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LDL cholesterol apheresis treatment for arteriosclerosis without hypercholesterolemia

Research Project

Project/Area Number 16K09647
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionYokohama City University

Principal Investigator

Masato Ohsawa  横浜市立大学, 医学研究科, 客員研究員 (60733433)

Co-Investigator(Kenkyū-buntansha) 涌井 広道  横浜市立大学, 医学部, 講師 (10587330)
戸谷 義幸  横浜市立大学, 附属病院, 准教授 (30237143)
田村 功一  横浜市立大学, 医学研究科, 教授 (40285143)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords動脈硬化 / 閉塞性動脈硬化症 / 脂質異常症 / アフェレーシス / レニン・アンジオテンシン系 / 人工透析学 / 腎臓内科学
Outline of Final Research Achievements

Low-density lipoprotein (LDL) apheresis is a potential therapy for conventional therapy resistant peripheral artery disease. We examined the effects of LDL apheresis on clinical parameters in patients who had the complication of peripheral artery disease without hypercholesterolemia in vivo and in vitro and investigate the association the angiotensin receptor-binding molecule and aterosclerosis. Our study showed that leukocyte ATRAP is an emerging marker capable of reflecting the systemic and leukocyte inflammatory profile, and plays a role as an anti-inflammatory factor in the pathophysiology of non-communicable diseases, including hypertension, atherosclerosis and chronic kidney disease (Atherosclerosis. 269:236-244, 2018).

Academic Significance and Societal Importance of the Research Achievements

「正コレステロール血症を呈する従来治療抵抗性閉塞性動脈硬化症に対するデキストラン硫酸カラムを用いたLDLアフェレシス療法」についての、有効性の有無および安全性について多施設共同前向き試験にて症例登録を行い、本療法を受ける患者の血球成分(単球・白血球)検体を用いて検討し、正コレステロール血症を呈する従来治療抵抗性閉塞性動脈硬化症の病態、および本療法の臨床的治療効果とATRAPの関連等について重要な知見を得た。

Report

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

    (8 results)

All 2018 2017 2016

All Journal Article (6 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 6 results,  Open Access: 6 results) Presentation (2 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Angiotensin receptor-binding molecule in leukocytes in association with the systemic and leukocyte inflammatory profile2018

    • Author(s)
      Haruhara Kotaro、Wakui Hiromichi、Azushima Kengo、Kurotaki Daisuke、Kawase Wataru、Uneda Kazushi、Haku Sona、Kobayashi Ryu、Ohki Kohji、Kinguchi Sho、Ohsawa Masato、Minegishi Shintaro、Ishigami Tomoaki、Matsuda Miyuki、Yamashita Akio、Nakajima Hideaki、Tamura Tomohiko、Tsuboi Nobuo、Yokoo Takashi、Tamura Kouichi
    • Journal Title

      Atherosclerosis

      Volume: 269 Pages: 236-244

    • DOI

      10.1016/j.atherosclerosis.2018.01.013

    • Related Report
      2018 Annual Research Report 2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] ATRAP Expression in Brown Adipose Tissue Does Not Influence the Development of Diet-Induced Metabolic Disorders in Mice2017

    • Author(s)
      Wakui H, Ohki K, Azushima K, Uneda K, Haku S, Kobayashi R, Haruhara K, Kinguchi S, Matsuda M, Ohsawa M, Maeda A, Minegishi S, Ishigami T, Toya Y, Yamashita A, Umemura S, Tamura K
    • Journal Title

      International Journal of Molecular Sciences

      Volume: 18 Issue: 3 Pages: 676-676

    • DOI

      10.3390/ijms18030676

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Enhancement of intrarenal plasma membrane calcium pump isoform 1 expression in chronic angiotensin II-infused mice2017

    • Author(s)
      Wakui Hiromichi、Sumida Koichiro、Fujita Megumi、Ohtomo Yuta、Ohsawa Masato、Kobayashi Ryu、Uneda Kazushi、Azushima Kengo、Haruhara Kotaro、Yatsu Keisuke、Hirawa Nobuhito、Minegishi Shintaro、Ishigami Tomoaki、Umemura Satoshi、Tamura Kouichi
    • Journal Title

      Physiological Reports

      Volume: 5 Issue: 11 Pages: e13316-e13316

    • DOI

      10.14814/phy2.13316

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Angiotensin II Type 1 Receptor‐Associated Protein Regulates Kidney Aging and Lifespan Independent of Angiotensin2017

    • Author(s)
      Uneda Kazushi、Wakui Hiromichi、Maeda Akinobu、Azushima Kengo、Kobayashi Ryu、Haku Sona、Ohki Kohji、Haruhara Kotaro、Kinguchi Sho、Matsuda Miyuki、Ohsawa Masato、Minegishi Shintaro、Ishigami Tomoaki、Toya Yoshiyuki、Atobe Yoshitoshi、Yamashita Akio、Umemura Satoshi、Tamura Kouichi
    • Journal Title

      Journal of the American Heart Association

      Volume: 6 Issue: 8

    • DOI

      10.1161/jaha.117.006120

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 36.Effect of Single-pill Irbesartan/Amlodipine Combination-Based Therapy on Clinic and Home Blood Pressure Profiles in Hypertension with Chronic Kidney Disease2016

    • Author(s)
      Kobayashi R, Tamura K, Wakui H, Ohsawa M, Azushima K, Haku S, Uneda K, Ohki K, Haruhara K, Kinguchi S, Umemura S
    • Journal Title

      Clinical and experimental hypertension

      Volume: 38 Issue: 8 Pages: 744-750

    • DOI

      10.1080/10641963.2016.1200063

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 37.Comparison of Direct Renin inhibitor and Angiotensin II Receptor Blocker on Clinic and Ambulatory Blood Pressure Profiles in Hypertension with Chronic Kidney Disease2016

    • Author(s)
      Uneda K, Tamura K, Wakui H, Azushima K, Haku S, Kobayashi R, Ohki K, Haruhara K, Kinguchi S, Ohsawa M, Fujikawa T, Umemura S
    • Journal Title

      Clinical and experimental hypertension

      Volume: 38 Issue: 8 Pages: 738-743

    • DOI

      10.1080/10641963.2016.1200064

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Predictive usefulness of direct AVF blood flow measurements during the operation by transit-time flowmetry for early AVF failure2017

    • Author(s)
      Masato Ohsawa
    • Organizer
      VEITH 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] AT1受容体直接結合因子ATRAPのヒト白血球における発現と臨床指標との関連2016

    • Author(s)
      春原浩太郎,田村功一,涌井広道,大澤正人,小豆島健護,畝田一司,小林竜,大城光二,金口翔,坪井伸夫,横尾隆,梅村敏
    • Organizer
      第59回日本腎臓学会学術総会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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