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The intrauterine treatment of congenital diaphragmatic hernia

Research Project

Project/Area Number 15591762
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Obstetrics and gynecology
Research InstitutionNagasaki University

Principal Investigator

YOSHIMURA Shuichiro  Nagasaki University, Hospital of Medicine and Dentistry, lecturer, 医学部・歯学部附属病院, 講師 (00274663)

Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2004: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2003: ¥1,800,000 (Direct Cost: ¥1,800,000)
Keywordslung hypoplasia / Vitamin A / congenital diaphragmatic hernia / lung maturation / lung surfactant / nitrofen / rat / lung / body weight ratio / 動物実験 / RT-PCR / Rats / 免疫染色法 / 肺surfactant
Research Abstract

ABSTRACT
Congenital diaphragmatic hernia (CDH) is a major cause of refractory respiratory failure in the newborn. Pulmonary hypoplasia often limits survival. Vitamin A (Vit A) is an important signal for lung growth. We hypothesized that antenatal treatment with Vit A would stimulate lung growth and decrease mortality in experimental CDH induced in rats by ingestion of the herbicide nitrofen (2,4-dichlorophenyl-p-nitrophenyl ether). Nitrofen was administered to pregnant rats on day 12 of gestation (term 22 days). Rats were assigned to five groups : three groups received one dose of oral antenatal Vit A (15,000 IU) before (day 10), concomitant with (day 12), or after (day 14) nitrofen administration ; one group received only nitrofen ; and a control group received vehicle (olive oil). The incidence of CDH was markedly lower in all groups receiving Vit A (day 10,19.6% ; day 12,15.3% ; and day 14,21.3%) compared with the nitrofen-treated group (63% ; P<0.05). Lung-to-body weight ratio and radial saccular count were significantly increased by Vit A. Antenatal treatment with Vit A lowers the incidence and severity of experimental CDH and increases lung growth and maturation.

Report

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

    (2 results)

All 2005

All Journal Article (2 results)

  • [Journal Article] Congenital diaphragmatic hernia : an evaluation of the Prognostic value of the lung-to-head ratio.2005

    • Author(s)
      S.Yoshimura et al.
    • Journal Title

      J Med Ultrasonics 32

      Pages: 115-119

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Congenital diaphragmatic hernia : an evaluation of the Prognotic value of the lung-to-head ratio.2005

    • Author(s)
      S.Yoshimura et al.
    • Journal Title

      J Med Ultrasonics 32

      Pages: 115-119

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary

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

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