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Treatment for spinal cord ischemia by HGF

Research Project

Project/Area Number 16K10667
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular surgery
Research InstitutionSaitama Medical University (2017-2018)
Keio University (2016)

Principal Investigator

Yoshitake Akihiro  埼玉医科大学, 医学部, 准教授 (70327550)

Co-Investigator(Kenkyū-buntansha) 岩波 明生  慶應義塾大学, 医学部(信濃町), 講師 (40327557)
志水 秀行  慶應義塾大学, 医学部(信濃町), 教授 (50226247)
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胸腹部大動脈瘤 / 脊髄障害 / HGF / 虚血性脊髄損傷 / 脊髄虚血 / 対麻痺 / 外科学
Outline of Final Research Achievements

We made a rat model with ischemic spinal cord injury. After left thoracotomy, distal aortic arch is clamped for 15minutes and the rat became spinal cord injury. We evaluated neurological function after 12, 24, 48 hours, 7 and 14 days after procedure and evaluated HCF and c-Met by Westernblot method and HGF mRNA and c-Met mRNA by RT-PCR method. Estimation of HGF in the spinal cord and blood were made after resection of spinal cord between Th4 and L 2 and three section were evaluated. HGF level in the spinal cord after spinal ischemia were elevated. In the rat model of the spinal cord injury, HGF was influenced by spinal cord ischemia and it was suggested that HGF would be the treatment and prevention of spinal cord injury.

Academic Significance and Societal Importance of the Research Achievements

ラットを用いての脊髄障害モデルを用いて検討を始めた。われわれは全身麻酔下にて開胸を行った後大動脈を鎖骨下動脈分岐部末梢にて遮断することで脊髄障害とするモデルを作成することに成功した。
また本研究においては、上記モデルを用いて脊髄損傷後の脊髄中のHGFの上昇を認めた。 虚血性脊髄障害においてHGFの関与が認められ、HGF投与による治療効果、予防効果の可能性が示唆された。

Report

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

    (11 results)

All 2019 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (6 results) (of which Int'l Joint Research: 2 results) Book (2 results)

  • [Journal Article] Comparison of aortic arch repair using the endovascular technique, total arch replacement, and staged surgery.2017

    • Author(s)
      Yoshitake A, Okamoto K, Yamazaki M, Kimura N, Hirano A, Iida Y, Abe T, Shimizu H
    • Journal Title

      European Journal of Cardio-Thoracic Surgery

      Volume: - Issue: 6 Pages: 1142-1148

    • DOI

      10.1093/ejcts/ezx028

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Blood flow into ulcer-like projection of a type B aortic dissection visualized with computational fluid dynamics2017

    • Author(s)
      Iida Y, Yoshitake A, Shimizu H
    • Journal Title

      J Thorac Cardiovasc Surg

      Volume: 154 Issue: 4 Pages: 1217-1218

    • DOI

      10.1016/j.jtcvs.2017.04.040

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Postoperative stroke after debranching with thoracic endovascular aortic repair.2016

    • Author(s)
      Yoshitake A, Hachiya T, Okamoto K, Kitahara H, Kawaguchi S, Nakatsuka S, Inoue M, Jinzaki M, Shimizu H.
    • Journal Title

      Ann Vasc Surg

      Volume: 36 Pages: 132-138

    • DOI

      10.1016/j.avsg.2016.02.039

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 虚血性脊髄障害に対する肝細胞増殖因子(HGF)治療の可能性2019

    • Author(s)
      川合雄二郎、吉武明弘、内室智也、他
    • Organizer
      第49回日本心臓血管外科学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 胸腹部大動脈瘤に対するOpen手術の成績の検討2017

    • Author(s)
      吉武明弘、岡本一真、山崎真敬、木村成卓、飯田泰功、平野堯教、浅原祐太、飯尾みなみ、池端幸起、志水秀行
    • Organizer
      第117回日本外科学会定期学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2017-04-27
    • Related Report
      2016 Research-status Report
  • [Presentation] Treatment for ruptured thoracic aortic arch aneurysm2017

    • Author(s)
      Yoshitake A, Okamoto K, Yamazaki M, Kimura N, Iida Y, Hirano A, Shimizu H
    • Organizer
      The25th annual meeting of the Asian society for cardiovascular and thoracic surgery (ASCVTS)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 胸腹部大動脈瘤における術後対麻痺ゼロを目指して2017

    • Author(s)
      吉武明弘、山﨑真敬、木村成卓、高橋辰郎、饗庭了、林可奈子、稲葉佑、泉田博彬、山下健太郎、大野昌利、志水秀行
    • Organizer
      第79回日本臨床外科学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Comparison of aortic arch repair using the endovascular technique, conventional total arch replacement, and staged surgery2016

    • Author(s)
      Yoshitake A, Okamoto K, Yamazaki M, Kimura N, Iida Y, Hirano A, Shimizu H
    • Organizer
      30th European Association for Cardio-Thoracic Surgery(EACTS) annual meeting
    • Place of Presentation
      バルセロナ(スペイン)
    • Year and Date
      2016-10-01
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 当院における胸腹部大動脈瘤に対するOpen手術の術式および遠隔期成績の検討2016

    • Author(s)
      吉武明弘、岡本一真、工藤樹彦、北原大翔、河西未央、平野堯教、河島毅之、岡秀俊、赤松雄太、志水秀行
    • Organizer
      第44回日本血管外科学会総会
    • Place of Presentation
      ホテルグランパシフィックLE DAIBA(東京都港区)
    • Year and Date
      2016-05-26
    • Related Report
      2016 Research-status Report
  • [Book] 心臓血管外科手術周術期管理のすべて 第3章 大動脈緊急症2017

    • Author(s)
      吉武明弘
    • Total Pages
      10
    • Publisher
      メディカルビュー出版
    • Related Report
      2017 Research-status Report
  • [Book] 心臓外科手術と術後ケア2016

    • Author(s)
      7.吉武明弘、高橋可奈子
    • Total Pages
      45
    • Publisher
      メディカ出版
    • Related Report
      2016 Research-status Report

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

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