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The contribution of lung protective ventilation and anti-cytokine therapy in ventilator induced lung injury

Research Project

Project/Area Number 17591628
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionOsaka University

Principal Investigator

FUJINO Yuji  Osaka University, Graduate School of Medicine, Lecturer, 医学系研究科, 講師 (50252672)

Co-Investigator(Kenkyū-buntansha) UCHIYAMA Akinori  Osaka University, Hospital, Assistant, 医学部附属病院, 助手 (00324856)
OHTA Noriyuki  Osaka university, Hospital, Assistant, 医学部附属病院, 助手 (60379162)
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: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2005: ¥2,100,000 (Direct Cost: ¥2,100,000)
KeywordsAcute lung injury / HFO / mechanical ventilation / proinflammatory cytokine / chemokine receptor / quantitative RT-PCR / 急性呼吸不全 / 肺傷害 / 高頻度換気法
Research Abstract

Prior to the assessment of anti-cytokine therapy, we tried to elucidate the effect of pCO2 on the production of proinflammatory cytokine in order to determine the effect of pCO2 in HFO upon experimental results in animal study.
Wistar rats were ventilated and administered HCl intratracheally. After HC1 injection, rats were randomized to two groups: hypercapnia group and normocapnia group. The animals were ventilated with HFO for 4hrs. Lung volume was titrated to achieve PaCO2 40-50 mmHg (normocapnia group) or 80mmHg (hypercapnia group). After 4hrs of mechanical ventilation, the level of TNF-a,IL-6,and CINC-1 in BAL fluid was determined. No significant difference was observed between these two groups. However, W/D ratio and histological study showed that hypercapnia attenuated lung injury.
Furthermore, we tried to establish quantitative RT-PCR system of chemokine receptors(CCR4,5,6,7,9,CXCR3,4) by the use of colitis model. Chemokine receptors except CCR6 were upregulated in diseased mice. Interestingly, mRNA of CCR7 and CXCR4 were upregulated in diseased colon compared with non-diseased small intestine.

Report

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

    (12 results)

All 2007 2006

All Journal Article (12 results)

  • [Journal Article] High peak inspiratory flow can aggravate ventilator-induced lung injury in rabbits2007

    • Author(s)
      Fujita Y, Fujino Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Medical Science Monitoring 15

      Pages: 213-220

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Vocal cord paralysis after aortic arch surgery with stent-graft placement, a contemporary method of arch surgery.2007

    • Author(s)
      Ohta N, Kuratani T, Mori T
    • Journal Title

      Journal of Vascular Surgery 45

      Pages: 866-866

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] High peak inspiratory flow can aggravate ventilator-induced lung injury in rabbits2007

    • Author(s)
      Fujita Y, Fujino Y, Maeda Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Medical Science Monitoring. 15

      Pages: 213-20

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Vocal cord paralysis after aortic arch surgery with stent-graft placement, a contemporary method of arch surgery2007

    • Author(s)
      Ohta N, Kuratani T, Mori T
    • Journal Title

      Journal of Vascular Surgery. 45(4)

      Pages: 866-866

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Effect of Ono-EI-600 elastase inhibitor on high-tidal-volume-induced lung injury in rats2006

    • Author(s)
      Fujita Y, Fujino Y, Maeda Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Journal of Anesthesia 20

      Pages: 141-144

    • NAID

      10019167678

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Effect of peak inspiratory flow on gas exchange, pulmonary mechanics, and lung histology in rabbits with injured lungs2006

    • Author(s)
      Fujita Y, Maeda Y, Fujino Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Journal of Anesthesia 20

      Pages: 96-101

    • NAID

      10019167557

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Regional blood flow in respiratory muscles during partial ventilatory assistance in rabbits.2006

    • Author(s)
      Uchiyama A, Fujino Y, Hosotsubo K, Miyoshi E, Mashimo T, Nishimura-M
    • Journal Title

      Anesthesia and Analgesia 102

      Pages: 1201-1206

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Vocal cord paralysis after aortic arch surgery : predictors and clinical outcome.2006

    • Author(s)
      Ohta N, Kuratani T, Hagihira S, Kazumi K, Kaneko M, Mori T
    • Journal Title

      Journal of Vascular Surgery 43

      Pages: 721-728

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Effect of peak inspiratory flow on gas exchange, pulmonary mechanics, and lung histology in rabbits with injured lungs2006

    • Author(s)
      Fujita Y, Maeda Y, Fujino Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Journal of Anesthesia. 20(2)

      Pages: 96-101

    • NAID

      10019167557

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Effect of Ono-EI-600 elastase inhibitor on high-tidal-volume-induced lung injury in rats2006

    • Author(s)
      Fujita Y, Fujino Y, Maeda Y, Uchiyama A, Mashimo T, Nishimura M
    • Journal Title

      Journal of Anesthesia. 20(2)

      Pages: 141-4

    • NAID

      10019167678

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Regional blood flow in respiratory muscles during partial ventilatory assistance in rabbits.2006

    • Author(s)
      Uchiyama A, Fujino Y, Hosotsubo K, Miyoshi E, Mashimo T, Nishimura-M
    • Journal Title

      Anesthesia and Analgesia. 102(4)

      Pages: 1201-6

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Vocal cord paralysis after aortic arch surgery : predictors and clinical outcome.2006

    • Author(s)
      Ohta N, Kuratani T, Hagihira S, Kazumi K, Kaneko M, Mori T
    • Journal Title

      Journal of Vascular Surgery. 43(4)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary

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

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