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Role of Renin-Angiotensin system in the development of ischemic mitral regurgitation

Research Project

Project/Area Number 15590760
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionKagoshima University

Principal Investigator

OTSUJI Yutaka  Kagoshima University, University Hospital, Faculty of Medicine and Dentistry, Assistant Professor, 医学部・歯学部附属病院, 講師 (30264427)

Co-Investigator(Kenkyū-buntansha) BIRO Sadatoshi  Kagoshima University, University Hospital, Faculty of Medicine and Dentistry, Assistant Professor, 医学部・歯学部附属病院, 講師 (50244231)
TEI Chuwa  Kagoshima University, Graduate School of Medical and Dental Sciences, Professor, 大学院・医歯学総合研究科, 教授 (10163891)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2004: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 2003: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordsischemic mitral regurgitation / Renin angiotensin / remodeling / congestive heart failure / Ischemic mitral regurgitation / Ischemic / regurgitation / mitral
Research Abstract

Ischemic mitral regurgitation (MR) is an independent factor to worsen patients prognosis after the development of acute myocardial infarction. Outward displacement of papillary muscles due to left ventricular remodeling is the main cause of the ischemic MR. Renin-Angiotensin system (RAS) plays a central role in the genesis of left ventricular remodeling following myocardial infarction. Therefore, activation of RAS system may play an essential role in the genesis of ischemic MR, however, the role of RAS on the development of ischemic MR remains uninvestigated.
We hypothesized that development of ischemic MR can be attenuated by the absence of RAS activation due to gene abnormality. We produced acute myocardial infarction (AMI) with a similar size by ligation of left anterior descending artery in wild mouse as well as in Angiotensin II type 1A knocked out mouse. The LV dilatation was significantly greater in the wild compared to knocked out mouse. Ischemic MR was observed only in wild mouse (p<0.05). These suggest that RAS plays a central role in the genesis of ischemic MR after the development of AMI.

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (10 results)

All 2005 2004

All Journal Article (10 results)

  • [Journal Article] Relation of aneurysmectomy in patients with advanced left ventricular remodeling to postoperative left ventricular filling pressure, redilatation with ischemic mitral regurgitation.2005

    • Author(s)
      Otsuji Y, et al.
    • Journal Title

      American Journal of Cardiology 95・4

      Pages: 517-521

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Papillary muscle dysfunction attenuates ischemic mitral regurgitation in patients with localized basal inferior left ventricular remodeling : insights from tissue Doppler strain imaging.2005

    • Author(s)
      Uemura T, Otsuji Y. et al.
    • Journal Title

      Journal of American Collage of Cardiology 46・1

      Pages: 113-119

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Mechanism of persistent ischemic mitral regurgitation after annnuloplasty : importance of augmented posterior mitral leaflet tetheing.2005

    • Author(s)
      Zhu F, Otsuji Y. et al.
    • Journal Title

      Circulation 112(Suppl I)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Relation of aneurysmectomy in patients with advanced left ventricular remodeling to postoperative left ventricular filling pressure, redilatation with ischemic mitral regurgitation.2005

    • Author(s)
      Otsuji Y, Kuwahara E, Yuge K, Yotsumoto G, Ueno T, Nakashiki K, Hamasaki S, Biro S, Minagoe S, Levine RA, Sakata R, Tei C
    • Journal Title

      Am J Cardiol 95(4)

      Pages: 517-521

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Papillary muscle dysfunction attenuates ischemic mitral regurgitation in patients with localized basal inferior left ventricular remodeling : insights from tissue Doppler strain imaging.2005

    • Author(s)
      Uemura T, Otsuji Y, Nakashiki K, Yoshifuku S, Maki Y, Yu B, Mizukami N, Kuwahara E, Hamasaki S, Biro S, Kisanuki A, Minagoe S, Levine RA, Tei C
    • Journal Title

      J Am Coll Cardiol 46(1)

      Pages: 113-119

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Mechanism of persistent ischemic mitral regurgitation after annuloplasty : importance of augmented posterior mitral leaflet tethering.2005

    • Author(s)
      Zhu F, Otsuji Y, Yotsumoto G, Yuasa T, Ueno T, Yu B, Koriyama C, Hamasaki S, Biro S, Kisanuki A, Minagoe S, Levine RA, Sakata R, Tei C
    • Journal Title

      Circulation 112(suppl 1)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Relation of Aneurysmectomy in Patients with Advanced Left Ventricular Remodeling to Postoperative Left Ventricular Filling Pressure.2005

    • Author(s)
      Otsuji Y, et al.
    • Journal Title

      American Journal of Cardiology 95

      Pages: 517-521

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Left ventricular remodeling is less while left atrial remodeling is greater in inferior compared to anterior myocardial infarction : importance of ischemic mitral regurgitation.2004

    • Author(s)
      Arikawa K, Otsuji Y, et al.
    • Journal Title

      Journal of Echocardiography 2・2

      Pages: 43-48

    • NAID

      10027297364

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Left ventricular remodeling is less while left atrial remodeling is greater in inferior compared to anterior myocardial infarction : importance of ischemic mitral regurgitation.2004

    • Author(s)
      Arikawa K, Otsuji Y, Zhang H, Yu B, Uemura T, Hamasaki S, Biro S, Kisanuki A, Minagoe S, Tei C
    • Journal Title

      J Echocardiogr 2(2)

      Pages: 43-48

    • NAID

      10027297364

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Left Ventricular Remodeling is Less While Left Atrial Remodeling is Greater in Inferior Compared to Anterior Myocardial Infarction2004

    • Author(s)
      Arikawa K, Otsuji Y, et al.
    • Journal Title

      Journal of Echocardiography 2

      Pages: 43-48

    • Related Report
      2004 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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