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Remodeling of the airway in the Asthmatic patients

Research Project

Project/Area Number 14570571
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionFujita Health University

Principal Investigator

OKAZAWA Mitushi  Fujita Health University, Faculty of Medicine, Professor, 医学部, 教授 (40152293)

Project Period (FY) 2002 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2005: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2002: ¥800,000 (Direct Cost: ¥800,000)
KeywordsBronchial asthma / Airway remoderlling / Ultrasonic catheter / HRCT / Mast cell / 3D reconstruction / 咳喘息 / 喉頭アレルギー / 気道過敏性 / 気管支鏡 / 咳喘息(CVA) / 喉頭アレルギー(LA) / 気道平滑筋 / 気管支攣縮 / 気道抵抗 / ボディプレチスモグラム / 平滑筋stiffness / 気道弛緩作用 / メサコリン / 気道モデリング / 超音波血管カテーテル / 気道壁構築 / 気道収縮 / internal perimeter / 気道支鏡 / 末梢気道
Research Abstract

Project 1 : Use of ultrasonic catheter to investigate airway structure
Ultrasonic catheter was used for real time detection of airway wall in human. Although there was significant artifact in the image while breathing, airway narrowing was detected. Since airway was locally filled with saline, artifact could be resulted from surrounded lung air. This method could be used while patient are receiving bronchoalveolar lavage, since airway and alveolus is filled with saline.
Project 2 : Use of HRCT to investigate airway narrowing during bronchoconstriction
URCT and MPR (Multi Plane Reconstruction) was used to obtain the airway cross-sectional image perpendicular to the long axis of the airway. The airway lumen was not circle, rather oval. The aspect ratio of the airway ranged approximately 0.5-0.8. After bronchoconstriction induced by methacholine inhalation did not change the aspect ratio. Using MPR will provide better understanding of the airway narrowing.
Project 3 : The effect of deep inspi … More ration during induce bronchoconstriction
Effect of deep inspiration was investigated in normal volunteer and asthmatic patients. In the normal volunteers, methacholine induce bronchokonstriction was reversed after deep inspiration but not in asthmatics. This reverse effect in normal volunteers did not last 5 minutes. In the week bronchoconstriction, reverse effect of deep inspiration was effective in both normal volunteer and asthmatics. The length of reverse effect, however, did not last 5 minutes.
Project 4 : Distribution of mast cell in the airway of Cough variant athsma (CVA) and Laryngeal allergy (LA)
Mucosal biopsy was done at larynx, carina and membranous portion of trachea and right 2^<nd> carina. The mast cells were equally distributed in these sites and there were no significant difference. Mast cell was significantly abandon in the membranous trachea in CVA than LA.
Project 5 : 3D reconstruction of bronchoconstricted airway
3D reconstruction of the images obtained from induced bronchoconstriction in guinea pig was investigated. Mucosal fold was longitudinally continued in the central airway. It succeeded even at branches. In the cartilaginous airway, membranous bronchiole as the daughter branch debuted. Since the membranous bronchiole has less smooth muscle compared with main airway, the luminal area was wider than main stem. Less

Report

(5 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (16 results)

All 2005 2004 2003 Other

All Journal Article (12 results) Publications (4 results)

  • [Journal Article] 慢性咳艘嗽患者の喉頭における肥満細胞について2005

    • Author(s)
      清水秀康 他
    • Journal Title

      アレルギー 54巻8,9号

      Pages: 780-780

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Mast cell infiltration in the larynx of patients with chronic cough2005

    • Author(s)
      Shimizu H. et al.
    • Journal Title

      Arerugi 54

      Pages: 780-780

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 慢性咳嗽患者の喉頭における肥満細胞について2005

    • Author(s)
      清水秀康 他
    • Journal Title

      アレルギー(第55回日本アレルギー学界秋季学術大会号) 54巻8,9号

      Pages: 780-780

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 起動壁の肥厚および肺胞の破壊と気流のかかわりは?2004

    • Author(s)
      岡澤光芝
    • Journal Title

      呼吸器科 6巻4号

      Pages: 307-313

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] The relationship between airway wall thickness and alveolar destruction to the air flow limitation2004

    • Author(s)
      Okazawa M.
    • Journal Title

      Kokyuukika 6

      Pages: 307-313

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 拡散機能測定と呼吸機能評価2004

    • Author(s)
      清水秀康, 岡澤光芝
    • Journal Title

      呼吸 23巻5号

      Pages: 381-386

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 呼吸器疾患患者特異的機能状態に関する尺度の日本語版の開発2004

    • Author(s)
      小島重子, 安藤守秀, 岡澤光芝 他
    • Journal Title

      日本呼吸器学会雑誌 42巻6号

      Pages: 367-380

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 利尿剤(アセタゾラミド・フロセミド)による呼吸調節機能の変化2004

    • Author(s)
      林正道, 岡澤光芝
    • Journal Title

      Medicina 41巻7号

      Pages: 2004-2007

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 気道壁の肥厚および肺胞の破壊と気流閉塞のかかわりは?2004

    • Author(s)
      岡澤光芝
    • Journal Title

      呼吸器科 6巻4号

      Pages: 307-313

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 肺結核後遺症患者における6分間歩行試験の意義2004

    • Author(s)
      安藤守秀, 森 厚, 岡澤光芝 他
    • Journal Title

      日本呼吸管理学会誌 14巻2号

      Pages: 251-255

    • NAID

      130006199543

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 喘息重症化における気道リモデリングの意義2003

    • Author(s)
      岡澤光芝 他
    • Journal Title

      日本呼吸器学会雑誌 41巻・増刊3号

      Pages: 12-12

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Remodelling of the airway in the severe athma2003

    • Author(s)
      Okazawa M et al.
    • Journal Title

      Nihon Kokyukigakkai Zassi 41

      Pages: 12-12

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Publications] Imaizumi K, Sakakibara H, Okazawa M: "Deep Inspiration does not keep airway open after methacholine induced bronchokonstriction"Am.J.Respir, Crit.Care Med.. 167. A181 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 岡澤光芝, 田中一徹, 榊原博樹: "喘息重症化における気道リモデリングの意義"日本呼吸器学会雑誌. 41巻3号. 12 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Ando M, Mori A, Esaki H, Shiraki T, Uemura H, Okazawa M, Sakakibara H: "The effect of pulmonary rehabilitation in patients with post-tuberculosis lung"Chest. 23. 1988-1995 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 岡澤光芝, 田中一徹, 榊原博樹: "喘息重症化における気道リモデリングの意義"日本呼吸器学会雑誌. 41巻・増刊3号. 12 (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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