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Mediators of Inflammation in Pathophysiology of Hypertensive Disorders in Pregnancy

Research Project

Project/Area Number 16K11101
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionNara Medical University

Principal Investigator

Naruse Katsuhiko  奈良県立医科大学, 医学部, 研究員 (70453165)

Co-Investigator(Kenkyū-buntansha) 重光 愛子  奈良県立医科大学, 医学部, 助教 (50553244)
長安 実加  奈良県立医科大学, 医学部附属病院, 研究員 (80623496)
赤坂 珠理晃  奈良県立医科大学, 医学部, 助教 (90526724)
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: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords妊娠高血圧症候群 / 炎症 / 脂肪細胞 / 胎盤 / ケモカイン / サイトカイン / アディポサイトカイン / 脂肪組織 / Danger signal / 産科学
Outline of Final Research Achievements

Existence and contribution of Danger signal on primary human cells in hypertensive disorders in pregnancy were defined. Research in placental genetic conflict were also showed this pathway. RAGE (receptor for advanced glycation end-products), strongly related to danger signal, on adipocyte and adipose tissue were found as a mediator of the pathway of inflammatory signal, which may induce systemic inflammatory response in hypertensive pregnancy. Chemokine in the pathway of inflammation was also defined in the research, which suggesting that the soluble inflammatory factors in hypertensive pregnancy contributed to pathophysiology of the disease.

Academic Significance and Societal Importance of the Research Achievements

妊娠中の母児に致命的な影響を与える妊娠高血圧症候群において、血液中の炎症性因子が生体の組織、とくに脂肪組織に働きかけて強い炎症を引き起こし、疾患の重要な部分を占めることを明らかにした。
妊娠高血圧症候群は発症してしまうと治療法がなく、また児の予後も不良なことがある。発症を抑えることももちろんであるが、発症してからでもこれらの炎症性因子を抑制することができれば、母児の予後を改善することが可能になり、児の障害や母の加齢後の高血圧などを劇的に減少させることができるかもしれない。

Report

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

    (21 results)

All 2019 2018 2017 2016

All Journal Article (5 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (13 results) (of which Int'l Joint Research: 4 results,  Invited: 7 results) Book (3 results)

  • [Journal Article] Preliminary evidence of a paternal-maternal genetic conflict on the placenta: Link between imprinting disorder and multi-generational hypertensive disorders2019

    • Author(s)
      Naruse K、Tsunemi T、Kawahara N、Kobayashi H
    • Journal Title

      Placenta

      Volume: 印刷中 Pages: 69-73

    • DOI

      10.1016/j.placenta.2019.02.009

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 特集 妊娠高血圧症候群―PIHからHDPへ 9. 妊娠高血圧症候群の発症原因―子宮内炎症2019

    • Author(s)
      成瀬 勝彦
    • Journal Title

      産科と婦人科

      Volume: 65 Pages: 207-211

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 特集 妊婦のやせ・肥満 保健指導と分娩管理 01 総論:妊婦のやせ・肥満と体重管理2018

    • Author(s)
      成瀬 勝彦
    • Journal Title

      ペリネイタルケア

      Volume: 37 Pages: 14-17

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 産婦人科領域と炎症性疾患 妊娠高血圧症候群における胎盤・血管の炎症2017

    • Author(s)
      成瀬勝彦
    • Journal Title

      別冊BIO Clinica 慢性炎症と疾患 産婦人科領域と炎症

      Volume: 6 Pages: 67-72

    • Related Report
      2017 Research-status Report
  • [Journal Article] A case of very early onset eclampsia, placental abruption and intrauterine fetal death2017

    • Author(s)
      Nakano K, Tsunemi T, Akasaka J, Shigemitsu A, Naruse K, Kobayashi H.
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 5 Issue: 1 Pages: 17-19

    • DOI

      10.14390/jsshp.HRP2017-003

    • NAID

      130006203151

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Pathophysiology of HDP: Placental disease or not?2019

    • Author(s)
      Naruse K
    • Organizer
      第11回日本イアンドナルド超音波講座アドバンストセミナー:The 3rd Talk Battle on Maternal Fetal Medicine.
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 早発型妊娠高血圧症候群におけるインプリティング遺伝子発現の検討2018

    • Author(s)
      常見泰平,隅田大地,河原直紀,佐道俊幸,小林 浩
    • Organizer
      第42回日本産科婦人科栄養・代謝研究会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Possible involvement of RAGE in Hypertensive Disorders of Pregnancy2018

    • Author(s)
      Akasaka J, Tsunemi T, Nakano K, Onishi S, Kimura M, Ogawa K, Yoshimoto C, Sado T, Kobayashi H
    • Organizer
      第70回日本産科婦人科学会学術講演会
    • Related Report
      2018 Annual Research Report
  • [Presentation] DOHaD and the placenta: Paternal-maternal-fetal genetic conflict on placenta: Imprinting disorders may effect on generation-wide hypertensive disorders.2018

