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The role of inflammation on the development of occlusive lesions in pulmonary arterial hypertension

Research Project

Project/Area Number 17K09591
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionKyushu University

Principal Investigator

Kohtaro Abe  九州大学, 大学病院, 助教 (20588107)

Co-Investigator(Kenkyū-buntansha) 筒井 裕之  九州大学, 医学研究院, 教授 (70264017)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords肺高血圧症 / 炎症 / 血行動態ストレス / 肺高血圧 / 閉塞性病変 / 閉塞性肺血管病変
Outline of Final Research Achievements

The purpose of this study was to analyze mtDNA and TLR9 activities in the development and maintenance of obstructive lesions in pulmonary hypertension. When monocrotaline was administered to male SD rats, plasma mtDNA markers and lung cleaved TLR9 protein were time-dependently increased after days 1,3,7,14 after monocrotaline injection. In parallel with TLR9 activation, inflammatory cell infiltration around pulmonary small blood vessels and increase in IL-6 mRNA with time were observed. When non-selective TLR9 inhibitor chloroquine was administered for 3 days from day 14, significant reductions of IL-6 and macrophages was observed, suggesting that mtDNA and TLR9 may be deeply involved in the inflammatory mechanism of pulmonary hypertension.

Academic Significance and Societal Importance of the Research Achievements

肺高血圧症の病態進展に深くかかわる炎症誘導機構の解明は、難治性疾患の肺高血圧症の新規治療法につながる可能性がある。

Report

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

    (40 results)

All 2019 2018 2017 Other

All Journal Article (20 results) (of which Int'l Joint Research: 7 results,  Peer Reviewed: 20 results,  Open Access: 5 results) Presentation (17 results) (of which Int'l Joint Research: 7 results,  Invited: 12 results) Book (2 results) Remarks (1 results)

  • [Journal Article] Guidelines for the Treatment of Pulmonary Hypertension (JCS 2017/JPCPHS 2017)2019

    • Author(s)
      Fukuda Keiichi、Kasai Takatoshi、et al、on behalf of the Japanese Circulation Society and the Japanese Pulmonary Circulation and Pulmonary Hypertension Society Joint Working Group
    • Journal Title

      Circulation Journal

      Volume: 83 Issue: 4 Pages: 842-945

    • DOI

      10.1253/circj.CJ-66-0158

    • NAID

      130007620555

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2019-03-25
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Suppressed baroreflex peripheral arc overwhelms augmented neural arc and incapacitates baroreflex function in rats with pulmonary arterial hypertension.2019

    • Author(s)
      Shinoda M, Saku K, Oga Y, Tohyama T, Nishikawa T, Abe K, Yoshida K, Kuwabara Y, Fujii K, Ishikawa T, Kishi T, Sunagawa K, Tsutsui H.
    • Journal Title

      Exp Physiol

      Volume: 104 Issue: 8 Pages: 1164-1178

    • DOI

      10.1113/ep087253

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Use of direct oral anticoagulants prevents increase in pulmonary vascular resistance and incidence of clinical worsening in patients with chronic thromboembolic pulmonary hypertension2019

    • Author(s)
      Hosokawa Kazuya、Abe Kohtaro、Tsutsui Hiroyuki
    • Journal Title

      Thrombosis Research

      Volume: 180 Pages: 43-46

    • DOI

      10.1016/j.thromres.2019.05.018

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Aneurysm-type plexiform lesions form in supernumerary arteries in pulmonary arterial hypertension: potential therapeutic implications2019

    • Author(s)
      Oshima Kaori、Crockett Edward S.、Joshi Sachindra R.、McLendon Jared M.、Matsumoto Yuri、McMurtry Ivan F.、Abe Kohtaro、Oka Masahiko
    • Journal Title

      American Journal of Physiology-Lung Cellular and Molecular Physiology

      Volume: 317 Issue: 6 Pages: L805-L815

    • DOI

      10.1152/ajplung.00121.2019

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Traditional Screening Tool in the Era of Modern Treatment for Chronic Thromboembolic Pulmonary Hypertension.2019

    • Author(s)
      Abe K, Hosokawa K, Tsutusi H.
    • Journal Title

      Int J Cardiol.

