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Development of evaluation system of new anticoagulation therapy in atrial fibrillation with lifestyle-related disease

Research Project

Project/Area Number 16K18944
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical pharmacy
Research InstitutionOkayama University

Principal Investigator

Koyama Toshihiro  岡山大学, 医歯薬学総合研究科, 助教 (60595106)

Research Collaborator Zamami Yoshito  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords心房細動 / 抗凝固療法 / 生活習慣病 / 候補化合物 / 血液凝固能 / 酸化ストレス / 血管線維化 / 血液凝固系 / 血液凝固能評価系 / 薬理学
Outline of Final Research Achievements

People with atrial fibrillation are at risk for thrombosis and need anticoagulation therapy. On the other hand, patients with atrial fibrillation often suffer from lifestyle-related diseases, and the effects of these co-morbid diseases on the anticoagulant effect are almost unknown. In this study, analysis of medical big data revealed the alleviation effect of lifestyle medicine on the risk of embolism and bleeding in patients with atrial fibrillation complicated with lifestyle-related diseases. Furthermore, the possibility of suppression of oxidative stress and vascular fibrosis was clarified using a lifestyle-related disease model. These results indicate that lifestyle-related medicines have new possibilities to reduce the risk of hemorrhage and embolism through the reduction of oxidative stress.

Academic Significance and Societal Importance of the Research Achievements

本研究の学術的意義はヒトを対象として医療ビッグデータの解析結果を基礎研究によって実証した点である。また、異なる研究領域を融合した結果、全く新しい視点での研究を実現した点にある。さらに社会的意義として、高齢化が進むとともに、心房細動患者は増え、かつ生活習慣病を合併する複雑な背景を有する患者が増加する中、既存の承認医薬品の未知の薬効を再発見することは患者の治療にとっても、新たな創薬のシーズを探索する上でも非常に高い意義を有する。

Report

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

    (3 results)

All 2019 2018 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (2 results)

  • [Journal Article] Oral anticoagulants usage in Japanese patients aged 18ー74 years with non-valvular atrial fibrillation: a retrospective analysis based on insurance claims data2019

    • Author(s)
      Ohshima Ayako、Koyama Toshihiro、Ogawa Aiko、Zamami Yoshito、Tanaka Hiroyoshi Y、Kitamura Yoshihisa、Sendo Toshiaki、Hinotsu Shiro、Miller Michael W、Kano Mitsunobu R
    • Journal Title

      Family Practice

      Volume: in press Issue: 6 Pages: 685-692

    • DOI

      10.1093/fampra/cmz016

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Presentation] 非弁膜症性心房細動患者における医療費に関する研究2018

    • Author(s)
      大島礼子、野村和喜、小山敏広、座間味義人、樋之津史郎、狩野光伸
    • Organizer
      日本薬学会年会
    • Related Report
      2017 Research-status Report
  • [Presentation] 大規模診療報酬明細情報に基づく非ビタミンK阻害経口抗凝固薬(直接作用型経口抗凝固薬)の処方割合推移と有効性・安全性に関する傾向スコア解析を用いた薬剤疫学研究2016

    • Author(s)
      大島礼子、小山敏広、小川 愛子、座間味義人、樋之津史郎、狩野光伸
    • Organizer
      第55回日本薬学会・日本薬剤師会・日本病院薬剤師会中国四国支部学術大会
    • Place of Presentation
      岡山
    • Year and Date
      2016-11-05
    • Related Report
      2016 Research-status Report

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

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