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Establishment of prophylactic treatment for aortic disease form analyzing the mechanism of aortic aneurysmal formation and aortic dissection

Research Project

Project/Area Number 17K10761
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular surgery
Research InstitutionYokohama City University

Principal Investigator

SUZUKI SHINICHI  横浜市立大学, 附属病院, 准教授 (90285130)

Co-Investigator(Kenkyū-buntansha) 益田 宗孝  横浜市立大学, 医学研究科, 教授 (10190365)
内田 敬二  横浜市立大学, 附属市民総合医療センター, 診療教授 (50275062)
横山 詩子  東京医科大学, 医学部, 主任教授 (70404994)
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: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords大動脈瘤 / プロスタグランジンE2 / アンギオテンシンII / calcium chloride / オーダーメイド医療
Outline of Final Research Achievements

No effective pharmacological therapy to attenuate AAA progression is currently available. We reported that the prostaglandin E receptor EP4 plays roles in AAA progression.
Here, we show the effect of CJ-42794, a selective EP4 antagonist, on AAA using two mouse models (angiotensin II- and CaCl2-induced AAAs) . CJ-42794 prevented aneurysmal formation of the two mouse models.
Additionally, in smooth muscle cells isolated from human AAA tissues, stimulation of CJ-42794 inhibited PGE2-induced IL-6 secretion in a dose-dependent manner and decreased PGE2-induced MMP-2 activity. These data suggest that inhibition of EP4 has the potential to be a pharmacological strategy for attenuation of AAA progression.

Academic Significance and Societal Importance of the Research Achievements

大動脈疾患の患者数は年々増加しており生命にかかわる重症疾患である。大動脈瘤化や大動脈解離発症のメカニズムの解明や、予防法や早期介入を含めた治療法の確立は、医学的に大きな意義がある。

Report

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

    (13 results)

All 2019 2018 2017

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 6 results) Presentation (7 results) (of which Invited: 1 results)

  • [Journal Article] IMPWLLA5.0○R. によるbridge to surgeryで救命し得た急性僧帽弁閉鎖不全症の1例2019

    • Author(s)
      森佳織、郷田素彦、澁谷泰介、富永訓央、町田大輔、磯松幸尚、鈴木伸一、益田宗孝
    • Journal Title

      日本心臓血管外科学会雑誌

      Volume: 48 Pages: 392-395

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 心尖ベント併用のcentral ECMOで救命した劇症型心筋炎の1例2019

    • Author(s)
      森佳織、郷田素彦、澁谷泰介、富永訓央、町田大輔、磯松幸尚、鈴木伸一、益田宗孝
    • Journal Title

      日本心臓血管外科学会雑誌

      Volume: 49 Pages: 106-109

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A2018

    • Author(s)
      Hashiyama N, Goda M, Uchida K, Isomatsu Y, Suzuki S, Mo M, Nishida T, Masuda M
    • Journal Title

      J Cardiothoracic Surgery

      Volume: 13 Issue: 1 Pages: 80-80

    • DOI

      10.1186/s13019-018-0765-y

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A selective antagonist of prostaglandin E receptor subtype 4 attenuate abdominal aortic aneurysm2018

    • Author(s)
      Mamun A, Yokoyama U, Saito J, Ito S, Hiromi T, Umemura M, Fujita T, Yasuda S, Minami T, Goda M, Uchida K, Suzuki S, Masuda M, Ishikawa Y
    • Journal Title

      Physiological Reports

      Volume: 18

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] An appropriately sized soft polyester external stent prevents enlargement and neointimal hyperplasia of a saphenous vein graft in a carine model2018

    • Author(s)
      Yasuda S, Goda M, Shibuya T, Uchida K, Suzuki S, Noishiki Y, Yokoyama U, Ishikawa Y, Masuda M
    • Journal Title

      Artif Organs

      Volume: 印刷中

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Proteomic analysis of aortic smooth muscle cell secretions reveals an association of myosin heavy chain 11 with abdominal aortic aneurysm2018

    • Author(s)
      Yokoyama U, Arakawa N, Ishikawa R, Yasuda S, Minami T, Goda M, Uchida K, Suzuki S, MatsumotoM, Koizumi N, Taguri M, Hirano H, Yoshimura K, Ogino H, Masuda M, Ishikawa Y
    • Journal Title

      Am J Physiol Heart Circ Physiol

      Volume: 315

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 感染性胸部弓部大動脈瘤に対し上行弓部大動脈置換、大網充填を一期的に施行した1例2019

    • Author(s)
      鈴木伸一、益田宗孝、磯松尚幸、郷田素彦、町田大輔、富永訓央、澁谷泰介, 遠藤和也、森佳織
    • Organizer
      第49回日本心臓血管外科学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 感染性弓部大動脈瘤に対する人工血管置換術;大網充填の有用性2019

    • Author(s)
      鈴木伸一
    • Organizer
      第26回大動脈シンポジウム
    • Related Report
      2019 Annual Research Report
  • [Presentation] マルファン類似疾患の胸腹部大動脈瘤(Safi分類I型)に対する人工血管置換術2018

    • Author(s)
      鈴木伸一、益田宗孝、磯松尚幸、郷田素彦、町田大輔、富永訓央、澁谷泰介
    • Organizer
      第48回日本心臓血管外科学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 急性A型大動脈解離 ; 生体糊による基部断端形成2018

    • Author(s)
      鈴木伸一
    • Organizer
      第25回大動脈シンポジウム
    • Related Report
      2018 Research-status Report
  • [Presentation] 大動脈疾患に対する外科手術2018

    • Author(s)
      鈴木伸一
    • Organizer
      九州医療センタ-地域医療研修セミナ-
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Bentall型大動脈基部置換術の成績:Couduit中枢吻合部出血予防と冠動脈再建法の工夫2017

    • Author(s)
      鈴木伸一、益田宗孝、磯松尚幸、郷田素彦、町田大輔、富永訓央、澁谷泰介
    • Organizer
      第58回日本脈管学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Malperfusion(脳、冠動脈、上腸間膜動脈、下肢)を伴う急性A型大動脈解離(AADA)に対する上行弓部置換術の1例. ビデオシンポジウム9.大動脈瘤手術での起死回生の一手2017

    • Author(s)
      鈴木伸一、益田宗孝、磯松尚幸、郷田素彦、町田大輔、富永訓央、澁谷泰介
    • Organizer
      第79回日本臨床外科学会総会
    • Related Report
      2017 Research-status Report

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

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