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Development of new endovascular therapy for aortic dicease with cell transplantation and drug delivery system, for applying to clinical use

Research Project

Project/Area Number 17390378
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Thoracic surgery
Research InstitutionMie University

Principal Investigator

SHIMONO Takatsugu  Mie University, Graduate School of Medicine, Associate Professor (80206242)

Co-Investigator(Kenkyū-buntansha) KATO Noriyuki  Mie University, Graduate School of Medicine, Associate Professor (40214390)
MIYAMOTO Keigi  Mie University, Graduate School of Engineering, Associate Professor (70252343)
HIRATA Hitoshi  Nagoya University, Graduate School of Medicine, Professor (80173243)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥16,670,000 (Direct Cost: ¥15,800,000、Indirect Cost: ¥870,000)
Fiscal Year 2007: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2006: ¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2005: ¥10,000,000 (Direct Cost: ¥10,000,000)
KeywordsAortic aneurysm / Endovascular surgery / Stent-Graft / Cell transplantation / Fibroblast / Myoblast / Drug Delivery System
Research Abstract

We demonstrated previously that transplantation of a cell combination(myoblasts and fibroblasts) promoted thrombus organization in a rat model. We also developed basic fibroblast growth factor(bFGF) slow-delivery stent grafts(S/Gs) coated with elastin and impregnated with bFGF. In this project, the effects of cell transplantation combined with bFGF slow release on canine thoracic aortic aneurysmal sacs after S/Gs repair were evaluated.
Thoracic aortic aneurysms were surgically created with jugular vein patches in 15 beagles. Myoblasts and fibroblasts of autologous skeletal muscle were isolated for cell transplantation. The S/Gs with 6 holes were used in this experiment as endoleaking models. Collagen gel alone(control group n=5) or a mixture of skeletal and fibroblasts with collagen gel(cell group n=5) were injected into the aneurysmal sac excluded S/Gs. The combined therapy of bFGF slow-release S/Gs and cell therapy(hybrid group n=5) was also evaluated. After 14 days, histological analyses revealed that the excluded aneurysmal cavities of the control group were filled with fresh thrombus, whereas the excluded cavities in the cell group and the hybrid group were occupied by organized tissue. The percentages of the organized areas relative to the excluded cavities, evaluated by Masson's trichrome staining, were 18.1%, 52.6% and 77.1% in the control, cell, and hybrid groups, respectively. Also we evaluated some bio-gels for the injection into the anurysmal cavities with autolougus cells and concluded that autologus fibrin glue was suitable for this purpose.
Cell transplantations into excluded aneurysmal cavity with bFGF slow-release stent grafts may improve results of endovascular surgery for aortic aneurysms, especially against the type II endoleak

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (23 results)

All 2007 2006 2005

All Journal Article (13 results) (of which Peer Reviewed: 6 results) Presentation (9 results) Book (1 results)

  • [Journal Article] Thoracic CT Findings Following Endovascular Stent-Garaft Treatment for Thoracic Aortic Aneurysm2007

    • Author(s)
      Ishida M, Kato N, Hirano T, Shimono T, Shimpo H, Takeda K.
    • Journal Title

      Journal of Endovasc. Ther. 14

      Pages: 333-341

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Thoracic CT Findings Following Endovascular Stent-Garaft Treatment for Thoracic Aortic Aneurysm2007

    • Author(s)
      Ishida, M, Kato, N, Hirano, T, Shimono, T, Shimpo, H, Takeda, K
    • Journal Title

      Journal of Endovasc. Ther 14

      Pages: 333-341

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Thoracic CT Findings Following Endovascular Stent-Garaft Treatmentfor Thoracic Aortic Aneurysm2007

    • Author(s)
      Ishida M, Kato N, Hirano T, Shimono T, Shimpo H, Takeda K.
    • Journal Title

      Journal of Endovasc.Ther. 14

      Pages: 333-341

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of a new method for endovascular aortic repair: combination therapy of cell transplantation and stent grafts with a drug delivery system.2006

