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Pericyte-mediated tissue repair and functional recovery after ischemic stroke

Research Project

Project/Area Number 16H05439
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Neurosurgery
Research InstitutionKyushu University

Principal Investigator

Kitazono Takanari  九州大学, 医学研究院, 教授 (70284487)

Co-Investigator(Kenkyū-buntansha) 吾郷 哲朗  九州大学, 医学研究院, 准教授 (30514202)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥17,160,000 (Direct Cost: ¥13,200,000、Indirect Cost: ¥3,960,000)
Fiscal Year 2019: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2018: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2016: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Keywords脳梗塞 / ペリサイト / 組織修復 / 機能回復 / 創傷治癒 / アストロサイト / オリゴデンドロサイト / 単球・マクロファージ / 神経機能回復 / 細胞間ネットワーク / 神経幹細胞 / マウス / 側副血行
Outline of Final Research Achievements

Using a mouse stroke model, we elucidated the molecular and cellular mechanisms underlying tissue repair after ischemic stroke and its association with functional recovery. We found that tissue repair absolutely requires the recovery of blood flow within infarct areas thorough recanalization of occluded artery or promotion of collateral blood flow via leptomeningeal anastomosis, where microvascular pericytes play a crucial role. The pericyte-mediated intra-infarct tissue repair induces activation of astrocytes, differentiation of oligodendrocyte precursor cells and reorganization of neural network in peri-infarct areas, thereby contributing to functional recovery.

Academic Significance and Societal Importance of the Research Achievements

脳梗塞は日本人の代表的国民病である.近年rt-PA静注療法や脳血管カテーテルによる血栓除去療法など超急性期治療が普及してきたが,急性期以降の機能回復促進治療はリハビリテーションに依存し薬物療法は未だ存在しない.発症1-6ヶ月の間に生じる内因性機能回復の分子細胞機構も不明のままである.本研究課題では,脳梗塞機能回復過程において,微小血管壁細胞であるペリサイトが脳梗塞巣内部の創傷治癒に重要な役割を担うこと,またこの創傷治癒がどのようにして神経機能回復をもたらすのか,その分子細胞機序の一端を明らかにした.脳梗塞機能回復治療の新たな概念構築をもたらし新規治療標的の開発につながることが期待される.

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (37 results)

All 2020 2019 2018 2017 2016 Other

All Int'l Joint Research (2 results) Journal Article (12 results) (of which Peer Reviewed: 10 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (17 results) (of which Int'l Joint Research: 1 results,  Invited: 17 results) Book (2 results) Remarks (4 results)

  • [Int'l Joint Research] Rutgers NJMS(米国)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] Rutgers NJMS(米国)

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Smoking Status and Functional Outcomes After Acute Ischemic Stroke2020

    • Author(s)
      Matsuo Ryu、Ago Tetsuro、Kiyuna Fumi、Sato Noriko、Nakamura Kuniyuki、Kuroda Junya、Wakisaka Yoshinobu、Kitazono Takanari、on behalf of the Fukuoka Stroke Registry Investigators
    • Journal Title

      Stroke

      Volume: 51 Issue: 3 Pages: 846-852

    • DOI

      10.1161/strokeaha.119.027230

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pericyte-Mediated Tissue Repair through PDGFRβ Promotes Peri-Infarct Astrogliosis, Oligodendrogenesis, and Functional Recovery after Acute Ischemic Stroke2020

    • Author(s)
      Shibahara Tomoya、Ago Tetsuro、Nakamura Kuniyuki、Tachibana Masaki、Yoshikawa Yoji、Komori Motohiro、Yamanaka Kei、Wakisaka Yoshinobu、Kitazono Takanari
    • Journal Title

      eneuro

      Volume: 7 Issue: 2 Pages: ENEURO.0474-19.2020

    • DOI

      10.1523/eneuro.0474-19.2020

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Nox4 Promotes Neural Stem/Precursor Cell Proliferation and Neurogenesis in the Hippocampus and Restores Memory Function Following Trimethyltin-Induced Injury2019

