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

Development of novel treatment strategies based on elucidation of the mechanisms of complex regional pain syndrome (CRPS)

Research Project

Project/Area Number 18K08837
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 55050:Anesthesiology-related
Research InstitutionFukuoka University

Principal Investigator

Shibata Shiho  福岡大学, 医学部, 助教 (50708063)

Co-Investigator(Kenkyū-buntansha) 田頭 秀章  福岡大学, 医学部, 准教授 (90735028)
鈴木 沙理  福岡大学, 医学部, 助教 (30804611)
山浦 健  九州大学, 医学研究院, 教授 (70264041)
Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords複合性局所疼痛症候群 / TNF-α / TNF-α中和抗体 / 局所投与 / NCX / NKA / CRPS / Na+/Ca2+交換輸送体 / Na+,K+-ATPase / pSNLモデル / K+-ATPase / サイトカイン / 虚血再還流
Outline of Final Research Achievements

Complex regional pain syndrome (CRPS) is an intractable chronic pain syndrome with various signs and symptoms including allodynia/hyperalgesia, edema, swelling, and skin abnormalities. However, a definitive therapeutic treatment for CRPS has not been established. In CRPS patients, inflammatory cytokines such as TNF-α and IL-1β have been shown to increase in affected areas, suggesting that these molecules may be potential therapeutic targets for CRPS. In this study, we found that the abnormal expression changes of Na+/Ca2+ exchanger (NCX) and Na+,K+-ATPase (NKA), and the abnormal activity of inflammation-related cells (macrophages and microglia).

Academic Significance and Societal Importance of the Research Achievements

複合性局所疼痛症候群(CRPS)は、四肢の堪え難い痛み、浮腫、血流障害、運動障害、萎縮性変化などを伴い、日常生活を著しく障害する。CRPSの症状は多彩で、時期によっても変化するが、発症初期に着目すると、浮腫や色調変化などの炎症を示唆する症状が発現することが多い。CRPSの発症には炎症性サイトカインの関与が推察されるが、その詳細な病態形成機序は不明であり、CRPSの発症機序の全容解明と新規治療薬の開発が望まれている。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (6 results)

All 2020 2019

All Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] 複合性局所疼痛症候群に対するインフリキシマブ局所静脈内投与の治療効果2020

    • Author(s)
      柴田志保、根本隆行、岩本隆宏、秋吉浩三郎
    • Organizer
      第41回臨床薬理学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 複合性局所疼痛症候群に対する低用量TNF-α阻害薬局所静脈内投与の効果2019

    • Author(s)
      柴田 志保, 平田 和彦, 廣田 一紀, 外山 恵美子, 山浦 健
    • Organizer
      日本麻酔科学会第66回学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 炎症性サイトカインの複合性局所疼痛症候群病態形成における役割2019

    • Author(s)
      柴田 志保、田頭 秀章、喜多 知、冨永 健二、山浦 健、岩本 隆宏
    • Organizer
      日本ペインクリニック学会第 53 回大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 複合性局所疼痛症候群に対する TNF-α中和抗体局所投与の治療応用への可能性2019

    • Author(s)
      田頭秀章、柴田志保 、喜多知 、喜多紗斗美、山浦健、岩本隆宏
    • Organizer
      臨床薬理学会九州部会
    • Related Report
      2019 Research-status Report
  • [Presentation] Perineural expression of TNF-α contributes to long-term mechanical allodynia in CRPS model mice2019

    • Author(s)
      Shiho Shibata, Hideaki Tagashira, Satomi Kita, Tomo Kita, Sari Suzuki, Ken Yamaura, Takahiro Iwamoto
    • Organizer
      9th Federation of Asian and Oceanian Physiological Societies
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] The role of vascular smooth muscle NCX1 in the pathogenesis of pulmonary arterial hypertension2019

    • Author(s)
      Hideaki Tagashira, Asahi Nagata, Satomi Kita, Tomo Kita, Sari Suzuki, Kohtaro Abe, Akinori Iwasaki, Takahiro Iwamoto
    • Organizer
      9th Federation of Asian and Oceanian Physiological Societies
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

URL: 

Published: 2018-04-23   Modified: 2024-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi