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Analysis of inflammatory cell infiltration in persistent postoperative pain

Research Project

Project/Area Number 15K20041
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionShinshu University

Principal Investigator

Yoshiyama Yuki  信州大学, 医学部附属病院, 特任研究員 (30624770)

Research Collaborator SUGIYAMA yuki  
TANAKA satoshi  
FUSEYA satoshi  
KAWAMATA mikito  
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords筋凍結 / 慢性炎症 / 遷延性術後痛 / マイクログリア / 炎症細胞浸潤 / ミクログリア
Outline of Final Research Achievements

In this study, we compared time course of pain in rats with cold injury or incision of plantar muscles. Pain activity was enhanced and prolonged in the cold injury group compared to the incision group. There were no significant differences between the two groups in thermal hyperalgesia and short-term neural activity. However, the injured plantar muscle showed a significant enhancement of the inflammatory response. In addition, in the cold injury group, there was a significant increase in microglia expression in the dorsal horn of the spinal cord, which persisted after 7 days. Thus, it has been shown that muscle cold injury causes chronic inflammation locally due to nerve damage, which causes pain behavior.

Academic Significance and Societal Importance of the Research Achievements

いまだあきらかにされていない遷延性術後痛発生のメカニズムについて、手術創部における慢性炎症がターゲットとなる可能性を示した。行動学的研究、免疫組織学的研究、炎症細胞の分離などの手法でそれを示した。遷延性術後痛の基礎研究において、より強い慢性炎症を生じ、痛み行動が増強、遷延した動物モデルを作成したという点でも学術的に意義があると考えられる。今後遷延性術後痛の研究が進めば、術後に痛みで苦しむ患者が減り、医療資源の効率化にもつながる。

Report

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

    (16 results)

All 2018 2017 2016 2015

All Journal Article (8 results) (of which Peer Reviewed: 4 results,  Open Access: 4 results) Presentation (8 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] A case of sudden onset of thyroid storm just before cesarean section manifesting congestive heart failure and pulmonary edema.2017

    • Author(s)
      Sugiyama Y, Tanaka R, Yoshiyama Y, Ichino T, Hishinuma N, Shimizu S, Imai N, Mitsuzawa K, Kawamata M
    • Journal Title

      JA Clinical Report

      Volume: 3 Issue: 1 Pages: 20-20

    • DOI

      10.1186/s40981-017-0088-3

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Difficult Management of a Double-Lumen Endotracheal Tube and Difficult Ventilation during Robotic Thymectomy with Carbon Dioxide Insufflation2017

    • Author(s)
      Sugiyama Y, Mitsuzawa K, Yoshiyama Y, Shimizu F, Fuseya S, Ichino T, Agatsuma H, Shiina T, Ito K, Kawamata M
    • Journal Title

      Case Reports in Surgery

      Volume: 2017 Pages: 3403045-3403045

    • DOI

      10.1155/2017/3403045

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 術後回診2017

    • Author(s)
      吉山勇樹、千葉夏希
    • Journal Title

      オペナース誌、手術ナーシング

      Volume: 4 Pages: 31-35

    • Related Report
      2017 Research-status Report
  • [Journal Article] Efficacy of Temporary Transvenous Pacing to Prevent Atropine-resistant Bradycardia during Surgery for a Tumor in the Brainstem Region : A Case Report2016

    • Author(s)
      Yoshiyama Y, Sugiyama Y, Ide S, Fuseya S, Murakami T, Kawamata M
    • Journal Title

      THE SHINSHU MEDICAL JOURNAL

      Volume: 64 Issue: 3 Pages: 153-157

    • DOI

      10.11441/shinshumedj.64.153

    • NAID

      130005160166

    • ISSN
      0037-3826, 1884-6580
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 遷延性術後痛2016

