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Neurochemical studies on pathophysiology and treatment of attention deficit hyperactivity disorder

Research Project

Project/Area Number 13670852
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionDepartment of Pediatrics and Child Health, Kurume University School of Medicine

Principal Investigator

YAMASHITA Yushiro  Kurume University of Medicine, Assistant Professor, 医学部, 講師 (90211630)

Co-Investigator(Kenkyū-buntansha) MATSUISHI Toyojiro  Kurume University of Medicine, Professor, 医学部, 教授 (60157237)
NISHI Akinori  Kurume University of Medicine, Assistant Professor, 医学部, 講師 (50228144)
YAMADA Shigeto  Saga University of Medicine, Professor, 医学部, 教授 (20158190)
ISHIMATSU Masaru  Kurume University of Medicine, Assistant Professer, 医学部, 講師 (90268839)
KITANI Yuri  Kurume University of Medicine, Instructor, 医学部, 助手 (70341302)
石橋 正敏 (石橋 正俊)  久留米大学, 医学部, 助教授 (20168256)
岡村 尚昌  久留米大学, 文学部, 助手
石田 重信  久留米大学, 医学部, 講師 (30248405)
Project Period (FY) 2001 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2004: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2003: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2002: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2001: ¥900,000 (Direct Cost: ¥900,000)
KeywordsAttention deficit / hyperactivity disorder, dopamine / β-phenylethylamine / urine / methylphenidate / milnaciplan / locus ceruleus noradorenaline / treatment / メチルフェニデート / ミルナシプラン / 薬物療法 / 神経伝達物質 / 唾液 / MHPG / 薬物治療 / 非薬物療法 / 自閉性障害 / methylphenidate / monoamine oxidase B
Research Abstract

We measured the urine levels of β-phenylethylamine (PEA) and other monoamines to clarify the neurochemical mechanism in attention deficit hyperactivity disorder (ADHD). PEA levels were significantly lower in ADHD individuals (n=37) than in controls (n=21). The 22 children with ADHD were treated with methylphenidate. PEA levels significantly increased after methylphenidate therapy in responders (n=18), whereas they did not increase in non-responders. To develop new treatment for ADHD, we examined effects of milnaciplan (MIL), a selective serotonin and noradorenaline (NA) reuptake inhibitor, on the neuronal excitability and synaptic transmission in the rat locus ceruleus (LC) by intracellular and whole-cell patch-clamp recording techniques. We compared MIL and methylphenidate (MPH). Application of MPH and MIL to artificial CSF produced a hyperpolarizing response in LC neurons in a concentration-dependent manner. Spontaneous firing of LC neurons was blocked during the hyperpolarization. Under the whole-cell patch-clamp condition, prolonged application of MIL produced an outward current which lasted as long as MIL existed in the ACSF. The outward current induced by NA was enhanced by MIL in LC neurons. MIL enhanced the amplitude and duration of the inhibitory postsynaptic potential, while it depressed the excitatory postsynaptic potential. The results indicated that both MIL and MPH showed almost the same effects on neural activity and synaptic transmission in the rat LC. These results suggest that MIL increases the concentration of NA at synaptic cleft by inhibiting the NA reuptake system in the rat LC.

Report

(5 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (27 results)

All 2005 2004 2002 2001 Other

All Journal Article (16 results) Book (2 results) Publications (9 results)

  • [Journal Article] わが国と世界のAD/HD診断・治療ガイドラインの現状2005

    • Author(s)
      山下裕史朗
    • Journal Title

      小児の精神と神経 45(1)

      Pages: 7-10

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] ラット青斑核ニューロンの神経活動に対するmilnacipranの作用-methylphenidateとの比較-2005

    • Author(s)
      木谷有里, 石松秀, 桑波田卓, 山下裕史朗, 赤須崇, 松石豊次郎
    • Journal Title

      脳と発達 37

      Pages: 31-38

    • NAID

      10015436008

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] ラット青斑核ニューロンの神経活動に対するmilnacipranの作用-methlphenidateとの比較-2005

    • Author(s)
      木谷有里, 石松秀, 桑波田卓, 山下裕史朗, 松石豊次郎 他
    • Journal Title

      脳と発達 37

      Pages: 31-38

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 注意欠陥多動性障害の包括的治療:ニューヨーク州立バッファロー校と久留米での実践2004

    • Author(s)
      山下裕史朗
    • Journal Title

      筑後小児科医会会報 15

      Pages: 7-14

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 久留米市とその周辺地域における軽度発達障害児の支援システム2004

    • Author(s)
      山下裕史朗
    • Journal Title

      LDシステム 13(1)

