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Effects of GLP-1 and/or volatile anesthetics against ischemia-reperfusion injury under hyperglycemia

Research Project

Project/Area Number 15K10513
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology
Research InstitutionThe University of Tokushima

Principal Investigator

SAKAI Yoko  徳島大学, 病院, 特任准教授 (90711862)

Co-Investigator(Kenkyū-buntansha) 田中 克哉  徳島大学, 大学院医歯薬学研究部(医学系), 教授 (30263841)
堤 保夫  徳島大学, 大学院医歯薬学研究部(医学系), 准教授 (90523499)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords高血糖 / インクレチン / 虚血再灌流障害 / イソフルラン / 心筋保護作用 / GLP-1 / プレコンディショニング / 吸入麻酔薬 / 心筋梗塞サイズ / 低酸素
Outline of Final Research Achievements

Glucagon-like peptide-1 receptor (GLP-1R) agonist and volatile anesthetic isoflurane protects the heart from ischemia/reperfusion injury. We tested the hypothesis that hyperglycemia interferes with GLP-1 agonist and/or isoflurane-induced cardiac protection affect using in vitro and in vivo studies. Myocytes were treated with GLP-1 and/or isoflurane. This was then followed by simulated ischemia/reperfusion (SI/R). In addition, cardiac protection in vivo was assessed by measuring infarct size and cardiac troponin levels. GLP-1 and isflurane protected cardiac myocytes from SI/R but this protection was bolished by hyperglycemia. Furthermore, GLP-1 and/or isoflurane induced a reduction in infarct size and cardiac troponin relative to control. However, induced cardiac protection was abolished in hyperglycemia. These results indicate tha blood glucose are important determinants of infarct size during GLP-1 and isoflurane-induced cardiac protection.

Report

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

    (14 results)

All 2018 2017 2016 2015 Other

All Journal Article (7 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 7 results,  Open Access: 6 results) Presentation (6 results) (of which Int'l Joint Research: 3 results) Remarks (1 results)

  • [Journal Article] Noninvasive continuous blood pressure monitoring by the ClearSight system during robot-assisted laparoscopic radical prostatectomy.2018

    • Author(s)
      Yoko Sakai, Yasuo M. Tsutsumi (Corr.), Takuro Oyama, Chiaki Murakami, Nami Kakuta, and Katsuya Tanaka.
    • Journal Title

      J Med Invest

      Volume: 65 Pages: 69-73

    • NAID

      130006575619

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Strict blood glucose control by an artificial endocrine pancreas during hepatectomy may prevent postoperative acute kidney injury2017

    • Author(s)
      Naoji Mita, Shinji Kawahito, Tomohiro Soga, Kazumi Takaishi, Hiroshi Kitahata, Munehide Matsuhisa, Mitsuo Shimada, Hiroyuki Kinoshita, Yasuo M Tsutsumi, Katsuya Tanaka
    • Journal Title

      Journal of Artificial Organs

      Volume: 1 Issue: 1 Pages: 76-83

    • DOI

      10.1007/s10047-016-0925-6

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of oral carbohydrate with amino acid solution on serum oxidative/anti-oxidative status in healthy volunteers2017

    • Author(s)
      Yasuo M. Tsutsumi, Takuro Oyama, Nami Kakuta, Yousuke T. Horikawa, Katsuyoshi Kume, Yoko Sakai, Rie Tsutsumi, and Katsuya Tanaka.
    • Journal Title

      J Anesth

      Volume: 31 Issue: 3 Pages: 472-475

    • DOI

      10.1007/s00540-017-2355-x

    • NAID

      40021224363

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A Comparison of Fosaprepitant and Ondansetron for Preventing Postoperative Nausea and Vomiting in Moderate to High Risk Patients: A Retrospective Database Analysis2017

    • Author(s)
      Chiaki Murakami, Nami Kakuta, Katsuyoshi Kume, Yoko Sakai, Asuka Kasai, Takuro Oyama, Katsuya Tanaka, and Yasuo M. Tsutsumi
    • Journal Title

