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Anti-cytokine therapy for lumbar spinal disorder.

Research Project

Project/Area Number 15K10385
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionChiba University

Principal Investigator

Ohtori Seiji  千葉大学, 大学院医学研究院, 教授 (40361430)

Co-Investigator(Kenkyū-buntansha) 高橋 和久  千葉大学, 大学院医学研究院, 教授 (20179477)
山内 かづ代  千葉大学, 大学院医学研究院, 特任講師 (30648069)
折田 純久  千葉大学, 大学院医学研究院, 助教 (60638310)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords腰痛 / サイトカイン / 疼痛 / 治療 / 腰椎疾患
Outline of Final Research Achievements

Inflammatory cytokines and aberrant innervation have attracted attention as therapeutic targets for discogenic low back pain (DLBP). Anti-tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) inhibitors are reportedly effective for DLBP. Studies have reported increased vascular endothelial growth factor (VEGF) levels, which increase inflammatory cytokines and aberrant innervation, in painful discs in animals and humans. Here, we prospectively investigated the efficacy of a VEGF inhibitor for DLBP. Low back pain at 2, 3 and 4 weeks post-administration significantly decreased after injection of VEGF inhibitor. Serum cytokine levels did not significantly change and no harmful side effects were observed after administration of VEGF. Anti-VEGF therapy is more effective at alleviating DLBP.

Report

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

    (2 results)

All 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (1 results)

  • [Journal Article] Single intradiscal injection of the interleukin-6 receptor antibody2016

    • Author(s)
      Sainoh T, Orita S, Miyagi M, Inoue G, Yamauchi K, Suzuki M, Sakuma Y,
    • Journal Title

      Journal of Orthopaedic Science

      Volume: 21(1) Issue: 1 Pages: 2-6

    • DOI

      10.1016/j.jos.2015.10.005

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] Modic type 1 change influences surgical outcome in selected patients with diskogenic low back pain.2016

    • Author(s)
      Ohtori S, Orita S, Yamauchi K, Eguchi Y, Aoki Y, SUzuki M, Kubota G, Inage K, Sainoh T, Sato J, Fujimoto K, Shiga Y, Abe K, Kanamoto H, Takahashi K.
    • Organizer
      The 43th International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Marina Bay Sands Convention Center(Singapore)
    • Year and Date
      2016-05-16
    • Related Report
      2016 Research-status Report

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

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