• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Efficacy of Long-Term Cochlear Implantation of Dexamethasone-Eluting Electrodes

Research Project

Project/Area Number 17K11323
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionShinshu University

Principal Investigator

TAKUMI YUTAKA  信州大学, 学術研究院医学系, 教授 (70312501)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords人工内耳 / ステロイド溶出 / 残存聴力 / 遺伝子発現 / デキサメタゾン / 残存聴力活用型人工内耳 / 遺伝子 / ステロイド
Outline of Final Research Achievements

We analyzed gene expression patterns in the cochlea after insertion of a conventional electrode and a dexamethasone-eluting electrode into the guinea pig cochlea to examine the effects of continuous steroid administration. After insertion of a conventional electrode into the cochlea, damage to the cochlear structure and neurotransmission disorders such as hair cells occurred due to the electrode insertion, resulting in changes in the expression of various genes such as inflammatory cytokines. However, the use of dexamethasone-eluting electrodes suppressed the changes in gene expression, especially the expression of inflammatory cytokines such as TNF-α and IL-1β, which have the potential to damage nerve cells, and thus were thought to be effective in protecting hair cells in the cochlea.
Experiments to examine the functional and morphological effects of long-term electrode implantation in the cochlea using mice were discontinued.

Academic Significance and Societal Importance of the Research Achievements

残存聴力活用型人工内耳では、人工内耳電極挿入後の残存聴力は良好に保存される例が多いが、中には長期的経過観察で徐々に失われるケースもみられる。
ステロイド溶出電極を用いることで、炎症抑制のみならず蝸牛内線維化、基底板の振動障害、有毛細胞やラセン神経節細胞の活動障害が抑制できれば、人工内耳電極挿入後の長期の機能温存に有効であり、ひいては長期に残存聴力を維持して人工内耳を有効に使うことができる。

Report

(3 results)
  • 2022 Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (4 results)

All 2017

All Presentation (4 results)

  • [Presentation] 耳鼻咽喉科領域における新たな診療技術2017

    • Author(s)
      工 穣、宇佐美真一
    • Organizer
      第118回日本耳鼻咽喉科学会学術講演会
    • Related Report
      2017 Research-status Report
  • [Presentation] 軽度・中等度難聴児補聴器購入助成制度によって骨導補聴器購入に至った症例について2017

    • Author(s)
      工 穣、佐藤梨里子、鈴木宏明、茂木英明、宮川麻衣子、宇佐美真一
    • Organizer
      第62回 日本聴覚医学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 骨導インプラント「BONEBRIDGE」の術後長期経過について2017

    • Author(s)
      工 穣、鈴木宏明、宇佐美真一
    • Organizer
      第27回 日本耳科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 眼振検査支援システム(C-Nys)上でのEpley法記録シートの活用ー施行中の眼振と経過についてー2017

    • Author(s)
      工 穰、中村正、福岡久邦、矢野卓也、塚田景大、池田卓生、宇佐美真一
    • Organizer
      第76回日本めまい平衡医学会
    • Related Report
      2017 Research-status Report

URL: 

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

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi