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Pathogenesis and Therapy for Ventilator-Induced Lung Injury (VILI)

Research Project

Project/Area Number 15591629
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

NISHINA Kahoru  Kobe University, University Hospital, Assistant Professor, 医学部附属病院, 講師 (20311780)

Co-Investigator(Kenkyū-buntansha) MIKAWA Katsuya  Kobe University, Graduate School of Medicine, Associate Professor, 大学院・医学系研究科, 助教授 (40229662)
MORIKAWA Osamu  Kobe University, University Hospital, Instructor, 医学部附属病院, 助手 (50335436)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 2004: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2003: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsAcute lung injury / Apoptosis / Artificial Ventilation / Alveolar epithelial cells / Mechanical Stress / Endotoxin / Neutrophils / Cytokines
Research Abstract

Ventilation is known to cause acute lung injury (ALI) in animals and often worsens lung damages in human ALI (ventilator-induced lung injury [VILI]). Many inflammatory cytokines released from alveolar epithelial type II cells (AEC-II) and apoptosis of AEC-II are thought to play an important role in the pathogenesis of VILI. We first investigated the effects of mechanical stretch on production of chemokine from AEC-II. Mechanical stress on rat cultured AEC-II per se did not stimulate release of GRO/CINC-1 but increased endotoxin-induced production of GRO/CINC-1. Secondly, we examined the effects of hypercapnic acidosis on chemokine production from AEC-II and apoptosis of the pneumocytes. Hypercapnia in the culture medium (PCO2 : 70-80mmHg) stimulated A549 cells, human AEC-II, IL-8 production as assessed by ELISA. IL-8 production was increased by inducing mRNA expression. Hypercapnic acidosis also multiplied endotoxin-induced IL-8 production. These data suggest that hypercapnic acidosis up-regulates inflammatory cytokines at the transcriptional level. Finally, we evaluated whether hypercapnia can change apoptosis of AEC-II. Hypercapnic acidosis per se slightly induced apoptosis of A549 cells (as assessed by APOPercentage Apoptosis Kit) although not significantly. Hypercapnic acidosis had no effect on apoptosis of A549 cells induced by hydrogen peroxide. These findings suggest that low tidal ventilation does not induce or potentiate apoptosis of AEC-II

Report

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

    (10 results)

All 2005 2004 2003 Other

All Journal Article (8 results) Publications (2 results)

  • [Journal Article] The efficacy of fluorocarbon, surfactant, and their combination for improving acute lung injury induced by intratracheal acidified infant formula.2005

    • Author(s)
      Nishina K
    • Journal Title

      Anesthesia & Analgesia 100巻・4号

      Pages: 964-971

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The efficacy of fluorocarbon, surfactant, and their combination for improving acute lung injury induced by intratracheal acidified infant formula.2005

    • Author(s)
      Nishina, Kahoru
    • Journal Title

      Anesthesia & Analgesia, 100-4

      Pages: 964-971

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The efficacy of fluorocarbon, surfactant, and their combination for improving acute lung injury induced by intratracheal acidified infant formula.2005

    • Author(s)
      Nishina K
    • Journal Title

      Anesthesia & Analgesia 100(4)

      Pages: 1273-1279

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Intratracheal application of recombinant surfactant protein-C surfactant to rabbits attenuates acute lung injury induced by intratracheal acidified infant formula2004

    • Author(s)
      Mikawa K
    • Journal Title

      Anesthesia & Analgesia 98巻・5号

      Pages: 1273-1279

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Efficacy of partial liquid ventilation in improving acute lung injury induced by intratracheal acidified infant formula : determination of optimal dose and positive end-expiratory pressure level.2004

    • Author(s)
      Mikawa K
    • Journal Title

      Critical Care Medicine 32巻・1号

      Pages: 209-216

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Efficacy of partial liquid ventilation in Improving acute lung injury induced by intratracheal acidified infant formula : determination of optimal dose and positive end-expiratory pressure level.2004

    • Author(s)
      Mikawa, Katsuya
    • Journal Title

      Critical Care Medicine, 32-1

      Pages: 209-216

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] ONO-1714, a nitric oxide synthase inhibitor, attenuates endotoxin-induced acute lung injury in rabbits.2003

    • Author(s)
      Mikawa K
    • Journal Title

      Anesthesia & Analgesia 97巻・6号

      Pages: 1751-1755

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 急性肺障害の実験的治療の展望2003

    • Author(s)
      森川 修
    • Journal Title

      ICUとCCU 27巻・4号

      Pages: 253-259

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Mikawa K: "Efficacy of partial liquid ventilation in improving acute lung injury induced by intratracheal acidified infant formula"Critical Care Medicine. 32(1). 209-216 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Mikawa K: "ONO-1714, a nitric oxide synthase inhibitor, attenuates endotoxin-induced acute lung injury in rabbits"Anesthesia & Analgesia. 97(6). 1751-1755 (2004)

    • Related Report
      2003 Annual Research Report

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

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