      Volume: 印刷中 Pages: 182-183

    • DOI

      10.1016/j.ijcard.2019.01.030

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Right ventricular area strain with routine cine MRI after balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension: Comparison with 2D feature tracking MRI.2019

    • Author(s)
      Kawakubo M, Yamasaki Y, Kamitani T, Sagiyama K, Abe K, Hosokawa K, Uabuuchi H, Honda H.
    • Journal Title

      Eur Radiol.

      Volume: 印刷中 Issue: 9 Pages: 0-0

    • DOI

      10.1007/s00330-019-6008-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Proteinase-activated Receptor 1 Antagonism Ameliorates Experimental Pulmonary Hypertension.2018

    • Author(s)
      Kuwabara Y, Tanaka-Ishikawa M, Abe K, Hirano M, Hirooka Y, Tsutsui H, Sunagawa K, Hirano K.
    • Journal Title

      Cardiovascular Research

      Volume: in press Issue: 8 Pages: 1357-1368

    • DOI

      10.1093/cvr/cvy284

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Inhibition of TLR9-NF-kB-Mediated Sterile Inflammation Improves Pressure Overload;Induced Right Ventricular Dysfunction in Rats.2018

    • Author(s)
      Yoshida K, Abe K, Tanaka M, Saku K, Shinoda-Sakamoto M, Ishikawa T, Watanabe T, Oka M, Sunagawa K, Tsutsui H.
    • Journal Title

      Cardiovasc Res.

      Volume: 115 Issue: 3 Pages: 658-668

    • DOI

      10.1093/cvr/cvy209

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Pulmonary arterial input impedance reflects the mechanical properties of pulmonary arterial remodeling in rats with pulmonary hypertension.2018

    • Author(s)
      Nishikawa T., Saku K., Kishi T., Tohyama T., Abe K, Oga Y., Arimura T., Sakamoto T., Yoshida K., Sunagawa K., Tsutsui H.
    • Journal Title

      Life Sci.

      Volume: 21 Pages: 225-232

    • DOI

      10.1016/j.lfs.2018.10.005

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Electrical Vagal Nerve Stimulation Ameliorates Pulmonary Vascular Remodeling and Improves Survival in Rats With Severe Pulmonary Arterial Hypertension.2018

    • Author(s)
      Yoshida K, Saku K, Kamada K, Abe K, Tanaka-Ishikawa M, Tohyama T, Nishikawa T, Kishi T, Sunagawa K, Tsutsui H.
    • Journal Title

      JACC Basic Transl Sci.

      Volume: 12 Issue: 5 Pages: 657-671

    • DOI

      10.1016/j.jacbts.2018.07.007

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Pro - Con debate: Current Controversies in PAH Pathogenesis at the American Thoracic Society International Meeting in 2017.2018

    • Author(s)
      Kuebler WM, Nicolls MR, Olschewski A, Abe K, Rabinovitch M, Stewart DJ, Chan SY, Morrell NW, Archer SL, Spiekerkoetter E.
    • Journal Title

      Am J Physiol Lung Cell Mol Physiol.

      Volume: 315 Issue: 4 Pages: L502-L516

    • DOI

      10.1152/ajplung.00150.2018

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Balloon Pulmonary Angioplasty Relieves Hemodynamic Stress towards Untreated-Side Pulmonary Vasculature and Ameliorates Its Resistance in Patients with Chronic Thromboembolic Pulmonary Hypertension.2018

    • Author(s)
      Hosokawa K, Abe K, Horimoto K, Yamasaki Y, Nagao M, Tsutsui H.
    • Journal Title

      EuroIntervention

      Volume: 13 Issue: 17 Pages: 2069-2076

    • DOI

      10.4244/eij-d-17-00888

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Effectiveness and Outcome of Pulmonary Arterial Hypertension-Specific Therapy in Japanese Patients With Pulmonary Arterial Hypertension2018

    • Author(s)
      Tamura Y, Kumamaru H, Satoh T, Miyata H, Ogawa A, Tanabe N, Hatano M, Yao A, Abe K, Tsujino I, Fukuda K, Kimura H, Kuwana M, Matsubara H, Tatsumi K
    • Journal Title

