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To elucidate mechanisms of anesthetic-induced neuroprotection and neurotoxicity

Research Project

Project/Area Number 15K10512
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology
Research InstitutionInternational University of Health and Welfare (2017-2019)
Osaka University (2015-2016)

Principal Investigator

Shibuta Satoshi  国際医療福祉大学, 医学部, 教授 (20324767)

Project Period (FY) 2015-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords静脈麻酔薬 / 幼弱脳 / 神経毒性 / 神経保護 / 初代培養脳神経細胞 / カルシウムイメージング / 麻酔薬 / PC12細胞 / 遺伝子導入 / siRNA / ポジティブコントロール / 初代培養神経細胞 / 神経細胞死 / 細胞内カルシウム濃度 / 発達期 / 発達脳 / 培養神経細胞 / 幼弱神経 / 低酸素 / マイトジェン活性化プロテインキナーゼ
Outline of Final Research Achievements

The neurotoxicity of anesthetics in children is currently major concern for not only for anesthesiologists but also patients and their parents. We compared the effects of the intravenous anesthetics, midazolam, propofol, and thiopental sodium on primary cultured neurons along with the course of development.
Although many in vitro studies showed that thiopental sodium is neuroprotective, clinical attempts showed unsatisfactory results. We investigated the dynamics of the intracellular calciumin the surviving neurons after hypoxic insults with or without TPS pretreatment following the application of neurotransmitters. Though TPS was neuroprotective against HI morphologically, the response not to L-glutamate but to acetylcholine was impaired. This may partially explain the inconsistent results regarding the neuroprotective effects of TPS.

Academic Significance and Societal Importance of the Research Achievements

小児における麻酔薬の神経毒性は、麻酔科医をはじめ、広く社会的にも大きな問題とされ関心を集めている。我々は、ラット胎児大脳皮質神経細胞より初代培養を行い、本邦で汎用されている3種類の静脈麻酔薬をそれぞれ培養日数の異なる神経細胞に投与し、細胞死に到る様子を形態学的手法により調べ、さらに麻酔薬を投与した際の神経細胞内カルシウム濃度を測定することにより、中枢神経の発達に伴う臨床使用濃度における麻酔薬の神経毒性の経時的変化を調べた。
これらの結果、特定の条件下(培養日数及び麻酔薬の種類)では麻酔薬の神経毒性が大きくなることが示唆され、実際の小児麻酔を行う際の麻酔薬の選択に影響を与えるものと考えられる。

Report

(6 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (30 results)

All 2019 2018 2017 2016 2015 Other

All Journal Article (4 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (23 results) (of which Int'l Joint Research: 5 results,  Invited: 1 results) Remarks (3 results)

  • [Journal Article] Intravenous anesthetic-induced calcium dysregulation and neurotoxic shift with age during development in primary cultured neurons2018

    • Author(s)
      Shibuta Satoshi、Morita Tomotaka、Kosaka Jun
    • Journal Title

      NeuroToxicology

      Volume: 69 Pages: 320-329

    • DOI

      10.1016/j.neuro.2018.08.002

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Thiopental sodium preserves the responsiveness to glutamate but not acetylcholine in rat primary cultured neurons exposed to hypoxia.2016

    • Author(s)
      Morita T, Shibuta S, Kosaka J, Fujio Y.
    • Journal Title

      Journal of Neurological Sciences

      Volume: 365 Pages: 126-131

    • DOI

      10.1016/j.jns.2016.04.027

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Only extra-high dose of ketamine affects L-glutamate-induced intracellular Ca2+ elevation and neurotoxicity.2015

    • Author(s)
      Shibuta S*, Morita T, Kosaka J, Kamibayashi T, Fujio Y.
    • Journal Title

      Neuroscience Research

      Volume: 98 Pages: 9-16

    • DOI

      10.1016/j.neures.2015.04.005

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Transversus abdominis plane block for bilateral orchiopexy in an 8-year-old patient with Eisenmenger’s syndrome.2015

