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Novel therapeutic strategy against drug-resistant bacterial sepsis in compromised hosts focusing on enhancing bactericidal activity of macrophages

Research Project

Project/Area Number 18H02907
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 55060:Emergency medicine-related
Research InstitutionNational Defense Medical College

Principal Investigator

Kinoshita Manabu  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 免疫・微生物学, 准教授 (70531391)

Co-Investigator(Kenkyū-buntansha) 守本 祐司  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 生理学, 教授 (10449069)
中島 弘幸  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 免疫・微生物学, 助教 (10574064)
武岡 真司  早稲田大学, 理工学術院, 教授 (20222094)
鈴木 博章  筑波大学, 数理物質系, 教授 (20282337)
小野 聡  東京医科大学, 医学部, 兼任教授 (30531355)
宮崎 裕美  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 防衛医学研究センター 外傷研究部門, 助教 (30531636)
四ノ宮 成祥  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 分子生体制御学, 教授 (40505260)
中島 正裕  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 免疫・微生物学, 助教 (70738103)
関 修司  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 免疫・微生物学, 教授 (80531392)
齋藤 大蔵  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, 防衛医学研究センター 外傷研究部門, 教授 (90531632)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2020: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2019: ¥5,980,000 (Direct Cost: ¥4,600,000、Indirect Cost: ¥1,380,000)
Fiscal Year 2018: ¥6,370,000 (Direct Cost: ¥4,900,000、Indirect Cost: ¥1,470,000)
Keywords薬剤耐性菌血症 / compromised host / LPSプレコンディショニング / MPLAプレコンディショニング / 貪食細胞機能強化 / 抗菌活性測定チップ / MPLAプレコンディショニン / Compromised hosts / 薬剤耐性菌敗血症 / compromised hosts / 抗菌活性評価チップ / Compromised hosts
Outline of Final Research Achievements

LPS preconditioning drastically increased murine survivals from the lethal infection with not only Escherichia coli but also Pseudomonas aeruginosa or methicillin-resistant Staphylococcus aureus. LPS preconditioning accumulated bone marrow-derived macrophages in the liver and strongly augmented bactericidal activity against these bacteria. Preconditioning with TLR4-specific agonist, monophosphoryl lipid A, also induced such attractive effects in mice. Regarding the development of evaluation chip of bactericidal activity by phagocytes, we enabled to quickly measure reduced bactericidal activity by neutrophils obtained from the mice receiving water-immersion restraint stress.

Academic Significance and Societal Importance of the Research Achievements

本研究成果から、LPSもしくはMPLAを用いたプレコンディショニング誘導による薬剤耐性菌を含めた広範囲な感染症への抵抗性獲得の治療施策が示唆された。病原体の貪食除去の亢進と炎症反応の抑制は、サイトカインストームを引き起こす新型コロナ肺炎を含むあらゆる重症感染病態の制御に有用である。また、抗菌活性評価チップを用いたcompromised hostの早期診断は、迅速な感染症治療の開始に大いに資するものと期待される。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (28 results)

All 2021 2020 2019 2018

All Journal Article (21 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 21 results,  Open Access: 17 results) Presentation (7 results) (of which Int'l Joint Research: 4 results,  Invited: 2 results)

  • [Journal Article] The role of Kupffer cells in systemic anti-microbial defense2021

    • Author(s)
      Nakashima H, Nakashima M, Kinoshita M, Seki S
    • Journal Title

      IntechOpen, Antimicrobial Immune Response

      Volume: 1 Pages: 1-13

    • DOI

      10.5772/intechopen.97256

    • ISBN
      9781839687822, 9781839687839
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Artificial blood transfusion2021

    • Author(s)
      Hagisawa K, Kinoshita M, Sakai H, Takeoka S
    • Journal Title

      Physiology News

      Volume: Spring 121 Pages: 22-25

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Microdevice with integrated Clark-type oxygen electrode for measurement of respiratory activity of cells2021

