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Exploratory research for novel therapeutic mechanisms to normalize right ventricular function in pulmonary hypertension

Research Project

Project/Area Number 17K09549
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

Ogo Takeshi  国立研究開発法人国立循環器病研究センター, 病院, 部長 (80617077)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords肺高血圧症 / 右心不全 / 右心機能不全 / 慢性血栓塞栓性肺高血圧症 / 肺動脈バルーン形成術 / 心臓MRI
Outline of Final Research Achievements

Pulmonary hypertension (PH) is a rare non-curable disease that results in death due to right heart failure, and treatment to improve right heart function is an unsolved issue. In this study, we established an evaluation method focusing on the progressive mechanisms of right heart in the patient with PH. More than 50% of patients with chronic thromboembolic pulmonary hypertension after treatment with balloon pulmonary angioplasty had right heart dysfunction. QRS width on electrocardiogram could be a predictor and may reflect right ventricular fibrosis. In addition, the right heart function was evaluated using the T1 mapping method of cardiac MRI in the patient with PH. It was associated with BNP and right ventricular contractility index, and was also associated with the prediction of residual low right ventricular ejection fraction and the events. This research show T1 value could be a novel imaging biomarker for the patients with PH.

Academic Significance and Societal Importance of the Research Achievements

肺高血圧症は右心不全により死亡に至る希少難治疾患である。肺高血圧症への治療は肺血管拡張薬が中心であるが、十分な改善が得られず右心不全で死亡する患者は多く根治はできない。このような難治性右心不全へ進行するメカニズムの究明が右心不全治療開発および患者さんの救命には必須である。本研究での右心不全への進行メカニズムにおける心電図でのQRS幅は日常診療でも可能な方法で簡易に予想が可能であり、そのメカニズムにおいて右心室線維化を反映している可能性が示唆された。これは心臓MRIの新規T1マッピング法で評価することが可能で、画像による新たな右心不全の評価、予測が可能となり早期発見、治療に有用と考えられる。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (14 results)

All 2019 2018

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results,  Open Access: 2 results) Presentation (9 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Very Large Patent Ductus Arteriosus With Severe Pulmonary Arterial Hypertension2019

    • Author(s)
      Konagai Nao、Fukui Shigefumi、Kitano Masataka、Fujimoto Kazuto、Nishii Tatsuya、Ogo Takeshi、Yasuda Satoshi
    • Journal Title

      Circulation Journal

      Volume: 83 Issue: 11 Pages: 2325

    • DOI

      10.1253/circj.CJ-19-0144

    • NAID

      130007733306

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2019-10-25
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Platypnea-Orthodeoxia Syndrome Due to Atrial Septal Defect and Combined Thoracic Deformities in a Young Woman2019

    • Author(s)
      Asano Ryotaro、Fukui Shigefumi、Nishii Tatsuya、Konagai Nao、Hasegawa Takuya、Kitano Masataka、Ogo Takeshi、Yasuda Satoshi
    • Journal Title

      Circulation Journal

      Volume: 83 Issue: 5 Pages: 1080

    • DOI

      10.1253/circj.CJ-18-0750

    • NAID

      130007636873

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2019-04-25
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prolonged QRS duration as a predictor of right ventricular dysfunction after balloon pulmonary angioplasty2019

    • Author(s)
      Asano Ryotaro、Ogo Takeshi、Ohta-Ogo Keiko、Fukui Shigefumi、Tsuji Akihiro、Ueda Jin、Konagai Nao、Fukuda Tetsuya、Morita Yoshiaki、Noguchi Teruo、Kusano Kengo、Anzai Toshihisa、Ishibashi-Ueda Hatsue、Yasuda Satoshi
    • Journal Title

      International Journal of Cardiology

      Volume: 280 Pages: 176-181

    • DOI

      10.1016/j.ijcard.2018.11.026

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diastolic dysfunction is initiated by cardiomyocyte impairment ahead of endothelial dysfunction due to increased oxidative stress and inflammation in an experimental prediabetes model2019

