Patient specific assessment of hemodynamics by computational fluid dynamics in patients with chronic aortic dissection
| Project/Area Number |
18K08770
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 55030:Cardiovascular surgery-related
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| Research Institution | Jichi Medical University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
坂元 尚哉 東京都立大学, システムデザイン研究科, 准教授 (20361115)
中村 匡徳 名古屋工業大学, 工学(系)研究科(研究院), 教授 (20448046)
伊藤 智 自治医科大学, 医学部, 講師 (30382881)
田中 正史 日本大学, 医学部, 教授 (80382927)
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| Project Period (FY) |
2018-04-01 – 2023-03-31
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| Project Status |
Completed (Fiscal Year 2022)
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| Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | 大動脈解離 / 剪断応力 / 数値流体力学計算 / 共培養モデル / 単培養モデル / 大動脈拡大 |
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| Outline of Final Research Achievements |
We investigated influence of hemodynamic stress on aortic enlargement in patients with aortic dissection (AD). Of acute type A AD patients who underwent surgery, we selected 6 who showed aortic growth (> 10 mm/year) and 5 who showed no aortic growth (< 3 mm/year). Wall shear stress (WSS) and wall pressure in false lumen were compared between the groups. Both groups showed WSS and wall pressure were highest at the mid-systolic, however, hemodynamic parameters were not different.
Using a coculture model of endothelial cells (ECs) on collagen gels containing smooth muscle cells (SMCs) (non-AD model) and a monocultured SMCs model (false lumen model), we investigated influence of WSS on MMP expression in SMCs. Coculture model showed MMP-9 expression was increased as with WSS increase, and monocultured SMCs model showed MMP-2 expression was increased as with WSS increase, suggesting lack of interaction between ECs and SMCs may lead to different pathway promoting negative remodelling.
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| Academic Significance and Societal Importance of the Research Achievements |
A型解離術後の慢性大動脈解離を対象とした血流解析はこれまでなかった。本研究では大動脈非拡大群・拡大群の2群間で血行力学因子の発現に差を認めなかったが、人工血管置換後という要因が影響した可能性がある。in vitro 実験では、WSS依存性に平滑筋細胞からのMMP-2産生が増加しており、偽腔壁ではWSS直接負荷に応じ平滑筋細胞のphenotypeが変化し中膜組織の構造変化が進行する可能性が示唆された。
今後も、大動脈解離に対する多角的な研究を継続して行い、臨床応用可能な新規の画像診断法やバイオマーカーの開発を目指す。また、安全で効果的な手術治療術式の確立のためにCFD解析を活用する予定である。
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Report
(6 results)
Research Products
(14 results)
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[Journal Article] Outcomes of Early-Onset Acute Type A Aortic Dissection ― Influence of Etiologic Factors ―2019
Author(s)
Kimura N, Aizawa K, Kawahito K, Itagaki R, Yamaguchi A, Misawa Y, Siepe M, Czerny M, Beyersdorf F, Kari FA, Rylski B
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Journal Title
Circulation Journal
Volume: 83
Issue: 2
Pages: 285-294
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2019-01-25
Related Report
Peer Reviewed / Int'l Joint Research
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