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Patho-physiological analysis for the mechanism of neonatal haemostatic and neonatal thrombosis, and exploration of the new therapeutic approach

Research Project

Project/Area Number 14571055
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionNARA MEDICAL UNIVERSITY

Principal Investigator

TAKAHASHI Yukihiro  NARA MEDICAL UNIVERSITY, THE MEDICAL SCHOOL, PROFESSOR, 医学部, 教授 (60142379)

Co-Investigator(Kenkyū-buntansha) KAWAGUCHI Chiharu  NARA MEDICAL UNIVERSITY, THE MEDICAL SCHOOL, ASSITANT PROFESSOR, 医学部, 講師 (60316073)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2003: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2002: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsNEONATE / HAEMOSTASIS / THROMBOSIS / ACTIVATED FACTOR VII / THROMBELASTOGRAPH / VON WILEBRAND FACTOR / ECTO-ATPASE / ANTI-THROMBOTIC NEONATAL CENTRAL CATHETER / 止血機構 / 播種性血管内凝固(DIC) / FVIIa / 線溶 / TAFI / フォン・ヴィレブランド因子切断酵素 / 中心静脈カテーテル / 播種性血管内凝固 / Von Willebrand factor cleaving protease
Research Abstract

We studied the following subjects for the pathophysiological understanding of the neonatal haemostasis and thrombosis as described in the application of Grand-in-Aid for scientific research. The first, we performed a retrospective study on neonatal DIC and also examined into the effectiveness of commercial available anti-protease peptides. The second, we studied the haemostatic mechanism in neonate by thrombelastogragh, using adult bloods mixed with a very small amount of thrombin or ADP, recombinant activated factor VII (FYIIa). And we examined the effect of several kinds of anti-thrombotic drugs, such as antithrombin, activated protein C, thrombomodulin, anti-thrombotic peptides using thrombelastograph. Furthermore, we analysed the haemostatic mechanism of recombinant activated factor VII using several kinds of coagulation factor-deficient plasmas and artificial, reduced platelet blood. And we understood the haemostatic mechanism of FVIIa and also found that platelets were one of key factors for haemostasis induced by FVIIa. The third, we studied a ecto-ATPase activity in umbilical cord bloods and found that it was important for anti-thrombotic effects on neonatal haemostasis. The fourth, we verified the activity of von Willebrand factor cleaving protease in cord bloods from premature to mature babies. And we studied on anti thrombotic neonatal central catheter using cord bloods under shear stress condition.

Report

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

    (19 results)

All 2004 2003 2002 Other

All Journal Article (10 results) Publications (9 results)

  • [Journal Article] 新生児の播種性血管内凝固に対するメシル酸ナファモスタート(Futhan)の治療効果-メシル酸ガベキサート(FOY)との比較2004

    • Author(s)
      塙坂八重
    • Journal Title

      日本小児血液学会誌 18

      Pages: 23-28

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 新生児低プロトロンビン血症に対するケイツーN注の有効性および安全性に関する検討2004

    • Author(s)
      白幡 聡
    • Journal Title

      日本未熟児新生児 学会雑誌 16

      Pages: 53-62

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Clilnical Effect of Nafamostat Mesilate for Disseminated Intravascular Coagulation of Neonate -The comparison with Gabexate Mesilate-2004

    • Author(s)
      Hanaesak Y, Takahashi Y, Kawaguchi C, Morikawa H., Yashihara H, Yoshida K, Yoshioka A.
    • Journal Title

      Japanese Journal of Pediatric Hematology 18

      Pages: 23-28

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The efficacy and safety of new menatetrenone preparation, Kaytwo N injection in the newborn infants with vitamin K deficiency2004

    • Author(s)
      Shirahata, A, Chida S, Tamura M, Nishida H, Tada H, Horicuhi T, Goto A, Inukai K, Funato M, Fujimura M, Kinoshita Y, Takahashi Y, Nakamura H, Yamuchi Y, Ibara S
    • Journal Title

      Japan Society for Premature and Newborn medicine 16

      Pages: 53-62

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] 先天性plasminogen activator inhibitor-1欠乏症患者の智歯抜糸術の麻酔経験.2003

    • Author(s)
      梶原淳久
    • Journal Title

      麻酔 53

      Pages: 73-75

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Anesthetic management of a patient with congenital plasminogen activator inhibitor-1 deficiency2003

    • Author(s)
      Kajiwara A, Kurehara H, Kitaguch K, Furuya H, Morimoto Y, Kirita T, Fukuda K, Takahashi Y.
    • Journal Title

      Anestesia 53(1)

      Pages: 73-75

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The Abnormality of Fibrinolytic System2003

    • Author(s)
      Takahashi Y, Akira Y.
    • Journal Title

      Dinamic Medicine (Nishimura Pub.) Vol 3

      Pages: 193-195

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] Hemorhagic Diathesis in the Newborn Period2003

    • Author(s)
      Takahashi Y.
    • Journal Title

      Konnichi no Shouni Chiryou Shishin (Ikakushoin) Vol 13

      Pages: 125-127

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The in vitro analysis of the coagulation mechanism of activated factor VII using thrombelastogram2002

    • Author(s)
      Kawaguchi C
    • Journal Title

      Thrombosis and Haemostasis 88

      Pages: 768-772

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Journal Article] The in vitro analysis of the coagulation mechanism of activated factor VII using thrombelastogram2002

    • Author(s)
      Kawaguchi C, Takahashi Y, Hanesaka Y, Yosioka A.
    • Journal Title

      Thrombosis and Haemostasis 88

      Pages: 768-772

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 塙坂八重(他6名): "新生児の播種性血管内凝固に対するメシル酸ナファモスタット(Futhan)の治療効果-メシル酸ガベキサート(FOY)との比較-"日本小児血液学会雑誌. 18. 23-28 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 白幡 聡(他14名): "新生児低プロトロンビン血症に対するケイツーN注の有効性および安全性の検討"日本未熟児新生児学会雑誌. 16(1). 53-62 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 梶原淳久(他6名): "先天性Plasminogen activator inhibitor-1欠乏症患者の智歯抜糸術の麻酔経験"麻酔. 53(1). 73-75 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 高橋幸博: "今日の小児治療指針 新生児の出血性疾患"医学書院. 125-127 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 川口千晴 他: "The In Vivo Analysis of the Coagulation Mechanism of activated Factor VII Using Thrombelastogeram"Thrombosis and Homeostasis. 8(5). 768-772 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 高川 健 他: "小児微少変化型ネフローゼ症候群におけるずり応力惹起血小板凝集"日本腎臓学会雑誌. 44. 380-388 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 塙坂八重 他: "極低出生体重児にたいする血液成分製剤を用いた交換輸血"日本産婦人科・新生児血液学会会誌. 12. 58-59 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 梶原淳久 他: "先天性plasminogen activator inhibitor-1欠乏症患者の智歯抜歯術の麻酔経験"麻酔. 52(1). 73-75 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 高橋幸博: "関西血栓フォーラム2002、 血小板血栓形成の分子機構(vWF Cpase 新生児期vWF/Cpase)"関西血栓フォーラム. 167-171 (2002)

    • Related Report
      2002 Annual Research Report

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

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