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Analysis of long term prognosis of hypertensive disorders of pregnancy (HDP) and development of treatment using HDP model mice

Research Project

Project/Area Number 17K11232
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionThe University of Tokyo (2018-2019)
Osaka University (2017)

Principal Investigator

Kumasawa Keiichi  東京大学, 医学部附属病院, 講師 (90444546)

Co-Investigator(Kenkyū-buntansha) 中村 仁美  大阪大学, 医学系研究科, 助教 (80467571)
木村 正  大阪大学, 医学系研究科, 教授 (90240845)
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: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords妊娠高血圧症候群 / 妊娠高血圧腎症 / 高年妊娠 / エンドセリン / スタチン / プラバスタチン / モデルマウス / 産科学
Outline of Final Research Achievements

Hypertensive disorders of pregnancy (HDP) is involved in 5-10% of all pregnant women and is life-threatening for both mothers and children.Our model mice of advanced maternal age showed high blood pressure during pregnancy and were also associated with aging of blood vessels and fat in the mother. Furthermore, we clarified that endothelin, which is related to higher blood pressure, in our model mice revealed the same tendency as in humans. Considering the above contents, it is suggested that pregnant women with HDP have advanced aging of blood vessels and other tissues during pregnancy and continue to be associated with cardiovascular disease even after the delivery. Moreover, new prospects have emerged regarding whether this suppression of aging will prevent HDP in the future and improve the long-term prognosis after delivery.

Academic Significance and Societal Importance of the Research Achievements

現在は妊婦の高齢化が進んでいる。高年妊婦は妊娠中、分娩中だけでなく、産後も常に心血管系の合併症を呈するリスクを抱えている。母体のその後の健康状態を改善するための端緒を今回は見つけることができた。高年妊婦の予後を改善することは、その母児だけでなく、社会全体への貢献となると考えられる。

Report

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

    (33 results)

All 2019 2018 2017 2016

All Journal Article (19 results) (of which Peer Reviewed: 19 results,  Open Access: 8 results,  Acknowledgement Compliant: 2 results) Presentation (14 results) (of which Invited: 2 results)

  • [Journal Article] Endothelin-1 Profiles in Advanced Maternal Age Complicated With Hypertensive Disorders of Pregnancy2019

    • Author(s)
      Kiichiro Furuya, Keiichi Kumasawa, et al.
    • Journal Title

      BBRC

      Volume: 516(3) Pages: 941-944

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Novel biomarker profiles in experimental aged maternal mice with hypertensive disorders of pregnancy.2019

    • Author(s)
      Furuya K, Kumasawa K, Nakamura H, Nishimori K, Kimura T
    • Journal Title

      Hypertens Res.

      Volume: 42 Pages: 29-39

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Vaginal bioelectrical impedance determines uterine receptivity in mice.2018

    • Author(s)
      Nakamura H, Hosono T, Kumasawa K, Jones CJP, Aplin JD, Kimura T.
    • Journal Title

      Hum repod

      Volume: 33 Pages: 2241-2248

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Trophoblast-Specific Conditional Atg7 Knockout Mice Develop Gestational Hypertension.2018

    • Author(s)
      Aoki A, Nakashima A, Kusabiraki T, Ono Y, Yoshino O, Muto M, Kumasawa K, Yoshimori T, Ikawa M, Saito S.
    • Journal Title

      Am J Pathol.

      Volume: 188 Pages: 2474-2486

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Are naïve T cells and class-switched memory (IgD- CD27+) B cells not essential for establishment and maintenance of pregnancy? Insights from a case of common variable immunodeficiency with pregnancy.2018

    • Author(s)
      Shigeta N, Nakamura H, Kumasawa K, Imai K, Saito S, Sakaguchi S, Kimura T.
    • Journal Title

      Med Hypotheses

      Volume: 121 Pages: 36-41

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prediction of pregnancy after frozen-thawed embryo transfer via in vivo intrauterine oxidation-reduction potential measurements:a pilot study2018

    • Author(s)
      Nakamura, H. Hosono, T. Taniguchi, T. Kumasawa, K. Goa, S. Ono, M. Kimura, T.
    • Journal Title

      Reprod Med Biol

      Volume: 印刷中

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Novel biomarker profiles in experimental aged maternal mice with hypertensive disorders of pregnancy2018

    • Author(s)
      Furuya, K. Kumasawa, K. Nakamura, H. Nishibori, K. Kimura, T.
    • Journal Title

      Hypertension Research

      Volume: 印刷中

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Arginase controls soluble vascular endothelial growth factor receptor 1(Flt1) to maintain pregnancy homeostasis2018

