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Elucidation of the pathophysiology of hemorrhagic brain diseases by oral bacteria

Research Project

Project/Area Number 17K10823
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

Hokamura Kazuya  浜松医科大学, 医学部, 特任助教 (90436965)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords脳血管 / 脳動脈瘤 / 破裂 / 高脂血症 / 動脈瘤 / 口腔細菌 / 脂質代謝 / クモ膜下出血 / 高血圧 / 脳血管障害 / 口腔内細菌 / 脳循環代謝 / 出血
Outline of Final Research Achievements

It was attempted to establish a mouse cerebral aneurysm and tried to visualize the development of the aneurysm using clinical 3T MRI.
It was succeeded visualize the aneurysm developed over time and even the bleeding state after rupture. Moreover, before administering to mice, oral bacteria from aneurysm patients, in order to make it a model for lifestyle-related diseases, it was used as a hyperlipidemic mouse in which the LDL receptor deficiency and Apobec 1 deficiency were crossed. As a result, hyperlipidemic mice had a significantly lower rate of cerebral aneurysm onset and rupture than wild-type mice.The rupture rate of the hyperlipidemic mice group was only 3.5 %, but the control group was 58.8 % (P=0.0037).
These results suggest that the hyperlipidemic mice protect against cerebral aneurysms.

Academic Significance and Societal Importance of the Research Achievements

脳卒中は3大死亡原因の一つであり、そのうちアテローム血栓性梗塞は日本人で20%を占めている。脳梗塞の主な原因は動脈硬化や血栓であると思われるが、その詳細なメカニズムについては不明な点が多い。本研究においては脳動脈瘤モデルを作製し、MRIによる観察によって病態生理を検証を行うことができた。
また脳梗塞や脳動脈瘤など、脳循環において悪者とされてきた高脂血症マウスが脳動脈瘤の形成および破裂において保護的に作用するということが明らかになり、このメカニズムを解明することで脳動脈瘤の治療においてブレイクスルーができるかもしれない。

Report

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

    (5 results)

All 2019 2018 Other

All Int'l Joint Research (1 results) Presentation (4 results)

  • [Int'l Joint Research] University of California, San Francisco/Department of Anesthesia/Perioperative Care(米国)

    • Related Report
      2017 Research-status Report
  • [Presentation] Relationship between blood cholesterol level and cerebral aneurysm2019

    • Author(s)
      K. Hokamura, H. Makino, T. Suzuki, T. Iwaki, R. Imai, Y. Nakajima, H. Namba4 and K. Umemura
    • Organizer
      Brain & PET 2019
    • Related Report
      2019 Annual Research Report
  • [Presentation] Hyperlipidemia may attenuate rupture of a cerebral aneurysm in the mouse model.2019

    • Author(s)
      Kazuya Hokamura, Hiroshi Makino, Tomo Suzuki, Takayuki Iwaki, Ryou Imai,  Tetsuro Kimura, Yoshiki Nakajima, Hiroki Namba, Kazuo Umemura
    • Organizer
      第93回日本薬理学会年会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Association with blood cholesterol and cerebral aneurysm.2019

    • Author(s)
      Kazuya Hokamura, Hiroshi Makino, Tomo Suzuki, Takayuki Iwaki, Ryou Imai, Yoshiki Nakajima, Hiroki Namba, Kazuo Umemura.
    • Organizer
      日本薬理学会年会
    • Related Report
      2018 Research-status Report
  • [Presentation] 血中脂質レベルと脳動脈瘤発生および破裂の関係性2018

    • Author(s)
      外村和也、牧野洋、鈴木智、岩城孝行、中島芳樹、難波宏樹、梅村和夫
    • Organizer
      脳循環代謝学会
    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2022-02-21  

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