    • Author(s)
      Hsueh AJ, Park S, Satoh T, Shimizu T, Koiwai K, Nakashima M, Morimoto Y, Kinoshita M, Suzuki H
    • Journal Title

      Analytical Chemistry

      Volume: 93 Issue: 13 Pages: 5577-5585

    • DOI

      10.1021/acs.analchem.1c00227

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The Efficacy of Posttreatment with Synthetic C-Reactive Protein in Murine Bacterial Peritonitis via Activation of FcγRI-Expressing Kupffer Cells2021

    • Author(s)
      Kinoshita Manabu、Ito Seigo、Ishikiriyama Takuya、Sekiguchi Kumiko、Yamaguchi Ryota、Tsuruhara Ryoichi、Matsuda Akihisa、Koiwa Kazuki、Nakashima Masahiro、Nakashima Hiroyuki、Miyashita Masao、Seki Shuhji
    • Journal Title

      Journal of Innate Immunity

      Volume: Online ahead Issue: 5 Pages: 1-13

    • DOI

      10.1159/000515333

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of Resuscitative Infusion with Hemoglobin Vesicles in Rabbits with Massive Obstetric Hemorrhage2021

    • Author(s)
      Yukako Yuki, MD , Kohsuke Hagisawa, MD, PhD , Manabu Kinoshita, MD, PhD , Hiroki Ishibashi, MD , Kouki Kaneko, MD , Osamu Ishida, MD, PhD , Daizoh Saitoh, MD, PhD , Hiromi Sakai, PhD (Eng), PhD (Med Sci) , Katsuo Terui, MD, PhD
    • Journal Title

      American Journal of Obstetrics & Gynecology

      Volume: 224 Issue: 4 Pages: 398-398

    • DOI

      10.1016/j.ajog.2020.09.010

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Lipopolysaccharide preconditioning reduces liver metastasis of Colon26 cells by enhancing antitumor activity of natural killer cells and natural killer T cells in murine liver2020

    • Author(s)
      Nishikawa Makoto、Kinoshita Manabu、Morimoto Yuji、Ishikiriyama Takuya、Nakashima Masahiro、Nakashima Hiroyuki、Ono Takeshi、Seki Shuhji、Moriya Tomoyuki、Yamamoto Junji、Kishi Yoji
    • Journal Title

      Journal of Gastroenterology and Hepatology

      Volume: Online Issue: 7 Pages: 1889-1898

    • DOI

      10.1111/jgh.15375

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Serial changes of the serum phosphorylated neurofilament and its application for prediction of clinical outcome after traumatic brain injury2020

    • Author(s)
      Otani N, Morimoto Y, Kinoshita M, Ogata T, Takeuchi S, Toyooka T, Wada K, Mori T
    • Journal Title

      Surg Neurol Int

      Volume: Nov 11 Pages: 387-387

    • DOI

      10.25259/sni_696_2020

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A comparison of thyroidal protection by stable iodine or perchlorate in the case of acute or prolonged radioiodine exposure2020

    • Author(s)
      Eder Stefan、Hermann Cornelius、Lamkowski Andreas、Kinoshita Manabu、Yamamoto Tetsuo、Abend Michael、Shinomiya Nariyoshi、Port Matthias、Rump Alexis
    • Journal Title

      Archives of Toxicology

      Volume: 94 Issue: 9 Pages: 3231-3247

    • DOI

      10.1007/s00204-020-02809-z

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Therapeutic potential of fibrinogen γ-chain peptide-coated, ADP-encapsulated liposomes as a haemostatic adjuvant for post-cardiopulmonary bypass coagulopathy2020

    • Author(s)
      Ishida Osamu、Hagisawa Kohsuke、Yamanaka Nozomu、Tsutsumi Koji、Suzuki Hidenori、Takikawa Masato、Takeoka Shinji、Kinoshita Manabu
    • Journal Title

      Scientific Reports

      Volume: 10 Issue: 1 Pages: 11308-11308

    • DOI

      10.1038/s41598-020-68307-5

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Radiation-induced gastrointestinal syndrome is exacerbated in vitamin C insufficient SMP30/GNL knockout mice2020