      Biomed Res Int

      Volume: 2017 Pages: 1-5

    • DOI

      10.1155/2017/5703528

    • NAID

      120006535022

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] General anesthesia of a Japanese infant with Barber-Say syndrome: a case report.2016

    • Author(s)
      Eisuke Hamaguchi, Yasuo M. Tsutsumi, Katsuyoshi Kume, Yoko Sakai, Nami Kakuta, Yuta Uemura, Shinji Kawahito, and Katsuya Tanaka.
    • Journal Title

      JA Clin Rep

      Volume: 2 Issue: 1

    • DOI

      10.1186/s40981-016-0033-x

    • NAID

      120006939618

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Isoflurane-induced postconditioning via mitochondrial calcium-activated potassium channels.2016

    • Author(s)
      Michiko Kinoshita, Yasuo M. Tsutsumi, Kohei Fukuta, Asuka Kasai, and Katsuya Tanaka.
    • Journal Title

      Journal of Medical Investigation

      Volume: 63 Pages: 80-84

    • NAID

      130005141048

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Exendin-4, glucagon-like peptide-1 receptor agonist, enhances isoflurane-induced preconditioning against myocardial infarction via caveolins-3 expression.2015

    • Author(s)
      Eisuke Hamaguchi, Katsuya Tanaka, Rie Tsutsumi, Yoko Sakai, Kohei Fukuta, Asuka Kasai, and Yasuo M. Tsutsumi
    • Journal Title

      European Review for Medical and Pharmacological Sciences

      Volume: 19 Pages: 1285-1290

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Effect of jelly type carbohydrate on metabolism and evaluation of its excretion in healthy subjects.2017

    • Author(s)
      Takuro Oyama, Nami Kakuta, Asuka Kasai, Naoji Mita, Katsuyoshi Kume, Katsuya Tanaka, and Yasuo M. Tsutsumi.
    • Organizer
      American Society of Anesthesiologist Annual Meeting
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The effect of intraoperative glucose load on metabolism in patients with diabetes mellitus.2017

    • Author(s)
      Asuka Kasai, Kohei Fukuta, Katsuya Tanaka, Nami Kakuta, and Yasuo M. Tsutsumi
    • Organizer
      American Society of Anesthesiologist Annual Meeting
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The influence of glucose load on metabolism in elderly patients during surgery using remifentanil-induced anesthesia.2017

    • Author(s)
      Kohei Fukuta, Asuka Kasai, Katsuya Tanaka, Yoko Sakai, and Yasuo M. Tsutsumi.
    • Organizer
      American Society of Anesthesiologist Annual Meeting
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 侵襲時の代謝破綻と糖負荷の影響2016

    • Author(s)
      堤保夫、香留希実子、笠井飛鳥、濵口英佑、酒井陽子、田中克哉
    • Organizer
      第63回日本麻酔科学会
    • Place of Presentation
      マリンメッセ福岡(福岡県・福岡市)
    • Related Report
      2016 Research-status Report
  • [Presentation] イソフルランによる心筋保護作用はSirtによるOpa-1制御を介する2016

    • Author(s)
      堤保夫、香留希実子、濵口英佑、酒井陽子、北畑洋、田中克哉
    • Organizer
      第63回日本麻酔科学会
    • Place of Presentation
      マリンメッセ福岡(福岡県・福岡市)
    • Related Report
      2016 Research-status Report
  • [Presentation] 覚醒下開頭術においてホスアプレピタントを使用した2症例2016

    • Author(s)
      福田浩平、角田奈美、堤保夫、酒井陽子、田中克哉
    • Organizer
      第36回日本臨床麻酔学会
    • Place of Presentation
      かるぽーと高知(高知県・高知市)
    • Related Report
      2016 Research-status Report
  • [Remarks] 徳島大学医学部麻酔科・疼痛治療医学分野 業績集

    • URL

      http://tokudaimasui.jp/study/

    • Related Report
      2016 Research-status Report

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

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