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A new therapeutic challenge for severe sepsis: intervention into the bacterial ecosystem in the digestive tract

Research Project

Project/Area Number 16591553
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

SHIME Nobuaki  Kyoto prefectural University of Medicine, Medical school, Assistant professor, 医学研究科, 助手 (00260795)

Co-Investigator(Kenkyū-buntansha) NAKAYA Takaaki  Osaka University, Medical school, Associate professor, 微生物病研究所, 助教授 (80271633)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2005: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2004: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsSepsis / Innate immunity / Probiotics / Digestive tract / Commensal bacteria / Antibiotics / エコシステム
Research Abstract

Innate immunity is a primary immune system to remove invaded bacteria through various host inflammatory response. We investigated roles of digestive bacterial ecosystem in the innate immune response by using experimental severe infection models. First, we have evaluated significance of TLR-4 system, which is innate immune receptor for lipopolysaccharide(LPS), a virulent factor of gram-negative rods, with a mouse model of Pseudomonas aeruginosa pneumonia. A deficiency of TLR-4 receptor has resulted in severe lung injury and death, indicating that innate immune response via TLR-4 is indispensable for host defense system (Respiratory Res, 2004). Next, we have developed an in vitro system to assess responses in NODs family, another innate immune receptor, to evaluate the reaction of NOD system by various bacterial products. We then have developed an mouse model of depletion of bacterial flora from the digestive tract by administration of antimicrobials. In that model, the depletion of commensal bacterial flora was associated with suppressed immune response against LPS. The expression of TLR-4 receptors have been downregulated and the increases in plasma TNF-a level have been attenuated. We have concluded that commensal bacterial flora in the digestive tract contains a significant role to keep normal innate immune system. We are now proceeding to evaluate the changes in the innate immune response after the supplementation of probiotics, prebiotics, or synbiotics.

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • Research Products

    (23 results)

All 2005 2004

All Journal Article (21 results) Book (2 results)

  • [Journal Article] Current practice of preoperative fasting: a nationwide survey in Japanese anesthesia-teaching hospitals.2005

    • Author(s)
      Shime N et al.
    • Journal Title

      J Anesth 19(3)

      Pages: 187-192

    • NAID

      10016650254

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 日本麻酔科学会認定指導病院における麻酔関連誤嚥の影響2005

    • Author(s)
      志馬伸朗ら
    • Journal Title

      麻酔 54

      Pages: 1177-1184

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] ショックのモニタリング2005

    • Author(s)
      志馬伸朗ら
    • Journal Title

      救急・集中治療 17

      Pages: 287-292

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Current practice of preoperative fasting : a nationwide survey in Japanese anesthesia-teaching hospitals. surgery2005

    • Author(s)
      Shime N, et al.
    • Journal Title

      J Anesth 19(3)

      Pages: 187-192

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Current practice of preoperative fasting : a nationwide survey in Japanese anesthesia-teaching hospitals.surgery2005

    • Author(s)
      Shime N
    • Journal Title

      J Anesth 19(3)

      Pages: 187-192

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 当院におけるメチシリン耐性黄色ブドウ球菌肺炎の現状2005

    • Author(s)
      阪口雅洋, 志馬伸朗ら
    • Journal Title

      臨床呼吸生理 37(2)

      Pages: 81-84

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 京都府立医科大学における感染制御2005

    • Author(s)
      志馬伸朗
    • Journal Title

      感染制御 1(3)

      Pages: 355-360

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 京都府立医科大学における抗菌薬適正使用のためのコントロール2005

    • Author(s)
      小阪直史, 志馬伸朗
    • Journal Title

      INFECTION CONTROL 14

      Pages: 24-28

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Contemporary trends in postoperative intensive care for pediatric cardiac intensive care2004

    • Author(s)
      Shime N, et al.
    • Journal Title

      J Cardiothorac Vasc Anesth 18(2)

      Pages: 218-227

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] TLR4 signalling is essential for survival in acute lung injury inded by vir ulent Pseudomonas aeruginosa secreting type III secretory toxins2004

    • Author(s)
      Faure N, Shime N, et al.
    • Journal Title

      Respiratory Reasearch 12(5)

      Pages: 1-10

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Factors contributing to successful discontinuation from inhaled nitric oxid e therapy in pediatric patients after congenital ardiac surgery2004

    • Author(s)
      Kageyama K, Shime N, et al.
    • Journal Title

      Pediatr Crit Care Med 5(4)

      Pages: 351-355

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Contemporary trends in postoperative intensive care for pediatric cardiac intensive care2004

    • Author(s)
      Shime N.
    • Journal Title

      J Cardiothorac Vasc Anesth 18(2)

      Pages: 219-227

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] TLR4 signaling is essential for survival in acute lung injury induced by virulent Pseudomonas aeruginosa secreting type III secretory toxins2004

    • Author(s)
      Faure K, Shime N, et al.
    • Journal Title

      Respiratory research 12(3)

      Pages: 1-1

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Panax ginseng induces production of pro-inflammatory cytokines via Toll-like receptor2004

    • Author(s)
      Nakaya T, et al.
    • Journal Title

      J Interferon Cytokine Res 24(3)

      Pages: 93-100

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Factors contributing to successful discontinuation from inhaled nitric oxide therapy in pediatric patients after congenital cardiac sure 2004:5(4):351-5.2004

    • Author(s)
      Kageyama K, Shime N, et al.
    • Journal Title

      Pediatr Crit Care Med 5(4)

      Pages: 351-355

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Contemporary trends in postoperative intensive care for pediatric cardiac surgery2004

    • Author(s)
      Shime N
    • Journal Title

      J Cardiothorac Vasc Anesth 18(2)

      Pages: 218-227

    • Related Report
      2004 Annual Research Report
  • [Journal Article] TLR4 signaling is essential for survival in acute lung injury induced by virulent Pseudomonas aeruginosa secreting type III secretory toxins2004

    • Author(s)
      Faure N, Shime N, et al.
    • Journal Title

      Respiratory Research 12(5)

      Pages: 1-10

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Factors contributing to successful discontinuation from inhaled nitric oxide therapy in pediatric patients after congenital cardiac surgery2004

    • Author(s)
      Kageyama K, Shime N, et al.
    • Journal Title

      Pediatr Crit Care Med 5(4)

      Pages: 351-355

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 手術適応診断困難な青年期の重症肺高血圧症の麻酔経験2004

    • Author(s)
      伊藤令子, 志馬伸朗ら
    • Journal Title

      麻酔 53

      Pages: 309-312

    • NAID

      40006130277

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Lower dose of steroid therapy for capillary leak syndrome in infants after open-heart surgery2004

    • Author(s)
      Umenai T, Shime N
    • Journal Title

      Emergency medicine australasia 16,suppl 1

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Application of noninvasive positive pressure ventilation in pediatric patients with left bronchial stenosis associated with congenital cardiovascular disease2004

    • Author(s)
      Sakaguchi M, Shime N
    • Journal Title

      Emergency medicine australasia 16,suppl 1

    • Related Report
      2004 Annual Research Report
  • [Book] 小児ICUマニュアル;改訂第5版〜エビデンスを取り入れた小児集中治療2005

    • Author(s)
      志馬伸朗, 橋本悟
    • Total Pages
      361
    • Publisher
      永井書店
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] 小児ICUマニュアル:改訂第5版〜エビデンスを取り入れた小児集中治療2005

    • Author(s)
      志馬伸朗, 橋本 悟
    • Total Pages
      361
    • Publisher
      永井書店
    • Related Report
      2005 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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