    • Author(s)
      Saga R, Uchida T, Takino Y, Kondo Y, Kobayashi H, Kinoshita M, Saitoh D, Ishigami A, Makishima M
    • Journal Title

      Nutrition

      Volume: 81 Pages: 1-8

    • DOI

      10.1016/j.nut.2020.110931

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Investigation of the impact of preconditioning with lipopolysaccharide on inflammation-induced gene expression in the brain and depression-like behavior in male mice2020

    • Author(s)
      Koga M, Toda, H, Kinoshita M, Asai F, Nagamine M, Shimizu K, Kabayashi Y, Morimoto Y, Yoshino A
    • Journal Title

      Prog Neuropsychopharmacol Biol Psychiatry

      Volume: 103 Pages: 109978-109978

    • DOI

      10.1016/j.pnpbp.2020.109978

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intraosseous transfusion of hemoglobin vesicles in the treatment of hemorrhagic shock with collapsed vessels in a rabbit model2020

    • Author(s)
      Hagisawa K, Kinoshita M, Saitoh D, Morimoto Y, Sakai H
    • Journal Title

      Transfusion

      Volume: 60 Issue: 7 Pages: 1400-1409

    • DOI

      10.1111/trf.15915

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Oral Ascorbic Acid 2-glucoside Prevents Coordination Disorder Induced via Laser-Induced Shock Waves in Rat Brain2020

    • Author(s)
      Takaaki Maekawa, Takahiro Uchida, Yuka Nakata-Horiuchi, Hiroaki Kobayashi, Satoko Kawauchi, Manabu Kinoshita, Daizoh Saitoh, Shunichi Sato
    • Journal Title

      PLoS One

      Volume: 15 Issue: 4 Pages: e0230774-e0230774

    • DOI

      10.1371/journal.pone.0230774

    • Related Report
      2020 Annual Research Report 2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Immune mechanisms underlying susceptibility to endotoxin shock in aged hosts: implication in age-augmented generalized Shwartzman reaction2019

    • Author(s)
      Kinoshita M, Nakashima M, Nakashima H, Seki S
    • Journal Title

      Int J Mol Sci

      Volume: 20 Issue: 13 Pages: 3260-3260

    • DOI

      10.3390/ijms20133260

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Development of New Biokinetic-Dosimetric Models for the Simulation of Iodine Blockade in the Case of Radioiodine Exposure in Man2019

    • Author(s)
      Rump A, Eder S, Lamkowski A, Kinoshita M, Yamamoto T, Abend M, Shinomiya N, Port M
    • Journal Title

      Drug Res (Stuttg)

      Volume: 69(11) Issue: 11 Pages: 583-597

    • DOI

      10.1055/a-0960-5590

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Combination therapy using fibrinogen gamma-chain peptide-coated, adenosine-5’-diphosphate-encapsulated liposomes and hemoglobin vesicles for trauma-induced massive hemorrhage in thrombocytopenic rabbits2019

    • Author(s)
      K. Hagisawa, M. Kinoshita, M. Takikawa, S. Takeoka, D. Saitoh, S. Seki, H. Sakai
    • Journal Title

      Transfusion

      Volume: 59(10) Issue: 10 Pages: 3186-3196

    • DOI

      10.1111/trf.15427

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pioglitazone improves phagocytic activity of liver recruited macrophages in elderly mice possibly by promoting glucose catabolism2019

    • Author(s)
      Nakashima M, Kinoshita M, Nakashima H, Kotani A, Ishikiriyama T, Kato S, Hiroi S, Seki S
    • Journal Title

      Innate Immun

      Volume: 25 Issue: 6 Pages: 356-368

    • DOI

      10.1177/1753425919849620

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] On‐site Rapid Detection of Antibacterial Activity of Neutrophils Using Freeze‐Dried Bacteria2019

