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Development of modified tympanoplasty combined with transplantation of artificial middle ear mucosa and drug delivery system

Research Project

Project/Area Number 19591990
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Otorhinolaryngology
Research InstitutionJikei University School of Medicine

Principal Investigator

KOJIMA Hiromi  Jikei University School of Medicine, 医学部, 准教授 (60234762)

Project Period (FY) 2007 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2008: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords中耳粘膜 / 再生 / DDS / 鼓室形成術 / 中耳炎 / 培養
Research Abstract

We have developed successfully middle ear mucosal epithelial cell sheets with three-dimensional structure, analogous to normal middle ear mucosa. Furthermore, we found it clear that a rapid mucosal regeneration is boosted by transplanting cell sheet created with autologous cells on to the rabbit's middle ear mucosa missing area. In addition, autologous human nasal epithelial cell sheet using temperature-responsive culture insert was made successfully. By histologically studying artificial human nasal epithelial cell sheets, we confirmed the presence of epidermal cell-like cells in the cortex and fibroblast-like cells in the substratum. The sheets consisted of multi-layered mucosal epithelia and lower connective tissue and were similar to normal middle ear mucosa. Scanning electron microscopy revealed a cobblestone-like pattern of cells with innumerable microvilli and a cilium-like configuration. We also confirmed the basal membrane configuration that included tight junctions, desmosomes, and cell adhesion structures among the epidermal layers.. This artificial mucosa had a similar configuration to that of normal middle ear mucosa.
For these reasons, middle ear mucosal cell sheet is considered as an effective transplantation material for mucosal regeneration in otitis media surgery, and it is expected to apply for human clinical use in the future.

Report

(6 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report   Self-evaluation Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (30 results)

All 2010 2009 2008 2007 Other

All Journal Article (10 results) Presentation (19 results) Remarks (1 results)

  • [Journal Article] 癒着性中耳炎の診断と治療(ビデオセッションII)2010

    • Author(s)
      小島博己
    • Journal Title

      第36回日耳鼻夏期講習会 テキスト

      Pages: 103-116

    • Related Report
      2010 Final Research Report
  • [Journal Article] 鼓膜緊張部癒着に対するcartilage tympanoplastyの有用性2009

    • Author(s)
      田中康広,小島博己, ほか
    • Journal Title

      耳展 52

      Pages: 16-22

    • NAID

      130004911625

    • Related Report
      2010 Final Research Report
  • [Journal Article] 中耳真珠腫の手術適応と手術法について2009

    • Author(s)
      小島博己
    • Journal Title

      都耳鼻会報 130

      Pages: 42-46

    • Related Report
      2010 Final Research Report
  • [Journal Article] Middle ear mucosa regeneration by grafting of three-demensional middle ear mucosal organ.2008

    • Author(s)
      Yamamoto K, Hiromi Kojima, et al.
    • Journal Title

      Proceedings of 8th International Conference of Cholesteatoma and Ear Surgery. Antalya (turkey) 2

      Pages: 97-99

    • Related Report
      2010 Final Research Report
  • [Journal Article] Middle ear mucosa regeneration by grafting of three-demensional middle ear mucosa organ.2008

    • Author(s)
      Yamamoto K, Hiromi Kojima, et al.
    • Journal Title

      Mediterranean Journal of Otology 4

      Pages: 104-104

    • Related Report
      2010 Final Research Report
  • [Journal Article] Middle ear regeneration using transplantation of tissue-engineered cell sheet.2008

    • Author(s)
      Kojima H
    • Journal Title

      Mediterranean Journal of Otology 4

      Pages: 27-27

    • Related Report
      2010 Final Research Report
  • [Journal Article] Alec Fitzgerald O'Conner, Eyal Raveh, Jens Thomsen. Early retraction pockets ; how to manage?2008

    • Author(s)
      Ibrahim Hizalan, Mehmet Ada, Maurizio Amadori, Ghazi Besbes, Hiromi Kojima
    • Journal Title