    • Author(s)
      Yu Matsumoto, Satoshi Shibuta, Tomotaka Morita, Takeshi Iritakenishi, Nobuyuki Nishimura, Moe Koide, Yuji Fujino
    • Journal Title

      JA Clinical Reports

      Volume: 1 Pages: 21-21

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] ラット大脳皮質神経細胞においてプロポフォールによるプレコンディショニングは生存率を上昇させるか2019

    • Author(s)
      森田知孝, 澁田達史
    • Organizer
      日本小児麻酔学会第25回大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 新設医科大学における学生教育:英語による小児麻酔科学講義2019

    • Author(s)
      澁田達史, 森田知孝
    • Organizer
      日本小児麻酔学会第25回大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] レーザ血流計を用いた麻酔導入時の毛細血管血流の変化の比較検討2019

    • Author(s)
      森田知孝,内田整,萩平哲,澁田達史
    • Organizer
      第37回日本麻酔・集中治療テクノロジー学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Arduinoと感圧センサーを用いた喉頭展開の際にかかる圧力測定デバイスの試作2019

    • Author(s)
      吉田力丸, 森田知孝,澁田達史
    • Organizer
      第37回日本麻酔・集中治療テクノロジー学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] CONTINUOUS WOUND INFILTRATION OF ROPIVACAINE FOR POSTOPERATIVE ANALGESIA AFTER LAPAROSCOPIC PHEOCHROMOCYTOMA SURGERY IN A PAEDIATRIC PATIENT2019

    • Author(s)
      Tomotaka Morita, Osamu Uchida, Satoshi Shibuta
    • Organizer
      he European Society of Regional Anaesthesia & Pain Therapy Congress
    • Related Report
      2019 Annual Research Report
  • [Presentation] The neuroprotective effect of individual and combined administration of edaravone and hypothermia against hypoxic insults2018

    • Author(s)
      Tomotaka Morita, Satoshi Shibuta
    • Organizer
      Euroanaesthesia
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 初代培養大脳皮質細胞における静脈麻酔薬誘発性細胞内カルシウム濃度上昇の経時的変化2018

    • Author(s)
      澁田達史、森田知孝
    • Organizer
      第65回日本麻酔科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 臍部への持続創部浸潤麻酔による術後痛の軽減に関する比較検討2018

    • Author(s)
      森田知孝、内田整、澁田達史
    • Organizer
      第64回日本麻酔科学会関西地方会 優秀演題
    • Related Report
      2018 Research-status Report
  • [Presentation] 麻酔薬の変遷 この四半世紀2018

    • Author(s)
      澁田達史
    • Organizer
      第4回がいなカンファレンス
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 初代培養大脳皮質細胞における静脈麻酔薬神経毒性の経時的変化2017

    • Author(s)
      澁田達史、森田知孝
    • Organizer
      第64回日本麻酔科学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] ラット大脳皮質神経細胞における低酸素傷害に対する保護効果の比較検討 ~低温療法vsエダラボン~2017

    • Author(s)
      森田知孝、澁田達史、藤野裕士
    • Organizer
      第21回日本神経麻酔集中治療学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 初代培養大脳皮質細胞におけるミダゾラム誘発性細胞内カルシウム濃度上昇の経時的変化2017

    • Author(s)
      澁田達史、森田知孝
    • Organizer
      第23回日本小児麻酔学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Intravenous anesthetic-induced neurotoxic shift with age in the developing periods2017

    • Author(s)
      Satoshi Shibuta, Tomotaka Morita, Jun Kosaka
    • Organizer
      Society for Neuroscience
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] The functional assessment of edaravone-induced neuroprotection against hypoxic insults2016

    • Author(s)
      Tomotaka Morita, Satoshi Shibuta, Jun Kosaka, Yuji Fujino
    • Organizer
      Society for Neuroscience2016
    • Place of Presentation
      USA(San Diego )
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 心臓移植後に全身麻酔下で腹膜透析チューフ留置術・腹腔鏡下鼠径ヘルニア修復術を施行した小児の 1症例2016