    • Author(s)
      吉山勇樹、布施谷 仁志、川真田 樹人
    • Journal Title

      診断と治療

      Volume: 104 Pages: 1451-1455

    • Related Report
      2016 Research-status Report
  • [Journal Article] 術後疼痛における炎症の関わりと対処法2016

    • Author(s)
      吉山 勇樹, 杉山 由紀, 川真田 樹人
    • Journal Title

      ペインクリニック

      Volume: 37 Pages: 1505-1514

    • Related Report
      2016 Research-status Report
  • [Journal Article] 関節鏡下肩腱板修復術に対する持続腕神経叢ブロック中に一過性の反回神経麻痺をきたした2症例2016

    • Author(s)
      吉山 勇樹, 安藤 尚美, 藏當 辰彦
    • Journal Title

      麻酔と蘇生

      Volume: 52 Pages: 7-10

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【慢性疼痛をめぐって】 遷延性術後痛のメカニズム2015

    • Author(s)
      田中聡,吉山勇樹,川真田樹人
    • Journal Title

      神経内科

      Volume: 83 Pages: 125-130

    • Related Report
      2015 Research-status Report
  • [Presentation] フェンタニル貼付薬長期使用患者の便秘に対し,ナルデメジンが有効であった一症例2018

    • Author(s)
      吉山勇樹,田中聡,坂本明之,村上育子,杉山由紀,石田高志,間宮敬子,川真田樹人
    • Organizer
      日本ペインクリニック学会 第52回大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] The transient receptor potential vanilloid subfamily 1 is involved in abdominal hyperalgesia in a mouse model of lipopolysaccharide-induced peritonitis and influences the immune response.2017

    • Author(s)
      Sugiyama Y, Yoshiyama Y, Kiyosawa K, Tanaka S, Kawamata M
    • Organizer
      Euroanaesthesia, 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 頸椎捻挫後の両手指振戦にプレガバリンが有効であった1例2017

    • Author(s)
      吉山 勇樹、田中 聡、間宮 敬子、坂本 明之、村上 育子、塚原 嘉子、川真田 樹人
    • Organizer
      第6回日本ペインクリニック学会 北関東・甲信越支部学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 遷延性術後痛のリスクファクター2017

    • Author(s)
      田中聡、吉山勇樹、川真田樹人
    • Organizer
      日本ペインクリニック学会第51会大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 術後痛管理の役割:遷延性術後痛の実態と予防法2016

    • Author(s)
      吉山勇樹、田中聡、川真田樹人
    • Organizer
      日本臨床麻酔学会第36回大会
    • Place of Presentation
      高知県高知市ザクラウンパレス新阪急高知
    • Year and Date
      2016-11-03
    • Related Report
      2016 Research-status Report
  • [Presentation] Muscle injury with prolonged infiltration of inflammatory cells induces persistent postsurgical pain and spinal microglial activation.2016

    • Author(s)
      Yoshiyama Y, Sugiyama Y, Tanaka S, Sugiyama D, Fuseya S, Kawamata M
    • Organizer
      International Association for the Study of Pain
    • Place of Presentation
      PACIFICO Yokohama, Yokohama City, Japan
    • Year and Date
      2016-09-29
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 関節鏡下肩腱板修復術に対する持続腕神経叢ブロック中に一過性の反回神経麻痺をきたした2症例2016

    • Author(s)
      吉山 勇樹, 安藤 尚美, 藏當 辰彦
    • Organizer
      日本区域麻酔学会 第3回学術集会
    • Place of Presentation
      青森県弘前市ホテルニューキャッスル
    • Year and Date
      2016-04-15
    • Related Report
      2016 Research-status Report
  • [Presentation] 遷延性術後痛への対応 遷延性術後痛と創部の炎症(基礎研究)2015

    • Author(s)
      吉山勇樹,杉山由紀,田中聡,川真田樹人
    • Organizer
      日本ペインクリニック学会
    • Place of Presentation
      グランフロント大阪(大阪府・大阪市)
    • Year and Date
      2015-07-25
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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