    • Author(s)
      Yoshikawa Y, Ago T, Kuroda J, Wakisaka Y, Tachibana M, Komori M, Shibahara T, Nakashima H, Nakashima K, Kitazono T.
    • Journal Title

      Neuroscience

      Volume: 398 Pages: 193-205

    • DOI

      10.1016/j.neuroscience.2018.11.046

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Early initiation of a factor Xa inhibitor can attenuate tissue repair and neurorestoration after middle cerebral artery occlusion2019

    • Author(s)
      Komori Motohiro、Ago Tetsuro、Wakisaka Yoshinobu、Nakamura Kuniyuki、Tachibana Masaki、Yoshikawa Yoji、Shibahara Tomoya、Yamanaka Kei、Kuroda Junya、Kitazono Takanari
    • Journal Title

      Brain Research

      Volume: 1718 Pages: 201-211

    • DOI

      10.1016/j.brainres.2019.05.020

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Why are pericytes important for brain functions?2019

    • Author(s)
      Ago Tetsuro
    • Journal Title

      Rinsho Shinkeigaku

      Volume: 59 Issue: 11 Pages: 707-715

    • DOI

      10.5692/clinicalneurol.cn-001357

    • NAID

      130007742560

    • ISSN
      0009-918X, 1882-0654
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Poor glycemic control and posterior circulation ischemic stroke.2019

    • Author(s)
      Kuroda J, Matsuo R, Yamaguchi Y, Sato N, Kamouchi M, Hata J, Wakisaka Y, Ago T, Kitazono T.
    • Journal Title

      Neurol Clin Pract

      Volume: 9 Issue: 2 Pages: 129-139

    • DOI

      10.1212/cpj.0000000000000608

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 脳虚血病態におけるペリサイトの役割2018

    • Author(s)
      吾郷哲朗
    • Journal Title

      分子脳血管病

      Volume: 17 Pages: 17-20

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Insulin resistance and clinical outcomes after acute ischemic stroke2018

    • Author(s)
      Ago Tetsuro、Matsuo Ryu、Hata Jun、Wakisaka Yoshinobu、Kuroda Junya、Kitazono Takanari、Kamouchi Masahiro、On behalf of the Fukuoka Stroke Registry Investigators
    • Journal Title

      Neurology

      Volume: 90 Issue: 17 Pages: e1470-e1477

    • DOI

      10.1212/wnl.0000000000005358

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Early Reperfusion After Brain Ischemia Has Beneficial Effects Beyond Rescuing Neurons2017

    • Author(s)
      Tachibana Masaki、Ago Tetsuro、Wakisaka Yoshinobu、Kuroda Junya、Shijo Masahiro、Yoshikawa Yoji、Komori Motohiro、Nishimura Ataru、Makihara Noriko、Nakamura Kuniyuki、Kitazono Takanari
    • Journal Title

      Stroke

      Volume: 48 Issue: 8 Pages: 2222-2230

    • DOI

      10.1161/strokeaha.117.016689

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] NADPH oxidase 4 mediates ROS production in radiation-induced senescent cells and promotes migration of inflammatory cells2017

    • Author(s)
      Sakai Yuri、Yamamori Tohru、Yoshikawa Yoji、Bo Tomoki、Suzuki Motofumi、Yamamoto Kumiko、Ago Tetsuro、Inanami Osamu
    • Journal Title

      Free Radical Research

      Volume: 52 Issue: 1 Pages: 92-102

    • DOI

      10.1080/10715762.2017.1416112

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] NADPH Oxidase-Related Pathophysiology in Experimental Models of Stroke2017

    • Author(s)
      Yao Hiroshi、Ago Tetsuro、Kitazono Takanari、Nabika Toru
    • Journal Title

      International Journal of Molecular Sciences

      Volume: 18 Issue: 10 Pages: 2123-2123

    • DOI

      10.3390/ijms18102123

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Early reperfusion after brain ischemia has beneficial effects beyond rescuing neurons2017

    • Author(s)
      Tachibana M, Ago T, Wakisaka Y, Kuroda J, Shijo M, Yoshikawa Y, Komori M, Nishimura A, Makihara N, Nakamura K, Kitazono T
    • Journal Title

