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Treatment of intractable epilepsy by stereotactic intracerebral injection of alpha-emitting nuclide At-211

Research Project

Project/Area Number 18K07674
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52040:Radiological sciences-related
Research InstitutionOsaka University

Principal Investigator

Kato Hiroki  大阪大学, 医学系研究科, 准教授 (20448054)

Co-Investigator(Kenkyū-buntansha) 畑澤 順  大阪大学, 核物理研究センター, 特任教授 (70198745)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
KeywordsRI治療 / てんかん / α線 / アスタチン / アルファ線 / 神経 / グリア / 脳 / ヨウ素 / SPECT / PET / ラット / 脳代謝
Outline of Final Research Achievements

When we administered the compound (50 kBq / μL) labeled with 211At into bilateral hippocampus of rats, the compound stayed at the injection site for a long time and did not spread systemically. According to 18F-FDG PET of the rat brain after administration, no obvious abnormalities in cerebral metabolism was observed. Furthermore, the Y-maze test confirmed no obvious abnormality in the working memory. Immunohistological examination of brain tissue revealed no obvious abnormalities in nerve cells and glial cells. It was found that when the compound was modified to suppress aggregation and the concentration (radioactivity) was further increased by about 10 times, it still remained locally without systemic spread. When the drug was administered to pentylenetetrazole (PTZ) kindling model rats, a significant seizure-suppressing effect was observed. The Y-maze test showed no apparent effect on working memory or activity.

Academic Significance and Societal Importance of the Research Achievements

薬剤治療抵抗性の難治性てんかんでは、発作焦点が同定できれば手術による切除が施行されるが、侵襲性が高い。ガンマナイフによる外照射にて発作焦点を破壊する治療もおこなわれているが、副作用が強く忍容性が低い。集束超音波治療やラジオ波焼灼術なども提案されているが効果は定まっていない。中枢神経は放射線による影響が少ないと考えられている。申請者らはα線放出核種の定位的脳内注入による全く新しい難治性てんかんの低侵襲治療法を提案し、それを検証した。

Report

(4 results)
  • 2021 Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (6 results)

All 2020 2019

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Astrocyte metabolism in multiple sclerosis investigated by 1-C-11 acetate PET2020

    • Author(s)
      Kato, H. Okuno, T. Isohashi, K. Koda, T. Shimizu, M. Mochizuki, H. Nakatsuji, Y. Hatazawa, J.
    • Journal Title

      J Cereb Blood Flow Metab

      Volume: 41 Issue: 2 Pages: 369-379

    • DOI

      10.1177/0271678x20911469

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Quantitative measurement of regional cerebral blood flow and oxygen metabolism in a rat model of cerebral hypoperfusion2019

    • Author(s)
      Kato Hiroki、Kanai Yasukazu、Watabe Tadashi、Ikeda Hayato、Horitsugi Genki、Hatazawa Jun
    • Journal Title

      Brain Research

      Volume: 1719 Pages: 208-216

    • DOI

      10.1016/j.brainres.2019.05.032

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Presentation] 視神経脊髄炎の脳における1-C-11酢酸代謝2020

    • Author(s)
      加藤弘樹
    • Organizer
      日本核医学会
    • Related Report
      2020 Research-status Report
  • [Presentation] I-123イオマゼニルSPECTと血行力学的脳虚血リスク2019

    • Author(s)
      Hiroki Kato
    • Organizer
      第12回 関西脳核医学研究会、2019年 3月 2日 (土) 、大阪第一ホテル
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Metabolism of astrocyte in the patients of multiple sclerosis investigated by 1-C-11 acetate PET,2019

    • Author(s)
      Kato H, Okuno T, Nakatsuji Y, Hatazawa J
    • Organizer
      Brain & Brain PET 2019, July 4-7, 2019, Yokohama Japan
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 多発性硬化症の脳における1-C-11酢酸代謝2019

    • Author(s)
      Hiroki Kato, Okuno Tatsusada, Yuji Nakatsuji, Jun Hatazawa
    • Organizer
      第59回核医学会学術総会
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2025-01-30  

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