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Signal pathway in anastomotic intimal hyperplasia : to establish the strategy for anastomis intimal hyperplasia after bypass grafting with small diameter prosthesis

Research Project

Project/Area Number 17591321
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field General surgery
Research InstitutionThe University of Tokyo

Principal Investigator

SHIGEMATSU Kunihiro  The University of Tokyo, Faculty of Medicine, Assistant Professor, 医学部附属病院, 助手 (20215966)

Co-Investigator(Kenkyū-buntansha) MIYATA Tesuro  The University of Tokyo, Faculty of Medicine, Associate Professor, 医学部附属病院, 助教授 (70190791)
DEGUCHI Jyun-o  The University of Tokyo, Faculty of Medicine, Assistant Professor, 医学部附属病院, 助手 (80323591)
KIMURA Hideo  The University of Tokyo, Faculty of Medicine, Assistant Professor, 医学部附属病院, 助手 (60327070)
NISHIKAGE Seiji  The University of Tokyo, Faculty of Medicine, Assistant Professor, 医学部附属病院, 助手 (30431844)
岡本 宏之  東京大学, 医学部附属病院, 助手 (60348266)
石井 誠之  東京大学, 医学部附属病院, 助手 (80365197)
重松 宏  東京大学, 医学部附属病院, 助教授 (40134556)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2006: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 2005: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsSurgery / Signal pathway / transplant / regenerative medicine / Vascular / Cell / Tissue
Research Abstract

The common carotid artery of white rabbits was injured by the passage of 2F Forgaty catheter (x3). The injured carotid artery with thickened intima was replaced with ePTFE graft with 2mm diameter 28days after injury. However, the thickened intima was dissected by clamping procedures and the replaced grafts were riot always found to be patent. In addition to the dissection, diameter difference between the prosthesis and the injured host artery with thickened intima was one of the reasons of occlusion of the replaced grafts. Therefore, we changed the protocol, and the graft replacement was performed in the rabbits of which carotid artery was injured 1 or 2 weeks before. At first, we studied the differences of ERK and PKB activity and the expression of cyclin D1 at the time point 1 and 2 weeks after injury as the Vor control in the replacement model. The activities of ERK and PKB at the time point 1 and 2 weeks after injury was amost similar to that of uninjured artery. However, cyclin D1 expression was higher 1 and 2 weeks after injury than that of uninjured artery. These showed that smooth muscle cells in thickened intima 1 and 2 weeks after injury were in the cell cycle of growth. And then, we studied the ERK, PKB, and cyclin D1 expression in the intima SMC of prosthesis at the time point of 1 and 2 weeks after graft replacement. ERK and PKB of intima were not impressively activated compared to those of 2 weeks after balloon injury. And cycline D1 expression was higher, but not significant, than that of 2 weeks after balloon injury. These results may show the possibilities that the anastomotic intimal hyperplasia could be controlled by blocking the signal pathway via ERK and PKB activitivation.

Report

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

    (11 results)

All 2007 2006

All Journal Article (11 results)

  • [Journal Article] Objective assessment of nerve injury after greater saphenous vein stripping2007

    • Author(s)
      Akagi d, Arita H, Komiyama T, Ishii S, shigematsu K, Nagawa H, Miyata T
    • Journal Title

      European journal of vascular and endovascular surgery 33(5)

      Pages: 625-630

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Objective assessment of nerve injury after greater saphenous vein stripping2007

    • Author(s)
      Akagi D, Arita H, Komiyama T, Ishii S, Shigematsu K, Nagawa H, Miyata T
    • Journal Title

      European journal of vascular and endovascular surgery 33(5)

      Pages: 625-630

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 下肢閉塞性動脈硬化症の治療指針2006

    • Author(s)
      重松 邦広, 宮田哲郎
    • Journal Title

      外科 68(11)

      Pages: 1271-1277

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Clinical outcomeand complications of temporary inferior vena cava filter replacement2006

    • Author(s)
      Miyahara T, Miyata T, Shigematsu K, Deguchi J, Kimura H, Ishii S, Nagawa H
    • Journal Title

      Journal of Vascular Surgery 44

      Pages: 620-624

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Carotid endarterectomy may reduce the high stroke rate for patients with the disease of abdominal aorta and peripheral arteries.2006

    • Author(s)
      Yamamoto K, Miyata T, Nagayoshi M, Akagi D, Hosaka a, Miyahara T, Ishii S, Shigematsu K, Shigematsu H, Nagawa H
    • Journal Title

      International Angiology 25(1)

      Pages: 35-39

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Reduced vascular reserve measured by stressed single photon emission computed tomography carries a high risk for stroke in patients with carotid stenosis2006

    • Author(s)
      Yamamoto K, Miyata T, Momose T, Nagayoshi M, Akagi D, Hosaka A, MiyaharaT., Ishii S, Kimura H, Deguchi J, Shgiematsu K, Shigematsu H, Nagawa H
    • Journal Title

      International Angiology 25(4)

      Pages: 385-388

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Strategy for peripheral artery disease2006

    • Author(s)
      Shigematsu K, Miyata T
    • Journal Title

      Geka 68(11)

      Pages: 1271-1277

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Clinical outcome and complications of temporary inferior vena cava filter replacement2006

    • Author(s)
      Miyahara T, Miyata T, Shigematsu K, Deguchi J, Kimura H, Ishii S, Nagawa H
    • Journal Title

      Journal of Vascular Surgery 44

      Pages: 620-624

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Carotid endarterectomy may reduce the high stroke rate for patients with the disease of abdominal aorta and peripheral arteries2006

    • Author(s)
      Yamamoto K, Miyata T, Nagayoshi M, Deguchi J, Kimura H, Ishii S, Nagawa H
    • Journal Title

      International Angiology 25(1)

      Pages: 35-39

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Reduced vascular reserve measured by stressed single photon emission computed tomography carries a high risk for stroke in patients with carotid stenosis2006

    • Author(s)
      Yamamoto K, Miyata T, Momose T, Nagayoshi M, Akigi D, Hosaka A, Miyahara T, Ishii S, Kimura H, Deguchi J, Shigematsu K, Shigematsu H, Nagawa H
    • Journal Title

      International Angiology 25(4)

      Pages: 385-388

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Carotid endarterectomy may reduce the high stroke rate for patients with the disease of abdominal aorta and peripheral arteries.2006

    • Author(s)
      Yamamoto K, Miyata T, Nagayoshi M, Akagi D, Hosoka a, Miyahara T, Ishii S, Shigematsu K, Shigematsu H, Nagawa H
    • Journal Title

      International Angiology 25(1)

      Pages: 35-39

    • Related Report
      2006 Annual Research Report

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

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