      Stroke

      Volume: 印刷中

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 脳虚血の治療標的としてのペリサイトの重要性2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 脳卒中患者における血圧管理の重要性2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 高齢者脳疾患発症予防の立場から生活習慣病の管理を考える2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第19回日本NO学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 脳卒中の再発予防2019

    • Author(s)
      吾郷哲朗
    • Organizer
      第2回日本神経学会特別教育研修会:脳卒中コース
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 脳梗塞のバイオマーカー2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第37回日本神経治療学会学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Fukuoka Stroke Registry2019

    • Author(s)
      Ago Tetsuro, Kitazono Takanari
    • Organizer
      9th Japan Korean Joint Stroke Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 「脳虚血病態研究の進歩―トランスレーショナルリサーチ―」脳虚血の治療標的としてのペリサイトの重要性.2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 「脳卒中発症・再発予防のためのリスク管理」脳卒中患者における血圧管理の重要性.2019

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 「脳虚血病態の基礎からtranslational researchへ」脳虚血病態におけるペリサイトの多様な役割.2018

    • Author(s)
      吾郷哲朗
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Nox4 promotes neural stem/precursor cell proliferation and neurogenesis in the hippocampus2018

    • Author(s)
      吾郷 哲朗
    • Organizer
      第95回日本生理学会大会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 脳梗塞病態における周皮細胞の多様な作用2017

    • Author(s)
      吾郷 哲朗
    • Organizer
      第60回日本脳循環代謝学術学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 高血圧性脳症の病態と治療2017

    • Author(s)
      吾郷 哲朗
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Redefinition of vascular dementia. Pericyte in health and cerebrovascular diseases2017

    • Author(s)
      吾郷 哲朗
    • Organizer
      ConBio2017
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 脳梗塞後の組織修復における再灌流治療の有用性に関する基礎的研究2017

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第42回日本脳卒中学会学術集会
    • Place of Presentation
      大阪
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Role and significance of pericyte in cerebrovascular diseases2017

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第94回日本生理学会大会
    • Place of Presentation
      浜松
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 「生活習慣病と脳梗塞・認知症」脳虚血とNADPH oxidase family2016

    • Author(s)
      吾郷哲朗
    • Organizer
      Vas-Cog Japan 2016
    • Place of Presentation
      金沢
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Neurovascular Unitからみた脳血管障害2016

    • Author(s)
      吾郷哲朗,北園孝成
    • Organizer
      第20回眼創傷治癒研究会
    • Place of Presentation
      福岡
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Book] マスター脳卒中学2019

    • Author(s)
      田川皓一、橋本洋一郎、稲富雄一郎 (吾郷哲朗分担)
    • Total Pages
      608
    • Publisher
      西村書店
    • ISBN
      9784890134939
    • Related Report
      2019 Annual Research Report
  • [Book] 脳卒中病態学のススメ2018

    • Author(s)
      下畑享良
    • Total Pages
      354
    • Publisher
      南山堂
    • ISBN
      9784525248512
    • Related Report
      2017 Annual Research Report
  • [Remarks] 九州大学大学院 医学研究院 病態機能内科学 脳循環代謝研究室

    • URL

      http://stroke.wp.med.kyushu-u.ac.jp

    • Related Report
      2019 Annual Research Report
  • [Remarks] FSR 福岡脳卒中データベース研究

    • URL

      http://www.fukuoka-stroke.net

    • Related Report
      2019 Annual Research Report
  • [Remarks] 九州大学大学院 医学研究院 病態機能内科学 脳循環代謝研究室

    • URL

      http://www.stroke.med.kyushu-u.ac.jp

    • Related Report
      2018 Annual Research Report 2017 Annual Research Report
  • [Remarks] 九州大学大学院 医学研究院 病態機能内科学 脳循環研究室

    • URL

      http://www.stroke.med.kyushu-u.ac.jp

    • Related Report
      2016 Annual Research Report

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Published: 2016-04-21   Modified: 2021-02-19  

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