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Experimental study on elucidation of target molecule of joint contracture and development of therapeutic strategy for new physical therapy

Research Project

Project/Area Number 15H03045
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionNagasaki University

Principal Investigator

OKITA Minoru  長崎大学, 医歯薬学総合研究科(保健学科), 教授 (50244091)

Co-Investigator(Kenkyū-buntansha) 中野 治郎  長崎大学, 医歯薬学総合研究科(保健学科), 准教授 (20380834)
坂本 淳哉  長崎大学, 医歯薬学総合研究科(保健学科), 准教授 (20584080)
本田 祐一郎  長崎大学, 病院(医学系), 技術職員 (40736344)
佐々部 陵  長崎大学, 病院(医学系), 技術職員 (50710985)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥16,770,000 (Direct Cost: ¥12,900,000、Indirect Cost: ¥3,870,000)
Fiscal Year 2017: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2016: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Fiscal Year 2015: ¥7,670,000 (Direct Cost: ¥5,900,000、Indirect Cost: ¥1,770,000)
Keywords拘縮 / 関節包 / 靱帯 / 線維化 / 標的分子 / HIF-1α / 理学療法 / 治療戦略 / 理学療法学 / 機能障害科学 / 責任病巣 / 前十字靱帯
Outline of Final Research Achievements

In this study, we used an experimental animal model of joint contracture to investigate the molecular mechanisms of the contracture derived from changes in joint capsule and ligament. As a result, the fibrosis of the joint capsule, which is the main pathology of contracture, is a change caused by the increase of type I collagen, suggesting that the producing cell is myofibroblast. On the other hand, in the ligament, fibrosis was not observed, and collagen production was decreased. Therefore, we guessed that the ligament did not contribute to the responsible lesion of contracture. In addition, intervention experiments were conducted to induce cyclic muscle contraction in the skeletal muscle during the progress of contracture and to promote muscle pumping action. As a result, expression of HIF-1α assumed to be a target molecule of contracture was suppressed, and it became clear that occurrence of fibrosis can also be prevented.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (34 results)

All 2018 2017 2016 2015 Other

All Journal Article (14 results) (of which Peer Reviewed: 13 results,  Open Access: 5 results,  Acknowledgement Compliant: 4 results) Presentation (18 results) (of which Invited: 3 results) Remarks (2 results)

  • [Journal Article] 不動性骨萎縮ラットの大腿骨骨幹端部三次元骨微細構造の経時的変化解明の試み2018

    • Author(s)
      小関弘展,堀内英彦,野口智恵子, 本田祐一郎,佐々部陵,坂本淳哉,樋口隆志,尾崎 誠,沖田 実
    • Journal Title

      理学療法

      Volume: 35 Pages: 79-85

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cyclic muscle twitch contraction inhibits immobilization-induced muscle contracture and fibrosis in rats2017

    • Author(s)
      Yoshimura A, Sakamoto J, Honda Y, Kataoka H, Nakano J, Okita M
    • Journal Title

      Connect Tissue Res

      Volume: in press Issue: 5 Pages: 487-495

    • DOI

      10.1080/03008207.2016.1257004

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Development and progression of immobilization-induced skin fibrosis through overexpression of transforming growth factor-s1 and hypoxic conditions in a rat knee joint contracture model2017

    • Author(s)
      Goto K, Sakamoto J, Nakano J, Kataoka H, Honda Y, Sasabe R, Origuchi T, Okita M
    • Journal Title

      Connect Tissue Res

      Volume: in press Issue: 6 Pages: 586-596

    • DOI

      10.1080/03008207.2017.1284823

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The influence of aging on the effectiveness of heat stress in preventing disuse muscle atrophy2017

    • Author(s)
      Kataoka Hideki, Nakano Jiro, Kondo Yasutaka, Honda Yuichiro, Sakamoto Jyunya, Origuchi Tomoki, Okita Minoru
    • Journal Title

      Physiological International

      Volume: 104 Issue: 4 Pages: 316-328

    • DOI

      10.1556/2060.104.2017.4.1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationship between extensibility and collagen expression in immobilized rat skeletal muscle2017

    • Author(s)
      Honda Yuichiro、Tanaka Miho、Tanaka Natsumi、Sasabe Ryo、Goto Kyo、Kataoka Hideki、Sakamoto Junya、Nakano Jiro、Okita Minoru
    • Journal Title

      Muscle & Nerve

      Volume: 57 Issue: 4 Pages: 672-678

    • DOI

      10.1002/mus.26011

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of joint immobilization on changes in myofibroblasts and collagen in the rat knee contracture model2017

    • Author(s)
      Sasabe R, Sakamoto J, Goto K, Honda Y, Kataoka H, Nakano J, Origuchi T, Koji T, Okita M
    • Journal Title

      J Orthop Res

      Volume: in press Issue: 9 Pages: 1998-2006

    • DOI

      10.1002/jor.23498

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Association of early physical activity time with pain, activities of daily living, and progression of vertebral body collapse in patients with vertebral compression fractures: an observational study at single institution2017

    • Author(s)
      Kataoka H, Ikemoto T, Yoshimura A, Shibuya M, Goto K, Yamashita J, Morita K, Sakamoto J, Nakano J, Okita M
    • Journal Title

      Eur J Phys Rehabil Med

      Volume: in press

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Heat shock transcription factor 1-associated expression of slow myosin heavy chain in mouse soleus muscle in response to unloading with or without reloading2016

    • Author(s)
      Yokoyama S, Ohno Y, Egawa T, Yasuhara K, Nakai A, Sugiura T, Ohira Y, Yoshioka T, Okita M, Origuchi T, Goto K
    • Journal Title

      Acta Physiol (Oxf)

      Volume: 217 Issue: 4 Pages: 325-337

    • DOI

      10.1111/apha.12692

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of continuous passive motion initiated after the onset of arthritis on inflammation and secondary hyperalgesia in rats2016

    • Author(s)
      Nakabayashi K, Sakamoto J, Kataoka H, Kondo Y, Hamaue Y, Honda Y, Nakano J, Okita M
    • Journal Title

      Physiol Res

      Volume: 65 Pages: 683-691

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Upregulation of interleukin-1β/transforming growth factor-β1 and hypoxia relate to molecular mechanisms underlying immobilization-induced muscle contracture2015

    • Author(s)
      Honda Y, Sakamoto J, Nakano J, Kataoka H, Sasabe R, Goto K, Tanaka M, Origuchi T, Yoshimura T, Okita M.
    • Journal Title

      Muscle Nerve

      Volume: impress Issue: 3 Pages: 419-427

    • DOI

      10.1002/mus.24558

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Hyperalgesia in an immobilized rat hindlimb: Effect of treadmill exercise using non-immobilized limbs.2015

    • Author(s)
      Chuganji S,Nakano J,Sekino Y,Hamaue Y,Sakamoto J,Okita M
    • Journal Title

      Neuroscience Letters

      Volume: 584 Pages: 66-70

    • DOI

      10.1016/j.neulet.2014.09.054

    • NAID

      120006986348

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Effects of vibration therapy on immobilization-induced hypersensitivity in rats2015

    • Author(s)
      Hamaue Y, Nakano J, Sekino Y, Chuganji S, Sakamoto J, Yoshimura T, Okita M, Origuchi T
    • Journal Title

      Phys Ther

      Volume: 95 Issue: 7 Pages: 1015-1026

    • DOI

      10.2522/ptj.20140137

    • NAID

      130005247787

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Heat treatment inhibits skeletal muscle atrophy of glucocorticoid-induced myopathy in rats2015

    • Author(s)
      Morimoto Y, Kondo Y, Kataoka H, Honda Y, Kozu R, Sakamoto J, Nakano J, Origuchi T, Yoshimura T, Okita M
    • Journal Title

      Physiol Res

      Volume: 64 Pages: 897-905

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 基礎理学療法領域におけるコア・パラダイム2015

    • Author(s)
      沖田 実
    • Journal Title

      理学療法学

      Volume: 42 Pages: 697-698

    • NAID

      130005119739

    • Related Report
      2015 Annual Research Report
  • [Presentation] 電気刺激を用いた単収縮と強縮のコンビネーションプログラムが筋性拘縮と廃用性筋萎縮におよぼす影響2017

    • Author(s)
      本田祐一郎,松崎健一,田中なつみ,片岡英樹,坂本淳哉,中野治郞,沖田 実
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 不動化したラットヒラメ筋における筋核数の変化がマクロファージの動態におよぼす影響2017

    • Author(s)
      田中なつみ,本田祐一郎,片岡英樹,坂本淳哉,中野治郞,沖田 実
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 重篤な関節可動域制限を呈した障害高齢者に対するベルト式骨格筋電極刺激法(B-SES)の即時効果の検証2017

    • Author(s)
      中島駿平,片岡英樹,青木秀樹,後藤 響,縄田 厚,神谷志郎,坂本淳哉,中野治郞,山下潤一郎,今村由起夫,沖田 実
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 下肢の重篤な拘縮を呈した障害高齢者に対するベルト式骨格筋電極刺激法(B-SES)の長期効果2017

    • Author(s)
      青木秀樹,片岡英樹,中島駿平,山下潤一郎,坂本淳哉,本田祐一郎,縄田 厚,沖田 実
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 筋性拘縮の発生に関わる分子メカニズムの検討-ラット足関節尖足拘縮モデルを用いて-2017

    • Author(s)
      田中なつみ,本田祐一郎,片岡英樹,坂本淳哉,中野治郞,沖田 実
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 下肢の重篤な関節可動域制限を呈した障害高齢者に対するB-SESと他動運動の併用効果2017

