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Elucidation of the mechanism of wound healing process after glaucoma filtration surgery and establishment of a new postoperative management method

Research Project

Project/Area Number 15K10857
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionAsahikawa Medical College

Principal Investigator

KAWAI Motofumi  旭川医科大学, 医学部, 助教 (80400109)

Co-Investigator(Kenkyū-buntansha) 中林 征吾  旭川医科大学, 大学病院, 診療助教 (00451469)
坪井 尚子  旭川医科大学, 大学病院, 医員 (40548848)
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: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords緑内障 / 濾過手術 / 創傷治癒 / 緑内障手術 / 眼圧 / MCP-1 / マクロファージ / 線維柱帯細胞 / 細胞外マトリクス / 結膜線維芽細胞
Outline of Final Research Achievements

Previous reports have revealed that high aqueous MCP-1 level is related to poor surgical outcome of glaucoma filtration surgery. Therefore, we focused on the effect of MCP-1 on wound healing processes in glaucoma filtration bleb (bleb). Firstly, we applied MCP-1 on the bleb for a long period and investigated its effects on scar formation using rabbit models. As a result, the accumulation of inflammatory cells were observed. Second, we conducted in vitro experiments in that human conjunctival fibroblasts (HConF) and macrophages were co-cultured, and found that significant upregulation of α-SMA in HConF. Taken together, it was indicated that aqueous MCP-1 escape into the bleb after surgery for a long period and causes monocyte-macrophage recruitment, resulting in promoting wound healing reaction in the bleb. The results of current study were one of the important results in elucidating the mechanism of aqueous MCP - 1 on wound healing of the bleb after glaucoma filtration surgery.

Report

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

    (9 results)

All 2017 2016 2015

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 2 results) Presentation (3 results)

  • [Journal Article] Comparison of intraocular pressure variability in glaucoma measured by multiple clinicians with those by one clinician.2017

    • Author(s)
      Kawai M, Kawai N, Nakabayashi S, Kinouchi R, Yoshida A.
    • Journal Title

      Int Ophthalmol.

      Volume: 37 Issue: 1 Pages: 95-101

    • DOI

      10.1007/s10792-016-0217-4

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Early Postoperative Changes in Aqueous Monocyte Chemoattractant Protein-1 Levels after Phacoemulsification.2016

    • Author(s)
      Kawai M, Inoue T, Yoshida A, Tanihara H.
    • Journal Title

      Data in Brief.

      Volume: 9 Pages: 922-925

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] The effects of ripasudil (K-115), a Rho kinase inhibitor, on activation of human conjunctival fibroblasts.2016

    • Author(s)
      Futakuchi A, Inoue T, Fujimoto T, Inoue-Mochita M, Kawai M, Tanihara H.
    • Journal Title

      Experimental Eye Research

      Volume: 149 Pages: 107-115

    • DOI

      10.1016/j.exer.2016.07.001

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Postoperative changes in aqueous monocyte chemotactic protein-1 levels and bleb morphology after trabeculectomy vs. Ex-PRESS shunt surgery.2015

    • Author(s)
      Shobayashi K, Inoue T, Kawai M, Iwao K, Ohira S, Kojima S, Kuroda U, Nakashima K, Tanihara H.
    • Journal Title

      PLoS One

      Volume: 10 Issue: 10 Pages: e0139751-e0139751

    • DOI

      10.1371/journal.pone.0139751

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of Intravitreal Rho kinase inhibitor Ripasudil (K-115) on feline retinal microcirculation.2015

    • Author(s)
      Nakabayashi S, Kawai M, Yoshioka T, Song YS, Tani T, Yoshida A, Nagaoka T.
    • Journal Title

      Experimental Eye Research

      Volume: 139 Pages: 132-135

    • DOI

      10.1016/j.exer.2015.07.008

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] A study of the association between patterns of eye drop prescription and medication usage in glaucoma subjects.2015

    • Author(s)
      Kawai-Tsuboi N, Kawai M, Minami Y, Yoshida A.
    • Journal Title

      Journal of Glaucoma

      Volume: 24 Issue: 3 Pages: 202-206

    • DOI

      10.1097/ijg.0b013e31829e1b8b

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 培養ヒト線維柱帯細胞の水流機械刺激による細胞外マトリックス発現変化2017

    • Author(s)
      吉田光一
    • Organizer
      日本緑内障学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 水流機械刺激による線維柱帯細胞の遺伝子変化の検討2016

    • Author(s)
      吉田光一
    • Organizer
      第27回日本緑内障学会
    • Place of Presentation
      横浜
    • Related Report
      2016 Research-status Report
  • [Presentation] 臨床医による緑内障基礎研究の実践2016

    • Author(s)
      川井基史
    • Organizer
      第27回日本緑内障学会
    • Place of Presentation
      横浜
    • Related Report
      2016 Research-status Report

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

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