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Development of molecular-targeted therapies for degenerative spondylosis and pain

Research Project

Project/Area Number 18K16613
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 56020:Orthopedics-related
Research InstitutionUniversity of Toyama

Principal Investigator

MAKINO HIROTO  富山大学, 附属病院, 医員 (50816022)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords椎間板変性 / c-Fos / 疼痛 / 黄色靭帯肥厚 / 変形性脊椎症
Outline of Final Research Achievements

Spondylosis is a common disease causes low back pain and spinal canal stenosis, and therefore, a radical treatment is required. We focused on the transcription factor c-Fos, which is located upstream of the matrix-degrading enzyme, and investigated the effects of a selective inhibitor of c-Fos/AP-1 (T-5224) on disc degeneration, disc-related pain and ligamentum flavum thickening. In a rat cocygeal disc puncture model, oral administration of T-5224 suppressed disc degeneration in imaging (X-ray, MRI) and histology fidings. In addition, T-5224 increased the threshold for pain in pain-related behaviour. In conclusion, it was suggested that selective c-Fos/AP-1 inhibition could prevent the progression of disc degeneration and related pain.

Academic Significance and Societal Importance of the Research Achievements

変形性脊椎症は、有病率の高い腰痛症や脊柱管狭窄症を引き起こし、結果として身体活動の低下を招くため、社会的な負担は大きい。しかし、現在においては対症療法が中心であり、椎間板変性や黄色靭帯肥厚を抑制する根本的治療法はない。本研究では、選択的c-Fos/AP-1阻害が、椎間板変性の進行を抑制し、疼痛に対しても抑制的に働くことを示した。このことより、脊椎の退行変化に対する新たな治療法の一つとなり得ることを示した。

Report

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

    (23 results)

All 2020 2019 2018

All Journal Article (12 results) (of which Peer Reviewed: 10 results,  Open Access: 1 results) Presentation (11 results)

  • [Journal Article] 特集 周術期の疼痛管理・神経ブロックUpdate 脊椎手術後疼痛:周術期疼痛管理を中心に2020

    • Author(s)
      牧野 紘士、川口 善治
    • Journal Title

      関節外科 基礎と臨床

      Volume: 39 Issue: 7 Pages: 781-784

    • DOI

      10.18885/JJS.0000000339

    • ISSN
      0286-5394
    • Year and Date
      2020-07-19
    • Related Report
      2020 Annual Research Report
  • [Journal Article] 特集 脊椎脊髄疾患に対する分類・評価法 第3章 腰椎 JOABPEQ2020

    • Author(s)
      牧野 紘士、川口 善治
    • Journal Title

      脊椎脊髄ジャーナル

      Volume: 33 Issue: 4 Pages: 374-376

    • DOI

      10.11477/mf.5002201373

    • ISSN
      0914-4412
    • Year and Date
      2020-04-25
    • Related Report
      2020 Annual Research Report
  • [Journal Article] Sacroiliac joint variation associated with diffuse idiopathic skeletal hyperostosis2020

    • Author(s)
      Yahara Yasuhito、Yasuda Taketoshi、Kawaguchi Yoshiharu、Suzuki Kayo、Seki Shoji、Kondo Miho、Makino Hiroto、Kamei Katsuhiko、Kanamori Masahiko、Kimura Tomoatsu
    • Journal Title

      BMC Musculoskeletal Disorders

      Volume: 21 Issue: 1

    • DOI

      10.1186/s12891-020-3105-z

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Progressive paravertebral ligament ossification and pseudoarthrosis in the thoracic spine due to loss of function of the PHEX gene in a patient with X-linked hypophosphatemic rickets2020

    • Author(s)
      Yahara Yasuhito、Niimi Hideki、Sugie Nana、Seki Shoji、Ueshima Ryo、Makino Hiroto、Kamei Katsuhiko、Kitajima Isao、Kawaguchi Yoshiharu
    • Journal Title

      Journal of Orthopaedic Science

      Volume: - Issue: 1 Pages: 295-298

    • DOI

      10.1016/j.jos.2020.06.001

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Differential proteome analysis in adolescent idiopathic scoliosis patients with thoracolumbar/lumbar curvatures2019

    • Author(s)
      Makino H, Seki S, Kitajima I, Motomura H, Nogami M, Yahara Y, Ejiri N, Kimura T
    • Journal Title

      BMC Musculoskeletal Disorders

      Volume: 20 Issue: 1

    • DOI

      10.1186/s12891-019-2640-y

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Three-Dimensional Computed Tomography Analysis of Spinal Canal Length Increase After Surgery for Adolescent Idiopathic Scoliosis: A Multicenter Study2019

    • Author(s)
      Yahara Y, Seki S, Makino H, Watanabe K, Uehara M, Takahashi J, Kimura T
    • Journal Title

      J Bone Joint Surg Am

      Volume: 101 Pages: 48-55

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Differential rod contouring on thoracolumbar/lumbar curvature in patients with adolescent idiopathic scoliosis: An analysis with intraoperative acquisition of three-dimensional imaging2019

    • Author(s)
      Seki S, Yahara Y, Makino H, Kobayashi K, Nakano M, Hirano N, Watanabe K, Takahashi J, Kawaguchi Y, Kimura T
    • Journal Title

      J Orthop Sci

      Volume: 24 Pages: 780-786

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical Impact of Ossification of the Posterior Longitudinal Ligament Progression After Cervical Laminoplasty2019

