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Remote limb ischemic conditioning for cerebral infarction

Research Project

Project/Area Number 15H04844
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Neurology
Research InstitutionTokyo Women's Medical University

Principal Investigator

Kitagawa Kazuo  東京女子医科大学, 医学部, 教授 (70301257)

Co-Investigator(Kenkyū-buntansha) 清水 優子  東京女子医科大学, 医学部, 准教授 (20246507)
遠井 素乃  東京女子医科大学, 医学部, 准講師 (50408465)
柴田 亮行  東京女子医科大学, 医学部, 教授 (90226176)
飯嶋 睦  東京女子医科大学, 医学部, 准教授 (90232115)
丸山 健二  東京女子医科大学, 医学部, 准講師 (70349645)
水野 聡子  東京女子医科大学, 医学部, 助教 (90398793)
星野 岳郎  東京女子医科大学, 医学部, 助教 (30724679)
Research Collaborator Saito Moeko  
Ishizuka Kentaro  
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2018: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2017: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2016: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2015: ¥8,190,000 (Direct Cost: ¥6,300,000、Indirect Cost: ¥1,890,000)
Keywords脳虚血 / 側副血行 / 遠隔虚血負荷 / 遠隔虚血コンディショニング / 脳梗塞 / 遠隔虚血 / MRI / 遠隔虚血コンディショング / 虚血耐性 / 虚血プレコンディショニング / 虚血コンディショニング
Outline of Final Research Achievements

We have clarified close association beween development of collateral vessels and early ischemic lesion size in MRI-DWI in murine focal cerebral ischemia moodel. As one of potantial strategies, we foccused on remote ischemic conditioning (RIC) in order ot enhance collateral circulation. RIC during occlusion of middle cerebral artery enlarged the size of collateral vessels, and finally diminish infarct size 24 hours later afterrecirculation. We still need to find the most effective RIC strategy to show the brain protection, but RIC could be a potential therapeutic stragety for scute cerebral ischemia.

Academic Significance and Societal Importance of the Research Achievements

脳梗塞急性期治療は、アルテプラーゼの普及、血栓回収療法の進歩で格段の進歩を遂げている。本研究は虚血性脳損傷に対する脳保護戦略を側副血行発達の観点からとらえ、その手法として遠隔虚血負荷を取り入れようとしている研究課題である。本手法が臨床的に確立されれば後遺症に苦しむ脳卒中患者を少なくできることが期待される。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (14 results)

All 2019 2018 2017 2016 2015

All Journal Article (6 results) (of which Peer Reviewed: 5 results,  Open Access: 5 results) Presentation (8 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] Leptomeningeal anastomosis and early ischemic lesions on diffusion-weighted imaging in male murine focal cerebral ischemia.2019

    • Author(s)
      Saito M, Ishizuka K, Hoshino T, Toi S, Kitagawa K
    • Journal Title

      J Neurosci Res.

      Volume: in press Issue: 7 Pages: 752-759

    • DOI

      10.1002/jnr.24403

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Remote Limb Ischemic Conditioning during Cerebral Ischemia Reduces Infarct Size through Enhanced Collateral Circulation in Murine Focal Cerebral Ischemia.2018

    • Author(s)
      Kitagawa K, Saitoh M, Ishizuka K, Shimizu S
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 27 Pages: 831-838

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 遠隔虚血負荷を用いた脳側副血行発達促進手段の開発2018

    • Author(s)
      北川一夫
    • Journal Title

      分子脳血管病

      Volume: 17 Pages: 27-31

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Chronic Elevation of Tumor Necrosis Factor-α Mediates the Impairment of Leptomeningeal Arteriogenesis in db/db Mice.2015

    • Author(s)
      Yukami T, Yagita Y, Sugiyama Y, Oyama N, Watanabe A, Sasaki T, Sakaguchi M, Mochizuki H, Kitagawa K.
    • Journal Title

      Stroke

      Volume: 46 Issue: 6 Pages: 1657-63

    • DOI

      10.1161/strokeaha.114.008062

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differences in Endothelial Function between Ischemic Stroke Subtypes.2015

    • Author(s)
      Adachi U, Tsutsumi Y, Iijima M, Mizuno S, Uchiyama S, Kitagawa K.
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 24 Issue: 12 Pages: 2781-6

    • DOI

      10.1016/j.jstrokecerebrovasdis.2015.08.009

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prolonged QTc interval predicts poststroke paroxysmal atrial fibrillation.2015

    • Author(s)
      Hoshino T, Nagao T, Shiga T, Maruyama K, Toi S, Mizuno S, Ishizuka K, Shimizu S, Uchiyama S, Kitagawa K.
    • Journal Title

      Stroke

      Volume: 46 Issue: 1 Pages: 71-76

    • DOI

      10.1161/strokeaha.114.006612

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] マウス中大脳動脈閉塞モデルにおけるMRI拡散強調画像での早期虚血病変と脳軟膜側副血行発達程度の関係2019

    • Author(s)
      齋藤萌子 石塚健太郎 北川一夫
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] マウス中大脳動脈再灌流モデルの脳虚血領域におけるMRI画像および組織学的所見の経時的変化2019

    • Author(s)
      石塚健太郎 齋藤萌子 北川一夫
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Remote limb ischemic conditioning in murine focal cerebral ischemia2017

    • Author(s)
      Kazuo Kitagawa, Moeko Saitoh, Kentaro Ishizuka
    • Organizer
      International Stroke Conference
    • Place of Presentation
      George R Brown Convention Center (アメリカ ヒューストン)
    • Year and Date
      2017-02-22
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 中大脳動脈永久閉塞モデルにおける遠隔虚血コンディショニングの効果2017

    • Author(s)
      齋藤萌子、石塚健太郎、北川一夫
    • Organizer
      第60回日本脳循環代謝学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 一過性中大脳動脈閉塞モデルにおける慢性低潅流負荷の効果2017

    • Author(s)
      齋藤萌子、石塚健太郎、北川一夫
    • Organizer
      第60回日本脳循環代謝学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Current status of stroke management in Japan: from Japan Stroke guidelines 20152017

    • Author(s)
      北川一夫
    • Organizer
      2017 Annual Meeting of Taiwan Stroke Society
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 一過性中大脳動脈閉塞モデルにおける遠隔虚血コンディショニングの効果2016

    • Author(s)
      北川一夫 斎藤萌子 石塚健太郎
    • Organizer
      第59回脳循環代謝学会
    • Place of Presentation
      あわぎんホール(徳島県徳島市)
    • Year and Date
      2016-11-11
    • Related Report
      2016 Annual Research Report
  • [Presentation] 遠隔虚血負荷2016

    • Author(s)
      水野聡子 北川一夫
    • Organizer
      日本神経学会総会
    • Place of Presentation
      神戸国際会議場(兵庫県神戸市)
    • Year and Date
      2016-05-18
    • Related Report
      2015 Annual Research Report

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Published: 2015-04-16   Modified: 2020-03-30  

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