      Pages: 53-58

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 注意欠陥多動性(ADHD)に対する薬物療法2004

    • Author(s)
      山下裕史朗, 松石豊次郎
    • Journal Title

      小児科 45(7)

      Pages: 1235-1239

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 久留米保健福祉環境事務所の「就学前の気になるお子さまの相談」の現状2004

    • Author(s)
      山下裕史朗
    • Journal Title

      チャイルドヘルス 7(2)

      Pages: 67-70

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 注意欠陥多動性(ADHD)に対する薬物療法2004

    • Author(s)
      山下裕史朗, 松石豊次郎
    • Journal Title

      小児科 45・7

      Pages: 1235-1239

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 久留米保健福祉環境事務所の「就学前の気になるお子様の相談」の現状2004

    • Author(s)
      山下裕史朗
    • Journal Title

      チャイルドヘルス 7・2

      Pages: 151-154

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 久留米市とその周辺地域における軽度発達障害児の支援システム2004

    • Author(s)
      山下裕史朗, 水間宗幸
    • Journal Title

      LD研究 13・1

      Pages: 53-58

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 注意欠陥多動性障害の包括的治療:ニューヨーク州立バッファロー校と久留米市での実践2004

    • Author(s)
      山下裕史朗
    • Journal Title

      筑後小児科医会会報 10

      Pages: 7-14

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Increased urine phenylethylamine after methylphenidate treatment in children with ADHD2002

    • Author(s)
      Kusaga A, Yamashita Y, Koeda T, Hiratani M, Kaneko M, Yamada M, Matsuishi T
    • Journal Title

      Ann Neurol 52

      Pages: 371-374

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Increased urine phenylethylamine after methylphenidate treatment in children with ADHD.2002

    • Author(s)
      Kusaga A, Yamashita Y, Koeda T, Hiratani M, Kaneko M, Yamada M, Matsuishi T
    • Journal Title

      Ann Neurol 52

      Pages: 371-374

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] わが国における注意欠陥多動性障害診療におけるmethylphenidate投与の問題点2001

    • Author(s)
      山下裕史朗, 久佐賀晃, 福井隆一, 吉田一郎, 松石豊次郎
    • Journal Title

      脳と発達 33(2)

      Pages: 181-183

    • NAID

      10007910683

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 注意欠陥多動障害(ADHD)概論-生化学的背景2001

    • Author(s)
      松石豊次郎, 山下裕史朗, 久佐賀晃, 藤本千津
    • Journal Title

      小児科診療 6

      Pages: 933-938

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 向精神薬「注意欠陥多動性障害診療におけるメチルフェニデート投与を考える」2001

    • Author(s)
      山下裕史朗, 藤本千津, 吉田一郎, 松石豊次郎
    • Journal Title

      日本小児臨床薬理学会雑誌 14(2)

      Pages: 81-84

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] 小児科学 第2版2002

    • Author(s)
      松石豊次郎
    • Publisher
      医学書院
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] 第2版 ベッドサイドの小児の診かた2001

    • Author(s)
      山下裕史朗
    • Publisher
      東京.南山堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] 山下 裕史朗: "久留米保健福祉環境事務所の「就学前の気になるお子様の相談」の現状"チャイルドヘルス. 7・2. 67-70 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 山下 裕史朗: "小児の神経精神疾患の薬物療法-ADHDの薬物療法-"小児科診療. (印刷中). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 久佐賀 晃: "Increased urine phenylethylamine after methylphenidate treatment in children with ADHD"Annals of Neurology. 52. 371-374 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 久佐賀 晃: "注意欠陥多動性障害、自閉性障害における尿中β-phenylethylamineの検討"脳と発達. 34. 243-248 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 松石 豊次郎: "注意欠陥多動性障害 概論-生物学的背景"小児科診療. 65巻6号. 933-938 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 山下 裕史朗: "落ち着きがないこどもたち:注意欠陥・多動性障害"第2版 ベッドサイドの小児の診かた. 806-809 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 久佐賀 晃: "注意欠陥多動性障害、自閉性障害における尿中β-phenylethylamineの検討"脳と発達. (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 松石 豊次郎, 山下 裕史朗, 久佐賀 晃, 藤本 千津: "注意欠陥多動性障害(ADHD)概論 (2)生物学的背景"小児科診療. (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] 山下 裕史朗, 藤本 千津, 吉田 一郎, 松石 豊次郎: "抗精神薬「注意欠陥多動性障害診療におけるメチルフェニデート投与を考える」"小児臨床薬理学会雑誌. (2002)

    • Related Report
      2001 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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