Body Fluid and Endothelial Glycocalyx
Project/Area Number |
18K16511
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 55060:Emergency medicine-related
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Research Institution | Gifu University |
Principal Investigator |
Yoshida Shozo 岐阜大学, 大学院医学系研究科, 特任教授 (40339346)
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Project Period (FY) |
2018-04-01 – 2021-03-31
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Project Status |
Completed (Fiscal Year 2020)
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Budget Amount *help |
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
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Keywords | 血管内皮グリコカリックス / 血液浄化 / 容量負荷 / 血管内皮障害 / 腎不全 / 慢性腎不全 / グリコカリックス / 体液量増加 |
Outline of Final Research Achievements |
The critical ill patients often cause fluid retention through acute kidney injury. To improve the this condition, the blood purification therapy is performed. However, it is sometime caused shock during this therapy. In the current study, vascular permeability is increased through the endothelial glycocalyx injury by the hemodynamics changing. 1) endothelial glycocalyx injury marker syndecan-1 is measured in hemodialysis patients. 2) in nephrectomy mice, ultrastructure of endothelial glycocalyx is confirmed.
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Academic Significance and Societal Importance of the Research Achievements |
臨床的には敗血症患者においてはEarly Goal-Directed Therapyでの発症6時間以内の大量輸液療法は全身性組織低酸素からの一刻も早い回復が予後を改善することを示しており、超急性期の治療では最優先されている。一方で、血管内Volumeの増加により内皮グリコカリックスが傷害されることが知られており、輸液をいつまで続けるのかという疑問は解決できていない。以上から、血管内Volumeの上昇が内皮グリコカリックスの構造にどのように影響するのか解明することは社会的意義が大きい。
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Report
(4 results)
Research Products
(68 results)
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[Journal Article] Severe heat stroke complicated by multiple cerebral infarctions: a case report2021
Author(s)
Kamidani Ryo、Okada Hideshi、Kitagawa Yuichiro、Kusuzawa Keigo、Ichihashi Masahiro、Kakino Yoshinori、Oiwa Hideaki、Yasuda Ryu、Fukuta Tetsuya、Yoshiyama Naomasa、Miyake Takahito、Okamoto Haruka、Suzuki Kodai、Yamada Noriaki、Doi Tomoaki、Yoshida Takahiro、Ushikoshi Hiroaki、Kumada Keisuke、Yoshida Shozo、Ogura Shinji
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Journal Title
Journal of Medical Case Reports
Volume: 15
Issue: 1
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Diffuse midline glioma in the spinal cord with rapid respiratory deterioration: A case report2020
Author(s)
Kamidani R, Okada H, Yasuda R, Yoshida T, Kasuzawa K, Ichihasi M, Kakino Y, Oiwa H, Kitagawa Y, Fukuta T, Suzuki K, Okamoto H , Miyake T, Tachi M, Kanada N, Iwai C, Shiba M, Yamada N, Nozawa S, Nakayama N, Doi T, Fushimi K, Yano H, Tomita H, Yoshida S, Iwama T, Ogura S.
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Journal Title
Acute Medicine & Surgery
Volume: 2020
Issue: 1
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Neutrophil Elastase Inhibition Ameliorates Endotoxin-Induced Myocardial Injury Accompanying Degradation of Cardiac Capillary Glycocalyx2019
Author(s)
Fukuta T, Okada H, Takemura G, Suzuki K, Takada C, Tomita H, Suzuki A, Oda K, Uchida A, Matsuo S, Fukuda H, Yano H, Muraki I, Zaikokuji R, Kuroda A, Nishio A, Sampei S, Miyazaki N, Hotta Y, Yamada N, Watanabe T, Morishita K, Doi T, Yoshida T, Ushikoshi H, Yoshida S, Maekawa Y, Ogura S
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Journal Title
Shock
Volume: 2019 Nov 19.
Issue: 3
Pages: 1-1
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Factors Enhancing Serum Syndecan-1 Concentrations: A Large-Scale Comprehensive Medical Examination2019
Author(s)
Oda K, Okada H, Suzuki A, Tomita H, Kobayashi R, Sumi K, Suzuki K, Takada C, Ishihara T, Suzuki K, Kano S, Kondo K, Iwashita Y, Yano H, Zaikokuji R, Sampei S, Fukuta T, Kitagawa Y, Okamoto H, Watanabe T, Kawaguchi T, Kojima T, Deguchi F, Miyazaki N, Yamada N, Doi T, Yoshida T et al.
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Journal Title
Journal of Clinical Medicine
Volume: 8
Issue: 9
Pages: 1320-1320
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Neutrophil Elastase Damages the Pulmonary Endothelial Glycocalyx in Lipopolysaccharide-Induced Experimental Endotoxemia2019
Author(s)
Suzuki K, Okada H, Takemura G, Takada C, Kuroda A, Yano H, Zaikokuji R, Morishita K, Tomita H, Oda K, Matsuo S, Uchida A, Fukuta T, Sampei S, Miyazaki N, Kawaguchi T, Watanabe T, Yoshida T, Ushikoshi H, Yoshida S, Maekawa Y, Ogura S.
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Journal Title
The American Journal of Pathology
Volume: 189
Issue: 8
Pages: 1526-1535
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] Risk Factors for Decreased Teicoplanin Trough Concentrations During Initial Dosing in Critically Ill Patients2019
Author(s)
Yoshida T, Yoshida S, Okada H, Suzuki A, Niwa T, Suzuki K, Ohmori T, Kobayashi R, Baba H, Suzuki K, Murakami N, Itoh Y, Ogura S.
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Journal Title
Pharmazie
Volume: 74
Pages: 120-124
Related Report
Peer Reviewed
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[Journal Article] Brain-Specific Ultrastructure of Capillary Endothelial Glycocalyx and Its Possible Contribution for Blood Brain Barrier2018
Author(s)
Ando Y, Okada H, Takemura G, Suzuki K, Takada C, Tomita H, Zaikokuji R, Hotta Y, Miyazaki N, Yano H, Muraki I, Kuroda A, Fukuda H, Kawasaki Y, Okamoto H, Kawaguchi T, Watanabe T, Doi T, Yoshida T, Ushikoshi H, Yoshida S, Ogura S.
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Journal Title
Scientific Reports
Volume: 8
Issue: 1
Pages: 17523-17523
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Recombinant Thrombomodulin Protect Cardiac Capillary Endothelial Glycocalyx under Experimental Endotoxemia2020
Author(s)
Yuichiro Kitagawa, Hideshi Okada, Genzou Takemura, Kodai Suzuki, Chihiro Takada, Hiroyuki Tomita, Shigeo Takashima, Tomoaki Doi, Takahiro Yoshida, Hiroaki Ushikoshi, Shozo Yoshida, Shinji Ogura
Organizer
American Thoracic Society 2020
Related Report
Int'l Joint Research
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[Presentation] High concentration oxygen administration injures pulmonary microcirculation2020
Author(s)
Ryo Kamidani, Hideshi Okada, Genzou Takemura, Chihiro Takada, Kodai Suzuki, Hirohisa Yano, Ayumi Kuroda, Tetsuya Fukuta, Takahito Miyake, Noriaki Yamada Norihide hide Kanda, Hiroaki Ushikoshi, Shozo Yoshida, Shinji Ogura
Organizer
American Thoracic Society 2020
Related Report
Int'l Joint Research
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