    • Author(s)
      Tanabe Koji、Kinoshita Manabu、Nakashima Masahiro、Kariya Koki、Yokokawa Masatoshi、Morimoto Yuji、Suzuki Hiroaki
    • Journal Title

      MEDICAL DEVICES & SENSORS

      Volume: 00 Issue: 2

    • DOI

      10.1002/mds3.10030

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The reduced bactericidal activity of neutrophils as an incisive indicator of water-immersion restraint stress and impaired exercise performance in mice2019

    • Author(s)
      Kinoshita M, Nakashima, H, Nakashima M, Koga M, Toda H, Koiwi K, Morimoto Y, Miyazaki H, Saitoh D, Suzuki H, Seki S
    • Journal Title

      Sci Rep

      Volume: 9 Issue: 1 Pages: 4662-4662

    • DOI

      10.1038/s41598-019-41077-5

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] In situ transplantation of adipose tissue-derived stem cells organized on porous polymer nanosheets for murine skin defects2018

    • Author(s)
      Nishiwaki Keisuke、Aoki Shimpo、Kinoshita Manabu、Kiyosawa Tomoharu、Suematsu Yoshitaka、Takeoka Shinji、Fujie Toshinori
    • Journal Title

      Journal of Biomedical Materials Research Part B: Applied Biomaterials

      Volume: 印刷中 Issue: 5 Pages: 3061-3168

    • DOI

      10.1002/jbm.b.34228

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of Resuscitative Transfusion with Hemoglobin Vesicles in the Treatment of Massive Hemorrhage in Rabbits with Thrombocytopenic Coagulopathy and its Effect on Hemostasis by Platelet Transfusion2018

    • Author(s)
      Hagisawa, Kohsuke; Kinoshita, Manabu; Takase, Bonpei; Hashimoto, Kenichi; Saitoh, Daizoh; Seki, Shuhji; Nishida, Yasuhiro; Sakai, Hiromi
    • Journal Title

      Shock

      Volume: in press Issue: 3 Pages: 324-330

    • DOI

      10.1097/shk.0000000000001042

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Presentation] Medical countermeasure for post-traumatic immunosuppression and susceptibility of infection2018

    • Author(s)
      Kinoshita m
    • Organizer
      Japan-US Technical information exchange forum on blast injury
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Development of hemostatic nanoparticles (platelet substitutes) for the resuscitation of trauma hemorrhage2018

    • Author(s)
      Kinoshita M, Hagisawa K
    • Organizer
      Non-conventionaal Threat Asia Pacific
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Basic fibroblast growth factor-loaded PLGA nanosheet promotes wound healing of refractory skin lesions after burn injury2018

    • Author(s)
      Kinshita M, Aoki S, Kiyosawa T, Fujie T, Takeoka S, Hagisawa K, Seki S
    • Organizer
      Annual Conference on SHOCK
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The efficacy of platelet substitutes, H12(ADP)liposomes, for the treatment of hemorrhagic shock caused by mesenteric injury in rabbits with trauma-induced coagulopathy2018

    • Author(s)
      Kinoshita M, Hagisawa K
    • Organizer
      Military Health Research Symposium
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] LPS preconditioningによる抗腫瘍活性増強効果と外科周術期管理での有用性2018

    • Author(s)
      木下 学、西川 誠、中島正裕、中島弘幸、関修司
    • Organizer
      日本エンドトキシン自然免疫研究会
    • Related Report
      2018 Annual Research Report
  • [Presentation] LPS preconditioning potently enhances liver antitumor activity in mice despite marked suppression of inflammatory response2018

    • Author(s)
      Kinoshita M, Nishikawa M, Nakashima H, Nakashima M, Ishikiriyama T, Kato S, Seki S
    • Organizer
      日本免疫学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 人工赤血球、人工血小板開発の最前線、外傷性大量出血への挑戦2018

    • Author(s)
      木下 学
    • Organizer
      埼玉県急性期治療フォーラム
    • Related Report
      2018 Annual Research Report
    • Invited

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Published: 2018-04-23   Modified: 2022-01-27  

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