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Therapeutic effects of gamma knife on intractable pain

Research Project

Project/Area Number 19603017
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pain science
Research InstitutionTokyo Women's Medical University

Principal Investigator

KAWAKAMI Yoriko  Tokyo Women's Medical University, 医学部, 教授 (40075601)

Co-Investigator(Kenkyū-buntansha) 林 基弘  東京女子医科大学, 医学部, 講師 (20256499)
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2009: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2008: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords難治性疼痛 / ガンマナイフ / 下垂体 / 三叉神経痛 / マクロファージ / エンドルフィン / グリア細胞 / エンケファリン
Research Abstract

Gamma knife surgery (GKS), which is a minimally invasive therapy for brain diseases, is currently used for intractable pain disorders such as trigeminal neuralgia, central pain and cancer pain. However, the mechanism underlying the anti-nociceptive effects of GKS is still unknown. The experiments were performed in two ways. (1) We examined the anti-nociceptive mechanism of GKS in the neuropathic pain model of rats (2) How dose Gamma Knife (GK) irradiation to the pituitary gland affect central pain? [Results] (1) We found that GK irradiation reduced mechanical allodynia in neuropathic pain rats. Immunoblotting and histochemical analysis showed that Iba-1 positive macrophage was significantly increased at the GK treated injured nerve. Moreover, myelin debris was removed more efficiently by GK irradiation. These results suggest that Iba-1 positive macrophage in irradiation areas is related to the anti-nociceptive effect of GKS. (2) We established the technical methods of GK irradiation to the rat pituitary gland. We also examined that acute and chronic pain induced Fos activities in the anterior lobe of the pituitary gland, but not in the posterior lobe.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (12 results)

All 2009 2008 2007

All Journal Article (7 results) (of which Peer Reviewed: 6 results) Presentation (5 results)

  • [Journal Article] Intracerebroventricular fluvoxamine administration inhibited pain behavior but increased Fos expression in affective pain pathways Pharmacology2009

    • Author(s)
      Takayuki Hayashi, Mariko Miyata, Tomonari Nagata, Yumi Izawa, Yoriko Kawakami
    • Journal Title

      Biochemistry and Behavior 91

      Pages: 441-446

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 大脳基底核ドパミンシステムと痛み2009

    • Author(s)
      川上順子、木内有希
    • Journal Title

      Brain medical 21

      Pages: 235-240

    • Related Report
      2009 Annual Research Report 2009 Final Research Report
  • [Journal Article] Intracerebroventricular fluvoxamine administration inhibited pain behavior but increased Fos expression in affective pain pathways2009

    • Author(s)
      Takayuki Hayashi, Mariko Miyata, Tomonari Nagata, Yumi Izawa, Yoriko Kawakami
    • Journal Title

      Pharmacology, Biochemistry and Behavior 91

      Pages: 441-446

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intracerebroventricular fluvoxamine administration inhibited painbehavior but increased Fos expression in affective pain pathways2009

    • Author(s)
      Hayashi M., Kawakami Y., et. al
    • Journal Title

      Biochemistry and Behavior 91

      Pages: 441-446

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gamma knife radiosurgery targeting protocols for the experiments with small animals.2007

    • Author(s)
      Osamu Tokumaru, Motohiro Hayashi, Youko Katayama, Miho Tomida, Yoriko Kawakami, Nobuo Kouyama
    • Journal Title

      Stereotactic and Functional Neurosurgery 85(4)

      Pages: 135-143

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Outcome after pituitary rediosurgery for thalamic pain syndrome.2007

    • Author(s)
      川上 順子
    • Journal Title

      Int. J. Radiation Oncology Biol. Phys. 69

      Pages: 852-857

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gamma Knife Radiosurgery Targetin Protocols for the Experiments with Small Animals.2007

    • Author(s)
      川上 順子
    • Journal Title

      Stereotactic and Functional Neurosurgery 85

      Pages: 135-143

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] Noriko Tamura and Yoriko Kawakami Gamma knife surgery induces a relieving effect on existing tactile allodynia2009

    • Author(s)
      Yuki Yagasaki, Motohiro Hayashi, Noriko Tamura, Yoriko Kawakami
    • Organizer
      International Union of Physiological Sciences
    • Place of Presentation
      Kyoto
    • Year and Date
      2009-07-31
    • Related Report
      2009 Final Research Report
  • [Presentation] Gamma knife surgery induces a relieving effect on existing tactile allodynia2009

    • Author(s)
      Yagasaki Y, KawakamiY., et.al
    • Organizer
      International Union of Physiological Sciences
    • Place of Presentation
      京都
    • Year and Date
      2009-07-31
    • Related Report
      2009 Annual Research Report
  • [Presentation] ラット慢性疼痛モデルを用いたガンマナイフ照射による鎮痛効果の解析~三叉神経痛治療効果のメカニズム解析のひとつとして~2009

    • Author(s)
      矢ヶ崎有希, 林基弘, 臼倉政雄, 田村徳子, 小野由子, 川上順子
    • Organizer
      第13回ガンマナイフ研究会
    • Place of Presentation
      つくば市
    • Year and Date
      2009-02-06
    • Related Report
      2009 Final Research Report
  • [Presentation] Gamma knife irradiation reduced pain responses in neuropathic pain model2008

    • Author(s)
      矢ヶ崎有希、林基弘、井沢優美、川上順子
    • Organizer
      第31回日本神経科学大会
    • Place of Presentation
      東京
    • Year and Date
      2008-07-09
    • Related Report
      2009 Final Research Report
  • [Presentation] Cytological changes underlying the behavioral alterations after the Gamma knife irradiation on the rat brain.2007

    • Author(s)
      神山暢夫、片山洋子、林基弘、川上順子
    • Organizer
      第30回日本神経科学大会
    • Place of Presentation
      横浜
    • Year and Date
      2007-09-10
    • Related Report
      2009 Final Research Report

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

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