    • Author(s)
      Waddingham Mark T.、Sonobe Takashi、Tsuchimochi Hirotsugu、Schwenke Daryl O.、Umetani Keiji、Aoyama Kohki、Yagi Naoto、Kelly Darren J.、Gaderi Shahrooz、Herwig Melissa、Kolijn Detmar、Mugge Andreas、Paulus Walter J.、Ogo Takeshi、Shirai Mikiyasu、Hamdani Nazha、Pearson James T.
    • Journal Title

      Journal of Molecular and Cellular Cardiology

      Volume: 137 Pages: 119-131

    • DOI

      10.1016/j.yjmcc.2019.10.005

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Chronic thromboembolic pulmonary hypertension2019

    • Author(s)
      Kim Nick H.、Delcroix Marion、Jais Xavier、Madani Michael M.、Matsubara Hiromi、Mayer Eckhard、Ogo Takeshi、Tapson Victor F.、Ghofrani Hossein-Ardeschir、Jenkins David P.
    • Journal Title

      European Respiratory Journal

      Volume: 53 Issue: 1 Pages: 1801915-1801915

    • DOI

      10.1183/13993003.01915-2018

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Native Myocardial T1 mapping: A Novel Prognostic Marker in Pulmonary Arterial Hypertension2019

    • Author(s)
      浅野遼太郎
    • Organizer
      Heart failure Seoul 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 慢性血栓塞栓性肺高血圧症において右室&肺動脈uncouplingが運動耐容能を強く規定する2019

    • Author(s)
      浅野遼太郎
    • Organizer
      日本心臓病学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Native Myocardial T1 mapping: A Possible Novel Prognostic Marker in Pulmonary Arterial Hypertension with Adult Congenital Heart Disease2019

    • Author(s)
      Ryotaro Asano1), Takeshi Ogo1), Yoshiaki Morita2) , Akihiro Tsuji1), Shigefumi Fukui1), Jin Ueda1), Akiyuki Kotoku2), Tetsuya Fukuda2), Teruo Noguchi1), Satoshi Yasuda1)
    • Organizer
      日本循環器学会2018 シンポジウム
    • Related Report
      2018 Research-status Report
  • [Presentation] バルーン肺動脈形成術後に残存する右心機能低下をQRS幅で予測できる2019

    • Author(s)
      浅野遼太郎、大郷剛、辻明宏、福井重文、上田仁、小永井奈緒、安田聡
    • Organizer
      日本循環器学会近畿地方会 YIAセッション
    • Related Report
      2018 Research-status Report
  • [Presentation] Native Myocardial T1 mapping: A Novel Prognositc Marker in Pulmonary Arterial Hypertension2018

    • Author(s)
      Ryotaro Asano1), Takeshi Ogo1), Yoshiaki Morita2) , Akihiro Tsuji1), Shigefumi Fukui1), Jin Ueda1), Akiyuki Kotoku2), Tetsuya Fukuda2), Teruo Noguchi1), Satoshi Yasuda1)
    • Organizer
      American Heart Association scientific session 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 肺高血圧症重症度及び予後予測におけるT1 mapping法の有用性2018

    • Author(s)
      浅野遼太郎、大郷剛、森田佳明、辻明宏、福井重文、上田仁、小永井奈緒、福田哲也、安田聡
    • Organizer
      日本肺高血圧肺循環学会2018 YIAセッション
    • Related Report
      2018 Research-status Report
  • [Presentation] Residual right ventricular remodeling following balloon angiplasty in chronic thromboembolic pulmonary hypertension2018

    • Author(s)
      Takeshi Ogo
    • Organizer
      World simposium on pulmonary hypertension
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Predictors of right ventricular normalization after balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension2018

    • Author(s)
      浅野遼太郎
    • Organizer
      日本循環器病学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Residual right ventriculardysfunction and remodeling after balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension2018

    • Author(s)
      Ryotaro Asano
    • Organizer
      International CTEPH conference
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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Published: 2017-04-28   Modified: 2021-02-19  

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