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Search for disturbance factor on pharmacokinetics and establishment of the methods of the rational use of drug in the patients with renal failure

Research Project

Project/Area Number 20790151
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Medical pharmacy
Research InstitutionKyoto Pharmaceutical University

Principal Investigator

TSUJIMOTO Masayuki  Kyoto Pharmaceutical University, 薬学部, 助教 (90372739)

Project Period (FY) 2008 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2009: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2008: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords薬物動態・代謝学 / 腎不全 / 腎不全患者(透析患者) / 腎外クリアランス / 尿毒症物質 / 薬物代謝酵素 / トランスポーター / 透析患者 / プラバスタチン / ロサルタン
Research Abstract

In the patients with renal failure, it is known that the patients are decreasing not only renal clearance but also non-renal clearance. This study suggested that the decrease in non-renal clearance of antihypertensive drug losartan was induced by the inhibition of hepatic metabolism by uremic toxins, indoxyl sulfate and p-cresol. In addition, this study suggested that the decreased in non-renal clearance of lipid-lowering drug pravastatin was induced by the suppression of intestinal efflux transporter.

Report

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

    (18 results)

All 2010 2009 2008

All Journal Article (4 results) (of which Peer Reviewed: 1 results) Presentation (14 results)

  • [Journal Article] 4. 透析患者における腎外クリアランスの変動-第54回日本透析医学会シンポジウムより-2010

    • Author(s)
      辻本雅之
    • Journal Title

      日本透析医学会雑誌 43

      Pages: 46-48

    • Related Report
      2009 Final Research Report
  • [Journal Article] Inhibitory effects of ureamic toxins 3-indoxyl sulfate and p-cresol on losartan metabolism.2010

    • Author(s)
      Tsujimoto M, Higuchi K, Shima D, Yokota H, Furukubo T, Izumi S, Yamakawa T, Otagiri M, Hirata S, Takara K, Nishiguchi K
    • Journal Title

      J Pharm Pharmacol 62

      Pages: 133-138

    • Related Report
      2009 Final Research Report
  • [Journal Article] Inhibitory effects of ureamic toxins 3-indoxyl sulfate and p-cresol on losartan metabolism2010

    • Author(s)
      辻本雅之 et al
    • Journal Title

      J Pharm Pharmacol 62

      Pages: 133-138

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 透析患者における腎外クリアランスの変動2010

    • Author(s)
      辻本雅之
    • