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Vascular dysfunction mechanism involved in early progression of varicose veins

Research Project

Project/Area Number 17K10772
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular surgery
Research InstitutionKyushu University of Health and Welfare

Principal Investigator

Totoribe Naoko  九州保健福祉大学, 薬学部, 教授 (70322576)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords下肢静脈瘤 / 血管収縮 / 伏在静脈
Outline of Final Research Achievements

As a result of examining changes in contractile force due to drugs in varicose vessels, the contractile force per vessel diameter was significantly attenuated in varicose vessels. In varicose vessels grouped by vascular diameter, in less than 6 mm, the contractile force induced by each drug did not differ significantly from that of normal vessels. In highly dilated varicose vessels, the contractile force was significantly attenuated compared to the normal vessels. In addition, no significant difference was observed between the contractile forces of varicose vessels with an inner diameter of less than 6 mm. Furthermore, as a result of pathological observation of the varicose vein tissue, highly dilated varicose vessels exhibited medial smooth muscle atrophy and fibrosis. From these results, it was suggested that vascular reactivity in varicose vessels changes due to the expansion of the vascular inner diameter and the contractile force is maintained up to a certain size.

Academic Significance and Societal Importance of the Research Achievements

下肢静脈瘤とは、下肢の静脈壁の一部が薄くなりその血管が膨らんで血液が滞ることで起こる疾患である。血液が逆流して静脈が拡張・蛇行するとの報告があるが、未だにそのメカニズムの詳細については明確にはされていない。高齢化社会を迎えた現在、生涯にわたり快適な生活を送り続けるためには、早期予防と早期発見、適切な治療に積極的に取り組むことが重要である。国内外で実際に下肢静脈瘤の初期進展段階における血管機能の変化に着眼した科学的検討はなされておらず、詳細なメカニズムの解明が求められている。食生活の変化や高齢化社会の進展などにより、下肢静脈瘤患者が年々増加する中で、本研究の社会的意義は大きい。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (7 results)

All 2022 2021 2020 2019 2018

All Journal Article (1 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (6 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Effects of M-1, a Major Metabolite of Sarpogrelate, on 5-HT-Induced Constriction of Isolated Human Internal Thoracic Artery2020

    • Author(s)
      Naoko Tanaka-Totoribe, Muneaki Hidaka, Shuji Gamoh, Atsuko Yokota, Eisaku Nakamura, Masachika Kuwabara, Jun Tsunezumi, Ryuichi Yamamoto
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 43 Issue: 12 Pages: 1979-1982

    • DOI

      10.1248/bpb.b20-00591

    • NAID

      130007948737

    • ISSN
      0918-6158, 1347-5215
    • Year and Date
      2020-12-01
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] ヒト冠動脈バイパス内胸動脈グラフトのれん縮を予防するパパベリンの至適濃度について2022

    • Author(s)
      2)鳥取部直子,蒲生修治,横田敦子,中村栄作,桑原正知, 常住淳, 山本隆一
    • Organizer
      日本薬学会第142年会
    • Related Report
      2021 Research-status Report
  • [Presentation] 冠動脈バイパス手術(CABG)における内胸動脈バイパスグラフトの血管れん縮を予防するパパベリンの至適濃度の検討2021

    • Author(s)
      鳥取部直子,蒲生修治,横田敦子,中村栄作,桑原正知, 常住淳, 山本隆一
    • Organizer
      日本薬学会第141年会
    • Related Report
      2020 Research-status Report
  • [Presentation] Naloxone, an antagonist of μ receptors, significantly inhibits extra-junctional α1 receptor-mediated response, but not intra-junctional α1 receptor-mediated response, in rat isolated perfused intestinal vasculatures2020

    • Author(s)
      鳥取部直子, 蒲生修治, 日髙宗明, 比佐博彰, 山本隆一
    • Organizer
      日本薬学会第140年会
    • Related Report
      2019 Research-status Report
  • [Presentation] 慢性動脈閉塞症治療薬 サルポグレラート(選択的5-HT2受容体拮抗薬)の主要代謝産物 M-1の血管収縮抑制効果2019

    • Author(s)
      1)芝 達雄, 鳥取部直子, 蒲生修治, 横田敦子, 中村栄作, 桑原正知, 比佐博彰, 山本隆一
    • Organizer
      第92回日本薬理学会年会
    • Related Report
      2018 Research-status Report
  • [Presentation] In patients with diabetes mellitus (DM), but not in patients without DM, angiotensin II is a vasospasm inducer in both venous and arterial conduits under coronary artery bypass grafting2018

    • Author(s)
      Tatsuo Shiba, Atsuko Yokota, Shuji Gamoh, Naoko Tanaka-Totoribe, Masachika Kuwabara, Eisaku Nakamura, Takahiro Hayase, Kunihide Nakamura, Hiroaki Hisa, Ryuichi Yamamoto
    • Organizer
      18th WORLD CONGRESS OF BASIC AND CLINICAL PHARMACOLOGY
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 下肢静脈瘤の進展メカニズム -血管内径と収縮力の関係-2018

    • Author(s)
      鳥取部直子, 芝達雄, 蒲生修治, 横田敦子, 中村栄作, 桑原正知, 比佐博彰, 山本隆一
    • Organizer
      日本薬学会第138年会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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