      Workshop. Mediterranean Journal of Otology 4

      Pages: 5-5

    • Related Report
      2010 Final Research Report
  • [Journal Article] 癒着性中耳炎に対する手術適応2008

    • Author(s)
      小島博己
    • Journal Title

      JOHNS 24

      Pages: 95-98

    • Related Report
      2010 Final Research Report
  • [Journal Article] 中耳炎・いつ手術にふみきるか-私の決断-?2008

    • Author(s)
      小島博己
    • Journal Title

      癒着性中耳炎ENTONI 101

      Pages: 30-34

    • Related Report
      2010 Final Research Report
  • [Journal Article] 癒着性中耳炎の手術と長期成績2007

    • Author(s)
      小島博己
    • Journal Title

      ENTONI 76

      Pages: 45-50

    • Related Report
      2010 Final Research Report
  • [Presentation] 家兎を用いた鼻粘膜上皮細胞シート移植による中耳粘膜再生-小動物CTによる中耳含気腔の検討-2010

    • Author(s)
      山本和央,小島博己, ほか
    • Organizer
      第20回日本耳科学会
    • Place of Presentation
      愛媛
    • Year and Date
      2010-10-09
    • Related Report
      2010 Final Research Report
  • [Presentation] 自己由来粘膜再生シートを用いた鼓室形成術に対する再生医療の応用-ヒト鼻粘膜を用いた臨床応用にむけて-2010

    • Author(s)
      濱孝憲,小島博己, ほか
    • Organizer
      第20回日本耳科学会
    • Place of Presentation
      愛媛
    • Year and Date
      2010-10-09
    • Related Report
      2010 Final Research Report
  • [Presentation] 癒着性中耳炎の診断と治療(ビデオセッション)2010

    • Author(s)
      小島博己
    • Organizer
      第36回日本耳鼻咽喉科学会夏期講習会
    • Place of Presentation
      東京
    • Year and Date
      2010-07-10
    • Related Report
      2010 Final Research Report
  • [Presentation] 中耳粘膜の再生に向けて~人工粘膜を利用した研究を中心に~2010

    • Author(s)
      小島博己
    • Organizer
      長崎大学長買う・平衡センター講演会
    • Place of Presentation
      長崎(特別講演)
    • Year and Date
      2010-06-10
    • Related Report
      2010 Final Research Report
  • [Presentation] Middle ear regenereration using transplantation of tissue-engineered cell sheet.2010

    • Author(s)
      小島博己
    • Organizer
      12^<th> Mediterranean Society of Otology and Audiology Meeting.
    • Place of Presentation
      Marseille (France)
    • Year and Date
      2010-05-15
    • Related Report
      2010 Final Research Report
  • [Presentation] Middle ear regeneration using transplantation of tissue-engineered cell sheet.2010

    • Author(s)
      Hiromi Kojima
    • Organizer
      12th Mediterranean Society of Otology and Audiology Meeting
    • Place of Presentation
      Marseille (France)
    • Year and Date
      2010-05-14
    • Related Report
      2010 Annual Research Report
  • [Presentation] Middle ear regeneration using transplantation of tissue-engineered cell sheet2010

    • Author(s)
      Hiromi Kojima, Yuichirou Yaguchi, Kazuhisa Yamamoto
    • Organizer
      12th Mediterranean Society of Otology and Audiology Meeting
    • Place of Presentation
      Marseille (France)
    • Related Report
      2009 Self-evaluation Report
  • [Presentation] 上皮細胞シート移植による中耳粘膜再生-家兎を用いた移植実験-2009

    • Author(s)
      山本和央,小島博己, ほか
    • Organizer
      第19回日本耳科学会
    • Place of Presentation
      東京
    • Year and Date
      2009-10-08
    • Related Report
      2010 Final Research Report
  • [Presentation] 中耳粘膜再生に向けて-粘膜上皮細胞シートによる検討-2009