    • Author(s)
      澤水千恵、岩崎光生、澁田達史、入嵩西毅、藤野裕史
    • Organizer
      第22回日本小児麻酔学会
    • Place of Presentation
      横浜市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report
  • [Presentation] 低酸素傷害に対してエダラボンにより保護された神経細胞の機能評価2016

    • Author(s)
      森田知孝、澁田達史、藤野裕士
    • Organizer
      第20回日本神経麻酔集中治療学会
    • Place of Presentation
      北海道(札幌)
    • Year and Date
      2016-07-15
    • Related Report
      2016 Research-status Report
  • [Presentation] エダラボンにより保護された低酸素曝露後の神経細胞の機能評価-Caイメージングを用いてー2016

    • Author(s)
      森田知孝、澁田達史、藤野裕士
    • Organizer
      第62回日本麻酔科学会関西地方会
    • Place of Presentation
      大阪市
    • Related Report
      2016 Research-status Report
  • [Presentation] The response of cortical cultured neurons to neurotransmitters after hypoxic insults In vitro.2015

    • Author(s)
      Tomotaka Morita, Satoshi Shibuta, Yuji Fujino, Jun Kosaka
    • Organizer
      Society for Neuroscience
    • Place of Presentation
      アメリカ(シカゴ)
    • Year and Date
      2015-10-17
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 左室駆出率20%の心サルコイドーシス患者に対する腹腔鏡下結腸切除術の麻酔経験2015

    • Author(s)
      大森学、澁田達史、藤野裕士
    • Organizer
      第61回日本麻酔科学会関西地方会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 巨大ブラを合併した肥満高齢者の腹腔鏡下胃切除術に対する麻酔経験2015

    • Author(s)
      前畠慶人、澁田達史、高階雅紀、藤野裕士
    • Organizer
      第61回日本麻酔科学会関西地方会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Presentation] Neurons protected by thiopental sodium did not show L-glutamate-induced hypersensitivity in vitro2015

    • Author(s)
      Tomotaka Morita, Satoshi Shibuta, Yuji Fujino, Jun Kosaka
    • Organizer
      Euroanaesthesia
    • Place of Presentation
      ベルリン(ドイツ)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] E17ラット初代培養神経細胞におけるチオペンタール暴露はグルタミン反応性に影響を与えるか:カルシウムイメージングを用いた研究2015

    • Author(s)
      澁田達史、森田知孝、上林卓彦、藤野裕士
    • Organizer
      第62回日本麻酔科学会総会
    • Place of Presentation
      神戸ポートピアホテル(神戸市)
    • Year and Date
      2015-05-28
    • Related Report
      2015 Research-status Report
  • [Presentation] スガマデクス暴露による初代培養大脳皮質神経細胞への影響2015

    • Author(s)
      森田知孝,澁田達史,藤野裕士
    • Organizer
      第19回日本神経麻酔集中治療学会
    • Place of Presentation
      長良川国際会議場(岐阜市)
    • Year and Date
      2015-04-10
    • Related Report
      2015 Research-status Report
  • [Remarks] Ketamine potentiates glutamate-induced Ca

    • URL

      https://atlasofscience.org/ketamine-not-tps-potentiates-glutamate-induced-ca-neurotoxicity/

    • Related Report
      2019 Annual Research Report
  • [Remarks] 澁田 達史 教授からメッセージ

    • URL

      https://narita.iuhw.ac.jp/labo-masui/profile/message-shibuta.html

    • Related Report
      2018 Research-status Report
  • [Remarks] 大阪大学大学院医学系研究科 麻酔・集中治療医学教室

    • URL

      http://www.med.osaka-u.ac.jp/pub/anes/www/home.htm

    • Related Report
      2016 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2021-02-19  

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