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The role of commensal microflora in the inane immune response during infection

Research Project

Project/Area Number 18591988
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

SHIME Nobuaki  Kyoto Prefectural University of Medicine, Medical school, Associate professor (00260795)

Co-Investigator(Kenkyū-buntansha) NAKAYA Takaaki  Osaka University, Medical school, Associate professor (80271633)
Project Period (FY) 2006 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥4,070,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥570,000)
Fiscal Year 2007: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2006: ¥1,600,000 (Direct Cost: ¥1,600,000)
KeywordsSepsis / Innate immunity / Commensal micorflora / Digestive tract / Antibiotics / Macrophage / 敗血症 / 常在菌巣
Research Abstract

We investigated the role of digestive commensal bacteria in the innate immune response in experimental mouse sepsis model. Experimental mice were fed by water including multiple antibiotics (streptomycin and cefotaxime) for three weeks. Significant decreases in the amount of commensal bacterial flora, as well as the changes in intestinal organic acid profiles were noted in the experimental group. The expressions of TLR-4 and TLR-2 receptors in the peritoneal macrophages assessed by flow-cytometry, have been significantly downregulated. The increase in plasma TNF-α level after lipopolysaccharide injection, mimicking clinical sepsis, has been attenuated. This attenuation was accompanied with the increases in the mortality. Those data suggests that commensal bacterial flora in the digestive tract might confer a significant role in modulating innate immune system. The immunomodulating effect of antimicrobials via the changes in commensal microflora should be considered in the sepsis treatment.

Report

(3 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • Research Products

    (20 results)

All 2007 2006

All Journal Article (15 results) (of which Peer Reviewed: 6 results) Presentation (4 results) Book (1 results)

  • [Journal Article] Glycopeptide pharmacokinetics in current paediatri ccardiac surgery practice2007

    • Author(s)
      Shime N, et. al.
    • Journal Title

      Eur J Cardiothorac Surg 32(4)

      Pages: 577-81

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Effects of controlled perioperative antimicrobial prophylaxis on infectious outcomes in pediatric cardiac surgery2007

    • Author(s)
      Kato Y, Shime N, et. al.
    • Journal Title

      Crit Care Med 35(7)

      Pages: 1763-8

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] A randomized trial of ultrasound image-based skin surface marking versus real-time ultrasound-guided internal jugular vein catheterization in infants2007

    • Author(s)
      Hosokawa K, Shime N, et. al.
    • Journal Title

      Anesthesiology 107(5)

      Pages: 720-4

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Glycopeptide pharmacokinetics in current paediatric cardiac surgery practice2007

    • Author(s)
      Shime, N, et. al.
    • Journal Title

      Eur J Cardiothrorac Surg. 32(4)

      Pages: 577-81

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Effects of controlled perioperative antimicrobial prophylaxis on infectious outcomes in pediatric cardiac surgery2007

    • Author(s)
      Kato, Y, Shime, N, et. al.
    • Journal Title

      Crit Care Med 35(7)

      Pages: 1763-8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] A randomized trial of ultrasound image-based skin surface marking versus real-time ultrasound-guided internal jugular vein catheterization in infants.2007

    • Author(s)
      Hosokawa, K, Shime, N, et.al.
    • Journal Title

      Anesthesiology 107(5)

      Pages: 720-4

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Glycopeptide pharmacokinetics in current paediatric cardiac surgery practice.2007

    • Author(s)
      Shime N, at al.
    • Journal Title

      Eur J Cardiothorac Surg 32(4)

      Pages: 577-81

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of controlled perioperative antimicrobial prophylaxis on infectious outcomes in pediatric cardiac surgery.2007

    • Author(s)
      Kato Y, Shime N, et. al.
    • Journal Title

      Crit Care Med 35(7)

      Pages: 1763-8

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A randomized trial of ultrasound image-based skin surface marking versus real-time ultrasound-guided internal jugular vein catheterization in infants.2007

    • Author(s)
      Hosokawa K, Shime N, et. al.
    • Journal Title

      Anesthesiology 107(5)

      Pages: 720-4

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Continuous negative extrathoracic pressure in children after congenital heart surgery2006

    • Author(s)
      Shime N, et al.
    • Journal Title

      Crit Care Resusc 8(4)

      Pages: 297-301

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 非侵襲的換気法の導入は小児ICUでの人工呼吸患者の予後を改善しているか?2006

    • Author(s)
      志馬伸朗ら
    • Journal Title

      人工呼吸 23(1)

      Pages: 62-66

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 誤嚥関連肺障害に対するシベレスタットナトリウムの有効性〜過去の症例報告の集積から2006

    • Author(s)
      志馬伸朗ら
    • Journal Title

      麻酔 55

      Pages: 735-741

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 重症感染症に対する抗菌療法〜de-escalationは行われているか?2006

    • Author(s)
      志馬伸朗
    • Journal Title

      日本外科感染症学会誌

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 小児集中治療での感染対策2006

    • Author(s)
      志馬伸朗
    • Journal Title

      ICUとCCU 30

      Pages: 25-35

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 肺高血圧を伴う先天性心疾患者の週術期管理を再考する : 一酸化吸入治療を中心として2006

    • Author(s)
      志馬伸朗
    • Journal Title

      日本心臓麻酔学会誌 10

      Pages: 47-52

    • Related Report
      2006 Annual Research Report
  • [Presentation] 抗菌療法の光と影:広域・多剤・長期抗菌療法と宿主自然免疫能の関係2007

    • Author(s)
      梅内貴子、志馬伸朗
    • Organizer
      日本麻酔科学会第54回学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2007-06-01
    • Related Report
      2007 Annual Research Report
  • [Presentation] Appropriateness of antimicrobial therapy for bacteremia:a single institute,3-year survey2006

    • Author(s)
      Shime N, et. al.
    • Organizer
      The 46th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • Place of Presentation
      San Francisco
    • Year and Date
      2006-09-27
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Appropriateness of Antimicrobial Therapy for Bacteremia: A Single Institute, 3-year Survey2006

    • Author(s)
      Shime, N, et. al.
    • Organizer
      The 46 th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • Place of Presentation
      San Francisco
    • Year and Date
      2006-09-27
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] An 8-Year Survey of Fungemia with Focusing on 6-D-Glucan Measurement2006

    • Author(s)
      Fujike, S, Shime, N, et. al.
    • Organizer
      The 46 th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • Place of Presentation
      San Francisco
    • Year and Date
      2006-09-27
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 小児に対するNPPV〜急性期管理での使用を中心に項担当、急性期NPPV実践マニュアル2006

    • Author(s)
      志馬伸朗
    • Publisher
      急性期NPPV研究会
    • Related Report
      2006 Annual Research Report

URL: 

Published: 2006-04-01   Modified: 2016-04-21  

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