    • Author(s)
      Tanaka, H. Kumasawa, K. Kakigano, A. Mimura, K. Endo, M. Tomimatsu, T. Kimura, T.
    • Journal Title

      Biochem Biophys Res Commun

      Volume: 印刷中

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Obstetric outcome in patients with a unicornuate uterus after laparoscopic resection of a rudimentary horn2018

    • Author(s)
      Sawada, M. Kakigano, A. Matsuzaki, S. Takiuchi, T. Mimura, K. Kumasawa, K. Endo, M. Ueda, Y. Yoshino, K. Kimura, T.
    • Journal Title

      J Obstet Gynaecol Res

      Volume: - Issue: 6 Pages: 1080-1086

    • DOI

      10.1111/jog.13622

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prospective evaluation of uterine receptivity in mice2017

    • Author(s)
      Nakamura, H. Hosono, T. Kumasawa, K. Kimura, T.
    • Journal Title

      Reprod Fertil Dev

      Volume: - Issue: 4 Pages: 619-623

    • DOI

      10.1071/rd17209

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Soluble Flt-1 has cytotoxic effects on BeWo choriocarcinoma cells2017

    • Author(s)
      Yamashita, M. Kumasawa, K. Miyake, T. Nakamura, H. Kimura, T.
    • Journal Title

      Reprod Sci

      Volume: - Issue: 6 Pages: 830-836

    • DOI

      10.1177/1933719117698575

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of lipid metabolism on male fertility2017

    • Author(s)
      Kim N, Nakamura H, Masaki H, Kumasawa K, Hirano KI, Kimura
    • Journal Title

      Biochem Biophs Res Commun

      Volume: 8;485(3) Issue: 3 Pages: 686-692

    • DOI

      10.1016/j.bbrc.2017.02.103

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Long-chain fatty acid triglyceride (TG) metabolism disorder impairs male fertility: a study using adipose triglyceride lipase deficient mice2017

    • Author(s)
      Masaki, H. Kim, N. Nakamura, H. Kumasawa, K. Kamata, E. Hirano, K. I. Kimura, T.
    • Journal Title

      Mol Hum Reprod

      Volume: 23 Issue: 7 Pages: 452-460

    • DOI

      10.1093/molehr/gax031

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Treatment and repair of uterine scar dehiscence during cesarean section2017

    • Author(s)
      Sawada, M. Matsuzaki, S. Nakae, R. Iwamiya, T. Kakigano, A. Kumasawa, K. Ueda, Y. Endo, M. Kimura, T.
    • Journal Title

      Clin Case Rep

      Volume: 5 Issue: 2 Pages: 145-149

    • DOI

      10.1002/ccr3.766

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A case of acute sheehan’s syndrome and literature review: a rare but life-threatening complication of postpartum hemorrhage2017

    • Author(s)
      Matsuzaki, S. Endo, M. Ueda, Y. Mimura, K. Kakigano, A. Egawa-Takata, T. Kumasawa, K. Yoshino, K. Kimura, T.
    • Journal Title

      BMC Pregnancy Childbirth

      Volume: 17 Issue: 1 Pages: 188-188

    • DOI

      10.1186/s12884-017-1380-y

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pregnancy outcomes in women with different doses of corticosteroid supplementation during labor and delivery2017

    • Author(s)
      Owa, T. Mimura, K. Kakigano, A. Matsuzaki, S. Kumasawa, K. Endo, M. Tomimatsu, T. Kimura, T.
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 43 Issue: 7 Pages: 1132-1138

    • DOI

      10.1111/jog.13336

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Investigation of perioperative complications associated with uterine compression sutures2017

    • Author(s)
      Suzuki, Y. Matsuzaki, S. Mimura, K. Kumasawa, K. Tomimatsu, T. Endo, M. Kimura, T.
    • Journal Title

      Int J Gynaecol Obstet

      Volume: 139 Issue: 1 Pages: 28-33

    • DOI

      10.1002/ijgo.12249

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Successful anticoagulant therapy for disseminated intravascular coagulation during conservative management of placenta percreta: a case report and literature review2017

    • Author(s)
      Matsuzaki, S. Yoshino, K. Endo, M. Tomimatsu, T. Takiuchi, T. Mimura, K. Kumasawa, K. Ueda, Y. Kimura, T.
    • Journal Title

      BMC Pregnancy Childbirth

      Volume: 17 Issue: 1 Pages: 443-443

    • DOI

      10.1186/s12884-017-1634-8

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pathophysiology of preeclampsia: an angiogenic imbalance and long-lasting systemic vascular dysfunction.2016

    • Author(s)
      Tomimatsu T, Mimura K, Endo M, Kumasawa K, Kimura T.
    • Journal Title

      Hypertens Res

      Volume: 40(4) Issue: 4 Pages: 305-310

    • DOI

      10.1038/hr.2016.152

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Preeclampsiaの新しい治療法の開発:プラバスタチン2018

    • Author(s)
      Keiichi Kumasawa
    • Organizer
      第39回 日本妊娠高血圧学会学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] プラバスタチンfor FGR2018

    • Author(s)
      Keiichi Kumasawa
    • Organizer
      第6回 新胎児研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Obstetric outcome of Jehovah’s Witnesses:a single-institution experience2017

    • Author(s)
      Tanaka, M., Matsuzaki, S., Kakigano, A., Kinose, Y., Iwamiya, T., Mimura, K., Kumasawa, K., Endo, M.Kimura, T.
    • Organizer
      第69回日本産科婦人科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 子宮底部横切開を行った30 例の後方視的検討2017

    • Author(s)
      澤田真明. 松崎慎哉. 木瀬康人. 岩宮 正. 味村和哉. 熊澤恵一. 遠藤誠之. 冨松拓治. 木村 正.
    • Organizer
      第69回日本産科婦人科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 双胎妊娠一児無脳症の2症例2017

    • Author(s)
      中江 彩. 味村和哉. 岩宮 正. 瀧内 剛. 松崎慎哉. 熊澤恵一. 遠藤誠之. 木村 正.
    • Organizer
      第136回近畿産科婦人科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] ヒト凍結融解卵巣組織移植片における生体分解ゼラチンハイドロゲルを用いたbasic fibroblast growth (bFGF)徐放の効果2017

    • Author(s)
      田中絢香. 中村仁美. 田畑泰彦. 藤森由香. 熊澤恵一. 木村 正.
    • Organizer
      第33回日本DDS学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Preeclampsiaを合併した巨大絨毛膜下血腫の一例2017

    • Author(s)
      塩見真由. 岩宮 正. 山下紗弥. 甲村奈緒子. 瀧内 剛. 味村和哉. 松崎慎哉. 熊澤惠一. 遠藤誠之. 木村 正.
    • Organizer
      第53回日本周産期・新生児医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] エホバの証人の分娩転帰2017

    • Author(s)
      田中稔恵. 松崎慎哉. 柿ヶ野藍子. 木瀬康人. 岩宮 正. 味村和哉. 熊澤惠一. 遠藤誠之. 木村 正.
    • Organizer
      第53回日本周産期・新生児医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 当院における妊娠中期中絶症例について2017

    • Author(s)
      遠藤誠之. 松崎慎哉. 熊澤惠一. 味村和哉. 瀧内 剛. 柿ヶ野藍子.
    • Organizer
      第53回日本周産期・新生児医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 分娩後大量出血に対する子宮動脈塞栓術により内側の大部分が壊死した子宮を温存し、月経が再開した一例2017

    • Author(s)
      瀧内 剛. 柿ヶ野藍子. 松崎慎哉. 熊澤恵一, 遠藤誠之. 木村 正
    • Organizer
      第53回日本周産期・新生児医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 排卵誘発から1週後に外因性hCGにより卵巣過剰刺激症候群を発症した1例2017

    • Author(s)
      香林正樹. 熊澤惠一. 山田光泰. 桑鶴知一郎. 福田弥生. 小泉花織. 瀧内 剛. 中村仁美. 木村 正.
    • Organizer
      第137回近畿産科婦人科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Uterine compression sutureに伴う周術期合併症の検討2017

    • Author(s)
      澤田真明. 松崎慎哉. 三宅達也. 柿ヶ野藍子. 味村和哉. 熊澤恵一. 遠藤誠之. 木村 正.
    • Organizer
      第40回日本産婦人科手術学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 脂質代謝の男性生殖能に対する影響2017

    • Author(s)
      金南孝、中村仁美、正木秀武、熊澤恵一、平野賢一、木村正
    • Organizer
      第6回関西生殖医学集談会第50回関西アンドロロジーカンファレンス合同研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] 当院で妊娠中に抗凝固療法を施行した症例の検討2017

    • Author(s)
      神田昌子、熊澤恵一、河田真由子、伴田美佳、高橋直子、田中雄介、山田光泰、桑鶴知一郎、福田弥生、山下美智子、佐藤紀子、小泉花織、三宅達也、瀧内剛、中村仁美、木村正
    • Organizer
      第6回関西生殖医学集談会第50回関西アンドロロジーカンファレンス合同研究会
    • Related Report
      2017 Research-status Report

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

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