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Examination about the usefulness and life prognosis factor of the beta blocker in sepsis

Research Project

Project/Area Number 15K10965
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Motoi Okada  旭川医科大学, 医学部, 准教授 (80431427)

Co-Investigator(Kenkyū-buntansha) 藤田 智  旭川医科大学, 医学部, 教授 (10173428)
西浦 猛  旭川医科大学, 医学部, 客員助教 (90567041)
柏木 友太  旭川医科大学, 医学部, 助教 (70648336)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords心不全 / β遮断薬 / 敗血症 / テロメア / 敗血症性心不全 / カルベジロール / CLP / 敗血症性心筋症
Outline of Final Research Achievements

we confirmed the effectiveness of the carvedilol for anti-apoptosis and maintain of the telomeric length with the oxidized cultured cardiomyoblast cell. By the experiment using the mouse CLP model, a suppressant effect and a life prognosis improvement effect were shown a cardiac dysfunction in the carvedilol group. We recognized an expression drop of p53 with the myocardium, expression increase of pgc-1a, tert in the carvedilol group, and mitochondria function improved it more. Even telomeric Q-FISH analysis in a white blood cell accepted extension of the telomere length.
In treatment of the heart failure sepsis-related than the above, carvedilol can expect the restraint of the myocardium mitochondria dysfunction, cardioprotection action heart, a life prognosis improvement effect through the improvement of the energy metabolism.

Report

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

    (10 results)

All 2018 2017 2016

All Presentation (7 results) (of which Int'l Joint Research: 5 results) Book (1 results) Funded Workshop (2 results)

  • [Presentation] Usefulness of the patch type beta blocker for the rate control of sepsis2017

    • Author(s)
      Motoi Okada
    • Organizer
      日本集中治療学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 侵襲反応を制御する~基礎研究(臨床への架け橋)」敗血症性心筋症でのβ3受容体の役割2017

    • Author(s)
      岡田 基
    • Organizer
      日本救急医学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Carvedilol improved stress cardiomyopathy through the activation of "telomere-p53-PGC signaling2016

    • Author(s)
      Motoi Okada
    • Organizer
      AHA
    • Place of Presentation
      NewOrleans, USA
    • Year and Date
      2016-11-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] The potential association of previous β-blocker prescription and mortality in patients with sepsis2016

    • Author(s)
      Yuta Kashiwagi
    • Organizer
      ESICM
    • Place of Presentation
      Milan, Italy
    • Year and Date
      2016-10-03
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Carvedilol improves prognosis in sepsis-induced cardiomyopathy through the attenuation of telomere shortening2016

    • Author(s)
      Motoi Okada
    • Organizer
      ESC
    • Place of Presentation
      Rome, Italy
    • Year and Date
      2016-08-28
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Carvedilol improves prognosis in sepsis-induced cardiomyopathy through the attenuation of telomere shortening2016

    • Author(s)
      Motoi Okada
    • Organizer
      ESC ヨーロッパ心臓病学会
    • Place of Presentation
      イタリア ローマ
    • Year and Date
      2016-08-28
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Previous prescription of β-blockers reduced mortality among patients for sepsis2016

    • Author(s)
      Motoi Okada
    • Organizer
      KSCCM 韓国集中治療学会 日韓合同カンファランス
    • Place of Presentation
      韓国 ソウル
    • Year and Date
      2016-04-23
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] 心不全2018

    • Author(s)
      岡田 基
    • Total Pages
      370
    • Publisher
      中山書店
    • ISBN
      9784521745831
    • Related Report
      2017 Annual Research Report
  • [Funded Workshop] ESC2017

    • Related Report
      2017 Annual Research Report
  • [Funded Workshop] ESC2016

    • Place of Presentation
      Rome
    • Year and Date
      2016-08-27
    • Related Report
      2016 Research-status Report

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

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