    • Author(s)
      Kajimoto M, Shimno T, Hirano k, Miyake Y, Sawada Y, Kato N, Hirata H, Imanaka-Yoshida K, Nishikawa M, Yoshida T, Shimpo H, Horiuchi T, Miyamoto K.
    • Journal Title

      Circulation 114

      Pages: 1378-83

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Development of a new method for endovascular aortic repair : combination therapy of cell transplantation and stent grafts with a drug delivery system2006

    • Author(s)
      Kajimoto, M, Shimono, T, Hirano, K, Miyake, Y, Sawada, Y, Kato, N, Hirata, H, Imanaka-, Yoshida, K, Nishikawa, M, Yoshida, T, Shimpo, H, Horiuchi, T, Miyamoto, K
    • Journal Title

      Circulation 114

      Pages: 1378-83

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Development of a New Method for Endovascular Aortic Repair Combination Therapy of Cell Transplantation and Stent Grafts With a Drug Delivery System2006

    • Author(s)
      M Kajimonoto, T Shimoo, K Hirano, Y Miyake, Y Sawada, N Kato, H Hirata, K Imanaka-Yoshida, M Nishikawa, T Yoshida, H Shimpo, T Horiuchi, K Miyamoto
    • Journal Title

      Circulation 114 (suppll)

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Method of cell transplantation promoting the organization of intraarterial thrombus.2005

    • Author(s)
      Hirano k, Shimno T, Imanaka-Yoshida K, Miyamoto K, Fujinaga K, Kajimoto M, Miyake Y, Nishikawa M, Yoshida T, Uchida A, Shimpo H, Yada I, Hirata H.
    • Journal Title

      Circulation 112

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Changes in false lumen after transluminal stent-graft placement in aortic dissections: six year's expenence.2005

    • Author(s)
      Kusagawa H, Shimono T, Ishida M, Suzauki T, Yasuda F, Yuasa U, Onoda K, Yada I, Hirano T, Takeda K, Kato N.
    • Journal Title

      Circulation 111

      Pages: 2951-7

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Contrast-enhanced MR imaging for evaluation of coronary artery disease before elective repair of aortic aneurysm.2005

    • Author(s)
      Ishida M, Sakuma H, Kato N, Ishida N, Kitagawa K, Shimono T, Yada I, Takeda K.
    • Journal Title

      Radiology 237

      Pages: 458-64

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Method of cell transplantation promoting the organization of intraarterial thrombus2005

    • Author(s)
      Hirano, K, Shimono, T, Imanaka-Yoshida, K, Miyamoto, K, Fujinaga, K, Kajimoto, M, Miyake, Y, Nishikawa, M, Yoshida, T, Uchida, A, Shimpo, H, Yada, I, Hirata, H
    • Journal Title

      Circulation 112

      Pages: 1111-6

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Changes in false lumen after transluminal stent-graft placement in aortic dissections : six years' experience2005

    • Author(s)
      Kusagawa, H, Shimono, T, Ishida, M, Suzuki, T, Yasuda, F, Yuasa, U, Onoda, K, Yada, I, Hirano, T, Takeda, K, Kato, N
    • Journal Title

      Circulation 111

      Pages: 2951-7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Contrast-enhanced MR imaging for evaluation of coronary artery disease before electiverepair of aortic aneurysm2005

    • Author(s)
      Ishida, M, Sakuma, H, Kato, N, Ishida, N, Kitagawa, K, Shimono, T, Yada, I, Takeda, K
    • Journal Title

      Radiology 237

      Pages: 458-64

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Method of cell transplantation promoting the organization of intraarterial thrombus.2005

    • Author(s)
      Hirano K, Shimono T, Imanaka-Yoshida K, Miyamoto K, Fujinaga K, Kajimoto M, Miyake Y, Nishikawa M, Yoshida T, Uchida A, Shimpo H, Yada I, Hirata H.
    • Journal Title

      Circulation 112(9 Suppl)

      Pages: 111-116

    • Related Report
      2005 Annual Research Report
  • [Presentation] Enodvascular stent grafting for perforated acute aortic dissections, ruptured aorticaneurysms and traumatic aortic rupture2007

    • Author(s)
      Hirano K, Shimono T, Ozu Y, Yokoyama K, Sawada Y, et. al.
    • Organizer
      The 15th Annual Meeting of Asian Society for Cardio-Vascular Surgery
    • Place of Presentation
      北京市 中華人民共和国
    • Year and Date
      2007-05-17
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Enodvascular stent grafting for perforated acute aortic dissections, ruptured aorticaneurysms and traumatic aortic rupture2007

    • Author(s)
      Hirano, K, Shimono, T, Ozu, Y, et. al
    • Organizer
      The 15th. Annual Meeting of Asian Society for Cardio-Vascular Surgery
    • Place of Presentation
      Beijing China
    • Year and Date
      2007-05-17
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Enodvascular stent grafting for perforated acute aortic dissections, ruptured aortic aneurysms and traumatic aortic rupture2007

    • Author(s)
      Hirano K, Shhnono T, Ozu Y, Yokoyama K, Sawada Y, et.al.
    • Organizer
      The 15th Annual Meeting of Asian Society for Cardio-Vascular Surgery
    • Place of Presentation
      北京市 中華人民共和国
    • Year and Date
      2007-05-17
    • Related Report
      2007 Annual Research Report
  • [Presentation] Regenerative Cell Therapy for Endovascular Aortic Repair2007

    • Author(s)
      Shimono T.
    • Organizer
      Scientific Clinical Workshop Tissue Regeneration
    • Place of Presentation
      ロストック市 ドイツ
    • Year and Date
      2007-03-31
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Presentation] Regenerative Cell Therapy for Endovascular Aortic Repair2007

    • Author(s)
      Shimono, T
    • Organizer
      Scientific Clinical Workshop Tissue Regeneration 2007
    • Place of Presentation
      Rostock, Germany
    • Year and Date
      2007-03-31
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 大動脈瘤に対する血管内治療における再生医療の応用を目指して2006

    • Author(s)
      下野高嗣、梶本政樹、平野弘嗣、新保秀人、宮本啓一、石田正樹、ほか
    • Organizer
      第44回日本人工臓器学会
    • Place of Presentation
      東京都
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of a New Method for Endovascular Aortic Repair, Combination Therapy of Cell Transplantation and Stent-Graft with a Drug Delivery System2005

    • Author(s)
      Kajimoto M, Shimono T, Hirano H, Miyake Y, Sawada Y, et. al.
    • Organizer
      AHA Scientific Sessions 2005
    • Place of Presentation
      ダラス 米国
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 大動脈瘤に対する新しい血管内治療法の開発-薬剤徐放能付加Stent-Graftと自己細胞移植療法-2005

    • Author(s)
      梶本政樹、下野高嗣、平野弘嗣、三宅陽一郎、澤田康裕、宮本啓一、ほか
    • Organizer
      第105回日本外科学会定期学術集会
    • Place of Presentation
      名古屋市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of a New Method for Endovascular Aortic Repair, Combination Therapy of Cell Transplantation and Stent-Graft with a Drug Delivery System2005

    • Author(s)
      Kajimoto, M, Shimono, T, Hirano, K, et. al
    • Organizer
      AHA Scientific Sessions 2005
    • Place of Presentation
      Dallas Tx. U.S.A.
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] Annual Review循環器 IV. 心臓血管外科 6.ステントグラフトによるB型大動脈解離の治療2007

    • Author(s)
      下野高嗣 編集:山口 徹、高本眞一、中沢 誠、小室一成
    • Publisher
      中外医学社
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary

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Published: 2005-04-01   Modified: 2016-04-21  

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