    • Author(s)
      Kawaguchi Y, Nakano M, Yasuda T, Seki S, Suzuki K, Yahara Y, Makino H, Kobayashi K, Kanamori M, Kimura T
    • Journal Title

      Clin Spine Surg

      Volume: 32

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Increase of the Serum FGF-23 in Ossification of the Posterior Longitudinal Ligament2019

    • Author(s)
      Kawaguchi Y, Kitajima I, Nakano M, Yasuda T, Seki S, Suzuki K, Yahara Y, Makino H, Ujihara Y, Ueno T, Kimura T
    • Journal Title

      Global Spine J

      Volume: 9 Pages: 492-498

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical impact of ossification of the posterior longitudinal ligament progression after cervical laminoplasty2019

    • Author(s)
      Kawaguchi Y, Nakano M, Yasuda T, Seki S, Suzuki K, Yahara Y, Makino H, Kobayashi K, Kanamori M, Kimura T
    • Journal Title

      Clinical Spine Surgery

      Volume: 32 Issue: 3 Pages: E133-E139

    • DOI

      10.1097/bsd.0000000000000747

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] The effect of multiple lesions in patients with ossification of the posterior longitudinal ligament of the cervical spine2018

    • Author(s)
      Kawaguchi Y, Nakano M, Yasuda T, Seki S, Suzuki K, Yahara Y, Makino H, Kobayashi K, Kanamori M, Kimura T
    • Journal Title

      Journal of Orthopaedic Science

      Volume: Epub ahead of print Issue: 3 Pages: 420-425

    • DOI

      10.1016/j.jos.2018.11.012

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Lumbar spine surgery in patients with rheumatoid arthritis (RA): what affects the outcomes?2018

    • Author(s)
      Seki Shoji、Hirano Norikazu、Matsushita Isao、Kawaguchi Yoshiharu、Nakano Masato、Yasuda Taketoshi、Motomura Hiraku、Suzuki Kayo、Yahara Yasuhito、Watanabe Kenta、Makino Hiroto、Kimura Tomoatsu
    • Journal Title

      The Spine Journal

      Volume: 18 Issue: 1 Pages: 99-106

    • DOI

      10.1016/j.spinee.2017.06.030

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 特発性側彎症に対する後方矯正固定術における局所カクテル注射の術後鎮痛効果2020

    • Author(s)
      牧野 紘士, 関 庄二, 箭原 康人, 亀井 克彦, 安田 剛敏, 鈴木 賀代, 川口 善治
    • Organizer
      第93回日本整形外科学会学術総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 思春期特発性側彎症患者における黄色靱帯肥厚のメカニズムの検討2020

    • Author(s)
      関 庄二, 近藤 美穂, 牧野 紘士, 亀井 克彦, 箭原 康人, 野上 真紀子, 渡邉 健太, 川口 善治
    • Organizer
      第35回日本整形外科学会基礎学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 腰仙移行椎に伴ったL5神経根障害に対する手術加療の経験2020

    • Author(s)
      牧野 紘士, 関 庄二, 安田 剛敏, 箭原 康人, 亀井 克彦, 川口 善治
    • Organizer
      第135回中部日本整形外科災害外科学会学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 腰部脊柱管狭窄症における脊柱管内の骨化・石灰化病変の関与2019

    • Author(s)
      Makino H, Seki S, Kawaguchi Y, Yasuda Y, Suzuki K, Watanabe K, Kimura T
    • Organizer
      第92回日本整形外科学会学術総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 特発性側弯症に対する後方矯正固定術における局所カクテル注射の術後鎮痛効果2019

    • Author(s)
      牧野紘士、関庄二、亀井克彦、箭原康人、近藤美穂、川口善治、安田剛敏、木村友厚
    • Organizer
      第53回日本側彎症学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] AISに対する後方矯正固定術後早期における身体活動状況の前向き調査2019

    • Author(s)
      牧野 紘士, 関 庄二, 下条 竜一, 川口 善治
    • Organizer
      第30回日本臨床スポーツ医学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Coronal MRI analysis of angular deformity of nerve roots in patients with lumbar foraminal stenosis2018

    • Author(s)
      Makino H, Seki S, Kawaguchi Y, Yasuda Y, Suzuki K, Watanabe K, Kimura T
    • Organizer
      ORS 2018 Annual meeting
    • Related Report
      2018 Research-status Report
  • [Presentation] AISに対する後方矯正固定術後超早期における身体活動状況の前向き調査2018

    • Author(s)
      牧野紘士,関 庄二,川口善治,小林賢司,亀井克彦,木村友厚
    • Organizer
      第52回日本側彎症学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 骨形態における非リウマチ性上位頸髄障害に対する危険因子の検討2018

    • Author(s)
      牧野紘士,川口善治,安田剛敏,関 庄二,鈴木賀代,箭原康人,小林賢司,木村友厚
    • Organizer
      第47回日本脊椎脊髄病学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 椎間板変性および椎間板関連の疼痛に対する選択的c-Fos/AP-1阻害の治療効果2018

    • Author(s)
      牧野紘士,関 庄二,箭原康人,塩沢俊一,妻木範行,木村友厚
    • Organizer
      第131回中部日本整形外科災害外科学会・学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 脊椎手術における手術創感染(SSI)に対する予防的バンコマイシン(VCM)の投与法に関する検討2018

    • Author(s)
      牧野紘士,関 庄二,川口善治,安田剛敏,鈴木賀代,木村友厚
    • Organizer
      第130回中部日本整形外科災害外科学会・学術集会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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