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Study on pathophysiology of central nervous system in neurogenic pulmonary edema (role of vagal nerve and nitric oxide)

Research Project

Project/Area Number 13671571
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionNagoya University

Principal Investigator

NISHIWAKI Kimitoshi  Nagoya University, University Hospital, Anesthesiology, Assistant Professor, 医学部附属病院, 講師 (10189326)

Co-Investigator(Kenkyū-buntansha) ISHIKAWA Naohisa  Aichi Medical University, Pharmacology, Professor, 医学部, 教授 (80109321)
Project Period (FY) 2001 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2003: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2002: ¥600,000 (Direct Cost: ¥600,000)
Keywordspulmonary edema / neurogenic pulmonary edema / fibrin induced pulmonary edema / vagal nerve / nitric oxide / NMDA receptor / neuropeptide Y / neuropeptide Y-Y3 receptor / 迷走神経切断 / 弧束核 / NO / bNOS
Research Abstract

1.We have evaluated effects of 2 and 4 weeks previous unilateral left-vagotomy on incidence of fibrin induced pulmonary edema and expression of nitric oxide synthase in medulla oblongata in rats. (1)We propose that an increase in nitric oxide, possibly in the nucleus tractus solitarius 2 weeks after left vagotomy, may have an inhibitory action on the development of neurogenic pulmonary edema. (2)Such changes do not occur 4 weeks after left vagotomy.
2.By intracisternal injection of L-glutamete (L-Glu) which promote NO release from nerve terminal through NMDA receptor, we evaluated a, role of NO in central nervous system in a neurogenic pulmonary edema. (1)Expression of NMDAR1 is found in only homonymous nucleus tractus solitarii 2 weeks after left vagotomy, and a quantity of NO increases proportionally to the amount of L-Glu. (2)Intracisternal injection of L-Glu decreases incidence of fibrin induced pulmonary edema and amount of pulmonary wet weight. (3)Such inhibitory effect of L-Glu was blocked in L-NAME and MK0-801,but it was not blocked in D-NAME. (4)We propose that an increase in nitric oxide, possibly mediated by intracisternal administration of L-Glu through NMDA receptor, may have an inhibitory action on the development of neurogenic pulmonary edema.
3.We have evaluated effects of neuropeptide Y (NPY) on permeability changes in rat aorta endothelial cell (RAEC) monolayer in a state of normoxia and hypoxia. (1)NPY increases permeability of RAEC monolayer in dose dependent manner in a hypoxia state, and these changes were not seen in normoxia. (2)We propose that NPY increases permeability on RAEC monolayer through NPY-Y3 receptor in a hypoxia state.

Report

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

    (24 results)

All Other

All Publications (24 results)

  • [Publications] 馮 国剛: "左側迷走神経切断による神経原性肺水腫の発生の抑制について-延髄NOSの発現との関連"第100回日本薬理学会近畿部会. 25 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 馮 国剛: "左迷走神経切断による神経原性肺水腫の発生抑制"日本集中治療医学会雑誌. Vol.9S. 118 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Guo Gang Feng: "Inhibition of fibrin-induced neurogenic pulmonary edema by previous unilateral left-vagotomy correlates with increased levels of brain nitric oxide synthase in the nucleus tractus solitarii of rats."Autonomic Neuroscience : Basic and Clinical. 102. 1-7 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 西脇公俊: "ALI/ARDSの診断基準、重症度判定基準"現代医療. 3号巻増刊III. 65-70 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 南 勇善: "Neuropeptide Yの大動脈内皮細胞monolayer透過性に対する影響-hypoxiaとnormoxiaとの比較"Journal of Anesthesia. Vol.17S. 415 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 近藤博子: "フィブリン肺水腫モデルを用いたラット神経原性肺水腫におけるL-glutamate脳室内投与の影響"日本集中治療医学会雑誌. Vol.11S. 203 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 西脇公俊: "ARDSのすべて-神経原性肺水腫と神経性血管透過性亢進"別冊・医学のあゆみ. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 西脇公俊(分担執筆): "SIRSの病態と治療 I ALI/ARDS(VII特殊なALI/ARDS 2.神経原性肺水腫)(相川直樹監修、藤島清太郎編集)"医薬ジャーナル社. 259(分担分6) (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Guo Gang Feng: "Inhibition of fibrin induced neurogenic pulmonary edema by previous unilateral left-vagotomy correlates with increased levels of brain nitric oxide synthase."Journal of the Japanese society of pharmacology Kinnki section 100^<th> meeting. 25. (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Guo Gang Feng: "Inhibition of neurogenic pulmonary edema by unilateral left-vagotomy."Journal of the Japanese society of intensive care medicine. Vol.9S. 118 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Guo Gang Feng: "Inhibition of fibrin-induced neurogenic pulmonary edema by previous unilateral left-vagotomy correlates with increased levels of brain nitric oxide synthase in the nucleus tractus solitarii of rats."Autonomic Neuroscience : Basic and Clinical. 102. 1-7 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kimitoshi Nishiwaki: "Diagnostic criteria and severity score in ALI/ARDS"Gendaiiryou. 34(III). 65-70 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuuzenn Nann: "effects of neuropeptide Y on permeability across the aortic endothelial cell monolayer -with special comparison between normoxia and hypoxia."Journal of Anesthesia. Vol17S. 415 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hiroko Kondo: "effects of L-glutamate intracisternal injection on fibrin induced neurogenic pulmonary edema."Journal of the Japanese society of intensive care medicine. Vol.11S. 203 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kimitoshi Nishiwaki: "ARDS -neurogenic pulmonary edema and neurogenic vascular hyper pearmeability"(in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kimitoshi Nishiwaki: "Pathophysiology and therapy of SIRS I ALI/ARDS (VII 2. Neurogenic pulmonary edema)."Iyaku-journal. 220-226 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 南 勇善: "Neuropeptide Yの大動脈内皮細胞monolayer透過性に対する影響-hypoxiaとnormoxiaとの比較"Journal of Anesthesia. Vol.17S. 415 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 近藤 博子: "フィブリン肺水腫モデルを用いたラット神経原性肺水腫におけるL-glutamate脳室内投与の影響"日本集中治療医学会雑誌. Vol.11S. 203 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 西脇 公俊: "ARDSのすべて-神経原性肺水腫と神経性血管透過性亢進"別冊・医学のあゆみ. (in press).

    • Related Report
      2003 Annual Research Report
  • [Publications] 西脇 公俊(分担執筆): "SIRSの病態と治療 IALI/ARDS(VII特殊なALI/ARDS 2.神経原性肺水腫)"医薬ジャーナル社(相川直樹 監修、藤島清太郎 編集). 259(6) (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Guo Gang Feng, Kimitoshi Nishiwaki, et al.: "Inhibition of fibrin-induced neurogenic pulmonary edema by previous unilateral left-vagotomy correlates with increased levels of brain nitric oxide synthase in the nucleus tractus solitarii of rats"Autonomic Neuroscience Basic and Clinical. 102. 1-7 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 西脇公俊: "ALI/ARDSの診断基準、重症度判定基準"現代医療. 34巻増刊III. 65-70 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 馮 国剛: "左側迷走神経切断による神経原性肺水腫の発生の抑制について…延髄NOSの発現との関連"第100回日本薬理学会近畿部会. 25 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 馮 国剛: "左側迷走神経切断による神経原性肺水腫の発生抑制"日本集中治療医学会雑誌. Vol.9 S. 118 (2002)

    • Related Report
      2001 Annual Research Report

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Published: 2002-04-01   Modified: 2025-11-20  

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