      Circulation Journal

      Volume: 82 Issue: 1 Pages: 275-282

    • DOI

      10.1253/circj.CJ-17-0139

    • NAID

      130006281872

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Inhibition of Nitric Oxide Synthase Unmasks Vigorous Vasoconstriction in Established Pulmonary Arterial Hypertension.2017

    • Author(s)
      Tanaka M, Abe K, Oka M, Saku K, Yoshida K, Ishikawa T, McMurtry IF, Sunagawa K, Hoka S, Tsutsui H.
    • Journal Title

      Physiol Rep

      Volume: 5 Issue: 23 Pages: 275-276

    • DOI

      10.14814/phy2.13537

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Delayed-onset Lung Injury After Balloon Pulmonary Angioplasty.2017

    • Author(s)
      Hosokawa K, Yamamoto T, Abe K, Tsutsui H.
    • Journal Title

      Eur Heart J Cardiovasc Imaging.

      Volume: 18(12) Issue: 12 Pages: 1426-1426

    • DOI

      10.1093/ehjci/jex210

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Three Dimensional SPECT/CT Fusion Imaging Guided Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension.2017

    • Author(s)
      Hosokawa K, Abe K, Kashihara S, Tsutsui H.
    • Journal Title

      JACC Cardiovasc Interv.

      Volume: 10 Issue: 20 Pages: e193-e194

    • DOI

      10.1016/j.jcin.2017.07.038

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Three-dimensional fractal analysis of 99mTc-MAA SPECT images in chronic thromboembolic pulmonary hypertension for evaluation of response to balloon pulmonary angioplasty: association with pulmonary arterial pressure.2017

    • Author(s)
      Maruoka Y, Nagao M, Baba S, Isoda T, Kitamura Y, Yamazaki Y, Abe K, Sasaki M, Abe K, Honda H.
    • Journal Title

      Nucl Med Commun.

      Volume: 38 Issue: 6 Pages: 480-486

    • DOI

      10.1097/mnm.0000000000000673

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 慢性血栓塞栓性肺高血圧症患者における肺動脈血流を評価するために検証された三次元位相コントラスト磁気共鳴法(Three-dimensional phase contrast magnetic resonance imaging validated to assess pulmonary artery flow in patients with chronic thromboembolic pulmonary hypertension)2017

    • Author(s)
      Masteru Kawakubo, Hiroshi Akamine, Yuzo Yamasaki et al.
    • Journal Title

      Radiological Physics and Technology

      Volume: 10 Issue: 2 Pages: 249

    • DOI

      10.1007/s12194-016-0383-0

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Subcutaneous Treprostinil was Effective and Tolerable in a Patient with Severe Pulmonary Hypertension Associated with Chronic Kidney Disease on Hemodialysis.2017

    • Author(s)
      Watanabe N, Abe K, Horimoto K, Hosokawa K, Ohtani K, Tsutsui H.
    • Journal Title

      Heart Lung

      Volume: 46 Issue: 2 Pages: 129-130

    • DOI

      10.1016/j.hrtlng.2017.01.004

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] nergy efficiency and pulmonary artery flow after balloon pulmonary angioplasty for inoperable, chronic thromboembolic pulmonary hypertension: Analysis by phase-contrast MRI2017

    • Author(s)
      Michinobu Nagao, Yuzo Yamasaki et al.
    • Journal Title

      European Journal of Radiology

      Volume: 87 Pages: 99-104

    • DOI

      10.1016/j.ejrad.2016.12.015

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Toll-like receptor9阻害は血管周囲炎症を軽減することで肺高血圧症の進展を抑制する2019

    • Author(s)
      石川 智一、阿部 弘太郎、渡邊 高徳、今給黎 智美、筒井 裕之
    • Organizer
      第13回日本性差医学・医療学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] TLR9による無菌性炎症と肺高血圧症2019

    • Author(s)
      石川智一、阿部 弘太郎、吉田賢明、石川真理子、朔啓太、渡邊高徳、筒井裕之
    • Organizer
      第4回 日本肺高血圧・肺循環学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 基礎研究からみた肺高血圧と右心不全の治療~血行動態ストレスと肺血管病変・右心不全進展機序2019