    • Author(s)
      小島博己
    • Organizer
      第110回日本耳鼻咽喉科学会総会(シンポジウム)
    • Place of Presentation
      東京
    • Year and Date
      2009-05-14
    • Related Report
      2010 Final Research Report
  • [Presentation] 中耳粘膜再生に向けて-粘膜上皮細胞シートによる検討-2009

    • Organizer
      第110回日本耳鼻咽喉科学会
    • Place of Presentation
      東京
    • Year and Date
      2009-05-14
    • Related Report
      2009 Annual Research Report
  • [Presentation] 中耳真珠腫の手術適応と手術法について2009

    • Author(s)
      小島博己
    • Organizer
      東京都耳鼻科医会
    • Place of Presentation
      東京(招待講演)
    • Year and Date
      2009-05-10
    • Related Report
      2010 Final Research Report
  • [Presentation] 鼻粘膜上皮細胞シート移植による中耳粘膜再生-家兔を用いた移植実験-2009

    • Author(s)
      山本和央, 内水浩貴, 谷口雄一郎, 田中康広, 小島博己, 森山寛
    • Organizer
      第19回日本耳科学会
    • Place of Presentation
      東京
    • Related Report
      2009 Self-evaluation Report
  • [Presentation] 中耳粘膜再生に向けて-粘膜上皮細胞シートによる検討-~シンポジウム~2009

    • Author(s)
      小島博己
    • Organizer
      第110回日本耳鼻咽喉科学会
    • Place of Presentation
      東京
    • Related Report
      2009 Self-evaluation Report
  • [Presentation] 中耳手術~真珠腫に対する手術法について~2008

    • Author(s)
      小島博己
    • Organizer
      第1回栃木県耳鼻咽喉科手術手技研究会
    • Place of Presentation
      栃木(招待講演)
    • Year and Date
      2008-07-28
    • Related Report
      2010 Final Research Report
  • [Presentation] Middle ear regeneration using transplantation of tissu-engineered cell sheet2008

    • Author(s)
      Hiromi Kojima
    • Organizer
      8^<th> International Conference of Cholesteatoma and Mastoid Surgery
    • Place of Presentation
      Antalya (Turkey)
    • Year and Date
      2008-06-19
    • Related Report
      2008 Annual Research Report
  • [Presentation] Middle ear regeneration using transplantation of tissue engineered cell sheet.2008

    • Author(s)
      小島博己
    • Organizer
      8^<th> International conference of Cholesteatoma and Mastoid Surgery.
    • Place of Presentation
      antalya (Turkey)
    • Year and Date
      2008-06-15
    • Related Report
      2010 Final Research Report
  • [Presentation] Middle ear mucosa regeneration by grafting of three-dimensional middle ear mucosa organ.2008

    • Author(s)
      Kazuhisa Yamamoto, Hiromi Kojima, et al.
    • Organizer
      8^<th> International conference of Cholesteatoma and Mastoid Surgery.
    • Place of Presentation
      antalya (Turkey)
    • Year and Date
      2008-06-15
    • Related Report
      2010 Final Research Report
  • [Presentation] Early retraction pockets-How to manage (Panel).2008

    • Author(s)
      小島博己
    • Organizer
      8th International Conference of Cholesteatoma and Mastoid Surgery.
    • Place of Presentation
      Antalya (Turky)
    • Year and Date
      2008-06-15
    • Related Report
      2010 Final Research Report
  • [Presentation] Middle ear regeneration using transplantation of tissue-engineered cell sheet. Japanese session2008

    • Author(s)
      Hiromi Kojima, Yuichirou Yaguchi, Kazuhisa Yamamoto
    • Organizer
      8th International Conference of Cholesteatoma and Mastoid Surgery
    • Place of Presentation
      Antalya (Turky)
    • Related Report
      2009 Self-evaluation Report
  • [Remarks] ホームページ

    • Related Report
      2010 Final Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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