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Is imbalance of perioperative central and peripheral clock gene in postoperative ill patients association with prognosis?

Research Project

Project/Area Number 15K15666
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Emergency medicine
Research InstitutionTottori University

Principal Investigator

Funaki Kazumi  鳥取大学, 医学部附属病院, 講師 (30423263)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
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: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords時計遺伝子 / せん妄 / 重症患者 / 重症度 / 予後
Outline of Final Research Achievements

We conducted clinical research and cell experiments. In clinical studies, prospective observational studies with predictive surgery and association of clock gene group with delirium as the main outcome were performed in patients who undergo surgery for more than 48 hours in postoperative intensive care unit. There was no significant difference in the peripheral clock gene group between the onset of delirium and the onset of non delirium, but in all patients the circadian rhythm had collapsed. Also, in severe patients, the tissue tends to be hypoxic, so we confirmed the influence of hypoxia on circadian rhythm by cell experiment. We investigated the effects of cultured A456 cells on hypoxia for 1 hour on the peripheral clock gene group, but a significant effect was observed. However, we are also investigating the remaining research subjects, such as measurement of melatonin to be used as evaluation of the central clock gene group.

Report

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

    (9 results)

All 2018 2017 2016

All Presentation (9 results)

  • [Presentation] 急性期の経皮的心肺補助装置から体外式左心補助装置への切り替えが奏功した劇症型心筋炎の一例2018

    • Author(s)
      仲宗根正人、舩木一美、山本章裕、湊 弘之、持田晋輔、南ゆかり、稲垣喜三
    • Organizer
      日本集中治療医学会第2回中国四国支部学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 肺機能の低下した皮膚筋炎患者の難治性気胸に対する手術をVV-ECMOの補助下に行った一例2017

    • Author(s)
      舩木一美、倉敷達之、湊 弘之、北川良憲、持田晋輔、南ゆかり、稲垣喜三
    • Organizer
      第44回日本集中治療医学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 植込み型LVAD装着術の術後に麻痺性イレウスとなり、感染症を合併した一例2017

    • Author(s)
      舩木一美、湊 弘之、森山直樹、倉敷達之、稲垣喜三
    • Organizer
      日本心臓血管麻酔学会第22回学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 経カテーテル大動脈弁置換術(TAVR)後の心停止で冠動脈閉塞が判明した1例2017

    • Author(s)
      湊 弘之、舩木一美、森山直樹、倉敷達之、稲垣喜三
    • Organizer
      日本心臓血管麻酔学会第22回学術大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 早期に細菌性腹膜炎による敗血症を拾い上げることができた術後胃体部癌の一例2017

    • Author(s)
      山本章裕、舩木一美、持田晋輔、仲宗根正人、森山直樹、南ゆかり、 稲垣喜三
    • Organizer
      日本集中治療医学会第1回中国四国支部学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 高度気管狭窄を呈した縦隔原発悪性リンパ腫の一症例2017

    • Author(s)
      仲宗根正人、舩木一美、青木亜紀、大槻明広、稲垣喜三
    • Organizer
      日本小児麻酔学会第23回大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 多科連携により良好な臨床経過に至った細菌性髄膜炎の一例2017

    • Author(s)
      仲宗根正人、湊 弘之、倉敷達之、舩木一美、南ゆかり、稲垣喜三
    • Organizer
      第45回日本集中治療医学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 経カテーテル大動脈弁置換術(TAVR)施行中に急性僧帽弁逆流を生じ循環動態の破綻をきたした1例2017

    • Author(s)
      湊 弘之、門永 萌、菅澤 萌、森山直樹、舩木一美、稲垣喜三
    • Organizer
      日本麻酔科学会中国・四国支部第54回学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 肺切除術後の頻脈性不整脈発症への鎮痛法の影響についての検討ーレミフェンタニルと硬膜外麻酔のとの比較2016

    • Author(s)
      舩木一美、稲垣喜三
    • Organizer
      日本臨床麻酔学会第36回大会
    • Place of Presentation
      高知県立県民文化ホール(高知県高知市)
    • Year and Date
      2016-11-03
    • Related Report
      2016 Research-status Report

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

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