    • Author(s)
      阿部 弘太郎
    • Organizer
      第40回日本循環制御医学会総会・学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] TLR9-Mediated Sterile Inflammation Plays an Important role in the Development of Pulmonary Hypertension and RV Dysfunction2019

    • Author(s)
      Abe K, Ishikawa T., Yoshida K., Ishikawa M, Watanabe T, Hasokawa K, Tsutsui H.
    • Organizer
      第83回日本循環器学会総会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Chronic Inhibition of Toll-Like Receptor 9 Ameliorated the Development of Pulmonary Arterial Hypertension by Reducing Perivascular Inflammation in Rats2019

    • Author(s)
      Ishikawa T., Abe K, Yoshida K., Tanaka-Ishikawa M., Watanabe T., Tsutsui H.
    • Organizer
      第83回日本循環器学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] The pathogenesis of Pulmonary Arterial Hypertension2019

    • Author(s)
      Abe K.
    • Organizer
      The 16ht International Conference on Endotheline
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Chronic blockade of toll-like receptor 9 ameliorated pulmonary arterial hypertension by reducing perivascular inflammation in rats2019

    • Author(s)
      Ishikawa T, Abe K, Yoshida K, Watanabe T, Tsutsui H.
    • Organizer
      ESC CONGRESS 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] TLR9-Mediated Sterile Inflammation Plays an Important role in the Development of Pulmonary Hypertension and RV Dysfunction2019

    • Author(s)
      Abe K
    • Organizer
      第83回日本循環器学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Multicenter Registry for Chronic Thromboembolic Pulmonary Hypertension in Japan.2019

    • Author(s)
      Abe K
    • Organizer
      第83回日本循環器学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Diagnosis and Treatment of Pulmonary Hypertension2018

    • Author(s)
      Abe K
    • Organizer
      The 9th Asian Pacific Congress of Heart Failure
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 血行動態ストレスと肺血管病変・右心不全進展機序2018

    • Author(s)
      阿部弘太郎
    • Organizer
      第24回日本心臓リハビリテーション学会学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] TLR9による無菌性炎症は肺高血圧症と右室不全の進展に重要な役割を担う2018

    • Author(s)
      阿部 弘太郎
    • Organizer
      第22回日本心不全学会学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Hemodynamic Stress Is the Most Important Driver in the Pathogenesis of Occlusive Neointimal Lesions in PAH.2017

    • Author(s)
      Abe K
    • Organizer
      2017 American Thoracic Society International Conference
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] (Plenary Session) Update on management of Pulmonary Hypertension2017

    • Author(s)
      Abe K
    • Organizer
      The 26th Annual Scientific meeting of the Indonesian Heart Association
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] (ASMIHA-JCS Joint Symposium) Balloon Pulmonary Angioplasty in Patients with CTEPH2017

    • Author(s)
      Abe K
    • Organizer
      The 26th Annual Scientific meeting of the Indonesian Heart Association
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Vasoconstriction Plays a Crucial Role in Severe Pulmonary Arterial Hypertension2017

    • Author(s)
      Abe K
    • Organizer
      第82回日本循環器学会学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Inhibition of nitric oxide synthase unmasks potent vasoconstriction in established pulmonary arterial hypertension2017

    • Author(s)
      Abe K
    • Organizer
      2018 6th World Symposium on Pulmonary Hypertension
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 肺動脈性肺高血圧症臨床治験のエンドポイントと新規治療法2019

    • Author(s)
      阿部 弘太郎
    • Publisher
      呼吸器ジャーナル
    • Related Report
      2019 Annual Research Report
  • [Book] 肺動脈性肺高血圧症における血行動態ストレス増加と肺血管病変・右心不全進展2019

    • Author(s)
      阿部 弘太郎
    • Publisher
      実験医学増刊
    • Related Report
      2019 Annual Research Report
  • [Remarks] 肺高血圧症グループ

    • URL

      https://www.cardiol.med.kyushu-u.ac.jp/research/ph/

    • Related Report
      2018 Research-status Report

URL: 

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

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