    • Author(s)
      Naruse K, Tsunemi T, Kawahara N, Kobayashi H.
    • Organizer
      International Federation of Placenta Associations Meeting 2018 (IFPA)
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 専攻医教育プログラム5 妊娠高血圧腎症の診断と管理2018

    • Author(s)
      成瀬勝彦
    • Organizer
      第70回日本産科婦人科学会学術講演会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Possible involvemet of RAGE in Hypertensive Disorders of Pregnancy2018

    • Author(s)
      Juria Akasaka, Taihei Tsunemi, Kazutoshi Nakano, Shunsuke Onishi, Mai Kimura, Kenji Ogawa, Chiharu Yoshimoto, Toshiyuki Sado, Hiroshi Kobayashi
    • Organizer
      第70回日本産科婦人科学会学術講演会
    • Related Report
      2017 Research-status Report
  • [Presentation] Paternal-maternal-fetal genetic conflict on placenta: Imprinting disorders may effect on generation-wide hypertensive disorders2018

    • Author(s)
      Katsuhiko Naruse, Taihei Tsunemi, Naoki Kawahara, Hiroshi Kobayashi
    • Organizer
      International Federation of Placenta Association 2018 Tokyo
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 重光愛子、成瀬勝彦、赤坂珠理晃、小池奈月、常見泰平、 小林 浩2017

    • Author(s)
      絨毛外栄養膜細胞(EVT)の低酸素環境下におけるuPA系の変動と浸潤能および細胞死の変化
    • Organizer
      第69回日本産科婦人科学会学術講演会
    • Related Report
      2017 Research-status Report
  • [Presentation] Inflammatory stress and deposition markers in the serum and on adipose tissue in normal and hypertensive pregnancy.2016

    • Author(s)
      Nagayasu M, Naruse K, Akasaka J, Shigemitsu A, Tsunemi T, Yamada Y, Sado T, Kobayashi H.
    • Organizer
      20th World Congress meeting of the International Society for the Study of Hypertension in Pregnancy (ISSHP)
    • Place of Presentation
      Sao Paulo,Brazil
    • Year and Date
      2016-10-23
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Hypoxia increased invasion of primary human extravillous trophoblast by urokinase-type plasminogen activator system.2016

    • Author(s)
      Tsunemi T, Naruse K, Koike N, Shigemitsu A, Kobayashi H.
    • Organizer
      The 1st joint meeting of ISFP/PA workshop
    • Place of Presentation
      静岡県
    • Year and Date
      2016-10-17
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 妊娠高血圧症候群における父性因子の関与2016

    • Author(s)
      常見泰平,重光愛子,佐道俊幸,小林 浩
    • Organizer
      第37回日本妊娠高血圧学会学術集会
    • Place of Presentation
      埼玉県
    • Year and Date
      2016-10-07
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 「妊婦体重制限の功罪」妊娠中の脂質代謝異常は把握できるか?~新たな脂質マーカーの検討から~2016

    • Author(s)
      佐道俊幸, 成瀬勝彦, 小林 浩
    • Organizer
      第40回日本産科婦人科栄養・代謝研究会
    • Place of Presentation
      札幌市
    • Year and Date
      2016-09-01
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 脂肪組織培養系を用いた妊娠高血圧腎症における生体内炎症の証明2016

    • Author(s)
      赤坂珠理晃,成瀬勝彦,重光愛子,山田有紀,常見泰平,佐道俊幸,小林 浩
    • Organizer
      第68回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京都
    • Year and Date
      2016-04-21
    • Related Report
      2016 Research-status Report
  • [Book] Comprehensive Gynecology and Obstetrics. Preeclampsia; Basic, Genomic and Clinical.2018

    • Author(s)
      Naruse K. Saito, S. [ed.]
    • Total Pages
      290
    • Publisher
      Springer Inc.
    • ISBN
      9789811058905
    • Related Report
      2018 Annual Research Report
  • [Book] Preeclampsia: Basic, Genomic, and Clinical2018

    • Author(s)
      Shigeru Saito (ed.), Katsuhiko Naruse et al.
    • Total Pages
      290
    • Publisher
      Springer Inc.
    • ISBN
      9789811058905
    • Related Report
      2017 Research-status Report
  • [Book] 【産科編】循環器症状 032 血圧の異常.母と子の診断羅針盤 周産期医学 2017年Vol.47増刊.2017

    • Author(s)
      成瀬勝彦
    • Total Pages
      550
    • Publisher
      東京医学社
    • Related Report
      2017 Research-status Report

URL: 

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

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