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Diaphragmatic Contractility and Fatigue in Sepsis.

Research Project

Project/Area Number 15591915
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionOkayama University

Principal Investigator

UJIKE Yoshito (2005)  Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Professor, 大学院医歯薬学総合研究科, 教授 (10201352)

藤村 直幸 (2003-2004)  岡山大学, 大学院・医歯学総合研究科, 助手 (30325873)

Co-Investigator(Kenkyū-buntansha) ICHIBA Shingo  Okayama University, Hospital of Medicine and Dentistry, Lecturer, 医学部・歯学部附属病院, 講師 (30284102)
氏家 良人  岡山大学, 大学院・医歯学総合研究科, 教授 (10201352)
長野 修  岡山大学, 医学部・歯学部附属病院, 講師 (30263586)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2005: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2004: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2003: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsDiaphragm / Sepsis / Fatigue / ペントキシフィリン / マロンジアルデヒド / エンドトキシン / cAMP / HSP
Research Abstract

We investigated the effects of several pharmacological agents on diaphragmatic contractility during sepsis.
1) We evaluated the effects of theophylline and aminophylline on diaphragmatic contractility and cAMP levels during sepsis. Theophylline and aminophylline attenuated CLP-induced diaphragm dysfunction. Theophylline and aminophylline increased diaphragmatic cAMP levels. Dibutyryl cAMP attenuated CLP-induced diaphragm dysfunction. These results demonstrated theophylline and aminophylline improves diaphragmatic contractility by increasing diaphragmatic cAMP concentrations.
2) We evaluated the effects of induction of heat shock protein (HSP) 70 expression by geranylgeranylacetone (GGA) on diaphragmatic dysfunction during sepsis. Induction of HSP70 attenuated CLP-induced diaphragm dysfunction and increased malondialdehyde (MDA) concentrations in a dose-dependent manner. These results demonstrated that HSP70 induced by GGA attenuates septic diaphragm dysfunction by inhibiting the production of oxygen-derived free radicals.
3) We evaluated the effects of pentoxifylline (PTX) on endotoxin-induced diaphragmatic dysfunction and MDA levels. The PTX attenuated endotoxin-induced diaphragmatic dysfunction and increased MDA concentrations. These results demonstrated that pentoxifylline attenuated endotoxin-induced diaphragmatic dysfunction by inhibiting the production of oxygen-derived free radicals.

Report

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

    (20 results)

All 2006 2005 2003 Other

All Journal Article (16 results) Book (2 results) Publications (2 results)

  • [Journal Article] Effects of ulinastatin on pulmonary artery pressure during abdominal aortic aneurysmectomy.2006

    • Author(s)
      Kurosawa S, Kanaya N, Fujimura N, Nakayama M, Edanaga M, Mizuno E, Park KW, Namiki A.
    • Journal Title

      J Clin Anesth. 18(1)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A selective beta2-adrenergic agonist, arbutaline, improves sepsis-induced diaphragmatic ysfunction in the rat.2006

    • Author(s)
      Ito T, Fujimura N, Omote K, Namiki A.
    • Journal Title

      Life Sci. 79(9)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Preferable inotropic action of procatarol, a potent bronchodilator, on impaired diaphragmatic contractility in an intraabdominal septic model.2006

    • Author(s)
      Uzuki M, Yamakage M, Fujimura N, Namiki A.
    • Journal Title

      J Anesth. 20(2)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 生き残るためのHeat Shock Protein2006

    • Author(s)
      藤村直幸
    • Journal Title

      Lisa 増刊体温バイオロジー体温はなぜ37℃なのか

      Pages: 83-85

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] A selective beta2-adrenergic agonist, terbutaline, improves sepsis-induced diaphragmatic dysfunction in the rat.2006

    • Author(s)
      Ito T, Fujimura N, Omote K, Namiki A.
    • Journal Title

      Life Sci 24;79(9)

      Pages: 905-12

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Preferable inotropic action of procaterol, a potent bronchodilator, on impaired diaphragmatic contractility in an intraabdominal septic model.2006

    • Author(s)
      Uzuki M, Yamakage M, Fujimura N, Namiki A.
    • Journal Title

      J Anesth. 20(2)

      Pages: 145-8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Effects of ulinastatin on pulmonary artery pressure during abdominal aortic aneurysmectomy.2006

    • Author(s)
      Kurosawa S, Kanaya N, Fujimura N, Nakayama M, Edanaga M, Mizuno E, Park KW, Namiki A.
    • Journal Title

      J Clin Anesth 18(1)

      Pages: 18-23

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 血液浄化療法の適応と方法2005

    • Author(s)
      藤村直幸, 氏家良人
    • Journal Title

      臨床医 3

      Pages: 622-624

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Heat shock protein.2005

    • Author(s)
      Fujimura N.
    • Journal Title

      Lisa. Special edition

      Pages: 83-85

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Indication and method of acute blood purification.2005

    • Author(s)
      Fujimura N, Ujike Y.
    • Journal Title

      Medical Clinics of Japan (3)

      Pages: 622-624

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Monitoring of respiratory and circulation.2005

    • Author(s)
      Fujimura N, Ujike Y.
    • Journal Title

      Clinical engineering

      Pages: 46-53

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Geranylgeranylacetone attenuates septic diaphragm dysfunction by induction of heat shock protein 70.2003

    • Author(s)
      Masuda Y, Sumita S, Fujimura N, Namiki A
    • Journal Title

      Crit Care Med. 31

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Bronchospasm induced by propofol in a patient with sick house syndrome.2003

    • Author(s)
      Hattori J, Fujimura N, Kanaya N, Okazaki K, Namiki A.
    • Journal Title

      Anesth Analg. 96

      Pages: 163-4

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Geranylgeranylacetone attenuates septic diaphragm dysfunction by induction of heat shock protein 70.2003

    • Author(s)
      Masuda Y, Sumita S, Fujimura N, Namiki A.
    • Journal Title

      Crit Care Med. 31

      Pages: 2585-91

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Namiki A. Bronchospasm induced by propofol in a patient with sick house syndrome.2003

    • Author(s)
      Hattori J, Fujimura N, Kanaya N, Okazaki K
    • Journal Title

      Anesth Analg 96

      Pages: 163-4

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Difficult airway in thoracic trauma.2003

    • Author(s)
      Fujimura N, Ujike Y.
    • Journal Title

      Clinical practice of Anesthesia. (11)

      Pages: 162-163

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] CE技術シリーズ、呼吸療法 呼吸循環モニタリング.2005

    • Author(s)
      渡辺敏, 宮川哲夫編
    • Publisher
      南江堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] 麻酔科 診療プラクティス 11気道確保のすべて.気道確保困難が予測される場合の麻酔計画 8胸部外傷.2003

    • Author(s)
      岩崎寛 編
    • Publisher
      文光堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Publications] Masuda T, Sumita S, Fujimura N, et al.: "Geranylgeranylacetone attenuates septic diaphragm dysfunction by induction of heat shock protein 70"Crit Care Med. 31. 2585-2591 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 藤村直幸: "敗血症性ショック新たなる展開"今泉均、並木昭義編、南江堂、東京. 14 (2003)

    • Related Report
      2003 Annual Research Report

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

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