2000 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥7,700,000 (Direct Cost: ¥7,700,000)
Fiscal Year 2002: ¥2,700,000 (Direct Cost: ¥2,700,000)
Fiscal Year 2001: ¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2000: ¥2,500,000 (Direct Cost: ¥2,500,000)
KeywordsLiquid ventilation / FC-77 / rat / human pulmonary endothelial cella / human alveolar epithelial cell / respiratory failure / oxygenation / 腸管 / 腹腔 / 低換気 / Liquid Ventilation / 慢性呼吸不全 / 肺移植 / 人工臓器 / Perfluorocarbon
Research Abstract

There has been no applicable ventilation devises to support patients with chronic with respiratory failure. In the present research project, we sought to evaluate whether liquid ventilation using across gut and/or peritoneum would be function to increase oxygenation. We utilized FC-77 in not only cell experiments, but also anesthetized rat models. In cell experiments, we mixed oxygenated FC-77 with human peripheral venous blood in a test tube. We found a marked increase in Pao2 and a decrease in PaCO2 in the first minute following mixture. We also found that FC-77 was able to deliver O2 and absorb CO2 across the monolayers of human pulmonary arterial endothelial cells and human alveolar epithelial cells (A549) in the transwell insert systems. In rat experiments, rats were anesthetized and ventilated with low tidal volume (VT=5ml/kg) at low ventilation rate (f=20), and then oxygenated FC-77 (20ml/kg) was introduced into colon or peritoneal cavity. We found a progressive increase in PaO2 in both colon and or peritoneum experiments over 4 hours following administration of FC compound. However, peritoneal administration seemed to be somewhat superior not only in oxygenation, but also in the ability of removing C02. We believe that FC-77 would be applicable in the rescue of patients with chronic with respiratory failure. Our data obtained in this project indicate that liquid ventilation across the peritoneum would potentially become possible in near future.

Report

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

    (28 results)

All Other

All Publications (28 results)

  • [Publications] Okada Y, et al.: "Transient cold presevation alone stimulates tumor necrosis factor-alpha gene expression in a model of rat sngeneic rat transplantation"Translplantation Proc.. 34. 1111-1113 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Matsumura Y, Okada Y, et al.: "Assessment of brain-dead cadaver donor for lung transplantation"Translplantation Proc.. 34. 2585-2586 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Noda, M, Kondo T: "Single dexamethasone injection increases alveolar fluid clearance in adult rats"Critical Care Med. 31(In press). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tsubochi H, Kondo T: "Early changes in alveolar fluid clearance by nitric oxide after endotoxin instillation in rats"Am J Respir Crit Care Med. 167. 205-210 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishida I, Kondo T: "Hypoxia diminishes Toll-like receptor 4 expression through reactive oxygen species generated by mitochondria in endothelial cells"J Immunol. 169. 2069-2075 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Okada Y et al.: "Transient cold preservation alone stimulates tumor necrosis factor-alpha gene expression in a cold rat synergic rat transplantation"Transplant Proc. 34. 1111-1113 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Matsumura Y et al.: "Assessment of brain-dead cadaver donor for lung transplantation"Transplant Proc. 34. 2585-2586 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Noda M, et al.: "Single dexamethasone injection increases alveolar fluid clearance in adult rats"Crit Care Med. In press. (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tsubochi H, et al.: "Early Changes in Alveolar Fluid Clearance by Nitric Oxide Following Endotoxin Instillation in Rats"Am J Respir Crit Care Med. 167. 205-210 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishida I, et al.: "Hypoxia diminishes Toll-like receptor 4 expression through reactive oxygen species generated by mitochondria in endothelial cells"J Immunol. 169. 2069-2075 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Okada Y, et al.: "Transient cold presevation alone stimulates tumor necrosis factor-alpha gene expression in a model of rat sngeneic rat transplantation"Translplantation Proc.. 34. 1111-1113 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Matsumura Y, Okada Y, et al.: "Assessment of brain-dead cadaver donor for lung transplantation"Translplantation Proc.. 34. 2585-2586 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Noda, M, Kondo T: "Single dexamethasone injection increases alveolar fluid clearance in adult rats"Critical Care Med. 31(in press). (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tsubochi H, Kondo T: "Early changes in alveolar fluid clearance by nitric oxide after endotoxin instillation in rats"Am J Respir Crit Care Med. 167. 205-210 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ishida I, Kondo T: "Hypoxia diminishes Toll-like receptor 4 expression through reactive oxygen species generated by mitochondria in endothelial cells"J Immunol. 169. 2069-2075 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 星川 康, 岡田克典, 近藤丘: "プロスタサイクリンの多様性と今後の展望"メディカルレビュー社. 365 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 松村輔二 他: "肺移植からみた脳死ドナーの管理と評価"ICUとCCU. 25. 353-362 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 松村輔二 他: "本邦における死体肺移植適の現況"低温医学. 27. 87-89 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Tanita T, Kondo T, et al.: "Experience with fatal interstitial pneumonia after operation for lung cancer"J Cardiovascular Surgery. 42. 125-129 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Suzuki S, Kondo T, et al.: "Modulation of transalveolar fluid absorption by endogenous aldosterone in adult rat"Experimental Lung Research. 27. 143-155 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 岡田克典 他: "本邦臨床統計-肺移植"日本臨床. 60. 710-716 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 松村輔二 他: "肺移植から見た脳死ドナーの管理と評価"ICUとCCU. 125(印刷中). (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Sagawa M,Kondo T, et al.: "Segmentectomy for roentgenographically occult bronchogenic squamous cell carcinoma"Ann Thorac Surg. (in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Shimada K,Kondo T, et al.: "Lung transplantation from non-heart-beating donors"Transplant Proc. 32. 279-280 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tanita T, et al.: "Superoxide possibly produced in endotherial cells mediates the neutrophil-induced lung injury"Ann Thorac Surg. 69. 402-408 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Fujimura S,Kondo T, et al.: "A therapeutic approach to roentgenographically occult squamous cell carcinoma of the lung"Cancer. 89. 2445-2448 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Aikawa H,Sagawa M, et al.: "MDM2 expression is associated with progress of disease and WAF1 expression in resected lung cancer"Int J Mol Med. 5. 631-633 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Sato M,Sagawa M, et al.: "Second operation for upper mediastinal lymphadenopathy after complete resection for cancer of the left lung"J Thoracic Cardiovas Surg. 119. 1291-1292 (2000)

    • Related Report
      2000 Annual Research Report

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

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