    • Author(s)
      片岡英樹,中島駿平,青木秀樹,後藤 響,山下潤一郎,坂本淳哉,本田祐一郎,縄田 厚,沖田 実
    • Organizer
      第4回日本骨格筋電気刺激研究会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 関節不動がラット前十字靱帯のコラーゲンアイソフォームの発現量におよぼす影響2016

    • Author(s)
      田中なつみ,吉田菜津希,本田祐一郎,坂本淳哉,中野治郎,沖田 実
    • Organizer
      第51回日本理学療法学術大会
    • Place of Presentation
      札幌コンベンションセンター(北海道・札幌市)
    • Year and Date
      2016-05-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 不動によって惹起される関節包の線維化の病態解明に関する実験的研究2016

    • Author(s)
      佐々部陵,後藤 響,坂本淳哉,本田祐一郎,片岡英樹,中野治郎,沖田 実
    • Organizer
      第51回日本理学療法学術大会
    • Place of Presentation
      札幌コンベンションセンター(北海道・札幌市)
    • Year and Date
      2016-05-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 不動化したラットヒラメ筋における伸張性の変化とコラーゲンの動態との関連性2016

    • Author(s)
      本田祐一郎,田中美帆,佐々部陵,片岡英樹,坂本淳哉,中野治郎,沖田 実
    • Organizer
      第51回日本理学療法学術大会
    • Place of Presentation
      札幌コンベンションセンター(北海道・札幌市)
    • Year and Date
      2016-05-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 関節拘縮に対する治療戦略―終末期までの対応2016

    • Author(s)
      沖田 実
    • Organizer
      第4回全国介護・終末期リハ・ケア研究会研究大会
    • Place of Presentation
      コクヨホール(東京都・港区)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 歩行運動は拘縮の予防対策として有効である―拘縮の実験動物モデルを用いた検討2016

    • Author(s)
      本田祐一郎,田中なつみ,片岡英樹,坂本淳哉,中野治郞,沖田 実
    • Organizer
      第4回全国介護・終末期リハ・ケア研究会研究大会
    • Place of Presentation
      コクヨホール(東京都・港区)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 拘縮のメカニズム2015

    • Author(s)
      沖田 実
    • Organizer
      第17回日本褥瘡学会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2015-08-28
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 基礎理学療法領域におけるコア・パラダイム2015

    • Author(s)
      沖田 実
    • Organizer
      第50回日本理学療法学術大会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-06-05
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 不動期間に伴うラットヒラメ筋の伸張性の変化に関する縦断的検索2015

    • Author(s)
      田中美帆,本田祐一郎,坂本淳哉,中野治郎,沖田 実
    • Organizer
      第50回日本理学療法学術大会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-06-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 不動によって惹起される皮膚性拘縮における繊維化の発生メカニズムに関する検討2015

    • Author(s)
      後藤 響,坂本淳哉,佐々部 陵,本田祐一郎,近藤康隆,片岡英樹,中野治郎,沖田 実
    • Organizer
      第50回日本理学療法学術大会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-06-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 不動によるラット膝関節の関節包におけるタイプⅠ・Ⅲコラーゲンの動態変化に関する検討2015

    • Author(s)
      佐々部陵,坂本淳哉,後藤 響,本田祐一郎,沖田 実
    • Organizer
      第47回日本結合組織学会学術大会
    • Place of Presentation
      コクヨホール(東京都・港区)
    • Year and Date
      2015-05-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] 不動に伴う骨格筋の伸張性の変化と繊維化関連分子の動態変化の関連性2015

    • Author(s)
      本田祐一郎,田中美帆,佐々部陵,後藤 響,片岡英樹,坂本淳哉,中野治郎,沖田 実
    • Organizer
      第47回日本結合組織学会学術大会
    • Place of Presentation
      コクヨホール(東京都・港区)
    • Year and Date
      2015-05-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] 不動に伴う皮膚の繊維化の発生メカニズムに関する検討2015

    • Author(s)
      後藤 響,坂本淳哉,佐々部陵,本田祐一郎,片岡英樹,中野治郎,沖田 実
    • Organizer
      第47回日本結合組織学会学術大会
    • Place of Presentation
      コクヨホール(東京都・港区)
    • Year and Date
      2015-05-15
    • Related Report
      2015 Annual Research Report
  • [Remarks] 長崎大学大学院医歯薬学総合研究科運動障害リハビリテーション学研究室

    • URL

      http://www2.am.nagasaki-u.ac.jp/pt/basic_pt/index.html

    • Related Report
      2017 Annual Research Report 2016 Annual Research Report
  • [Remarks] 長崎大学大学院医歯薬学総合研究科運動障害リハビリテーション学研究室

    • URL

      http://www.am.nagasaki-u.ac.jp/pt/basic_pt/index.html

    • Related Report
      2015 Annual Research Report

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Published: 2015-04-16   Modified: 2019-03-29  

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