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Elucidation of myocardial energy metabolism via beta-3 receptor in sepsis

Research Project

Project/Area Number 18K08879
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 55060:Emergency medicine-related
Research InstitutionAsahikawa Medical College

Principal Investigator

Okada Motoi  旭川医科大学, 医学部, 准教授 (80431427)

Co-Investigator(Kenkyū-buntansha) 藤田 智  旭川医科大学, 医学部, 名誉教授 (10173428)
井尻 えり子  旭川医科大学, 大学病院, 助教 (40646072)
川口 哲  旭川医科大学, 医学部, 助教 (60814217)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords敗血症 / 心不全 / β3受容体 / エンドトキシン / ミトコンドリア / NO産生 / 心筋代謝 / LPS / 敗血症性心筋症 / メタボリックシフト
Outline of Final Research Achievements

In this study, we generated a mouse model of endotoxin (LPS)-induced heart failure, in which the myocardium is found to have increased expression of β3 receptors. The model showed a rapid decline in cardiac function and increased mortality, but administration of a β3 receptor antagonist restored cardiac function and prognosis, as well as reduced myocardial ATP levels. The mechanism for this was found to be abnormal transport of fatty acids into the mitochondria, although their uptake into the myocardium was preserved. Furthermore, inhibition of β3 receptors suppressed NFkB-mediated cytokine production, such as IL-6, and the induction of iNOS.

Academic Significance and Societal Importance of the Research Achievements

予後不良疾患である敗血症による心不全の病態において、エンドトキシンによる心不全もでるでは、β3受容体を制御することで、心機能や生命予後を改善することが確認された。このことは、β3受容体が敗血症性心筋症への治療ターゲットになる可能性があると考えられる。

Report

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

    (7 results)

All 2021 2020 2019

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (2 results) (of which Int'l Joint Research: 1 results) Book (3 results)

  • [Journal Article] Cardiac Metabolism in Sepsis2021

    • Author(s)
      Kawaguchi Satoshi、Okada Motoi
    • Journal Title

      Metabolites

      Volume: 11 Issue: 12 Pages: 846-846

    • DOI

      10.3390/metabo11120846

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] β(3)-Adrenergic receptor blockade reduces mortality in endotoxin-induced heart failure by suppressing induced nitric oxide synthase and saving cardiac metabolism.2020

    • Author(s)
      1)Kawaguchi S, Okada M, Ijiri E, Koga D, Watanabe T, Hayashi K, Kashiwagi Y, Fujita S, Hasebe N.
    • Journal Title

      Am J Physiol Heart Circ Physiol

      Volume: 318 Issue: 2 Pages: H283-H294

    • DOI

      10.1152/ajpheart.00108.2019

    • Related Report
      2021 Annual Research Report 2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 敗血症での心機能低下における小胞体―ミトコンドリア機能不全の関与2020

    • Author(s)
      岡田 基
    • Organizer
      日本救急医学会
    • Related Report
      2020 Research-status Report
  • [Presentation] Cardiac Metabolism Was Improved by Regulation of Nitric Oxide Synthases Through the Beta-3 Adrenergic Receptor in Endotoxin-induced Failing Heart2019

    • Author(s)
      Okada M
    • Organizer
      American Heart Assosiation
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Book] 心血管系システムとβ3受容体2021

    • Author(s)
      岡田 基
    • Total Pages
      2
    • Publisher
      医歯薬出版株式会社
    • Related Report
      2021 Annual Research Report
  • [Book] β遮断薬の日米欧ガイドラインにおける位置づけとエビデンス:敗血症2021

    • Author(s)
      岡田 基
    • Total Pages
      6
    • Publisher
      南山堂
    • Related Report
      2021 Annual Research Report
  • [Book] ショックとβレセプター:β3受容体と敗血症についての考察2019

    • Author(s)
      岡田 基
    • Total Pages
      8
    • Publisher
      総合医学社
    • ISBN
      9784883785568
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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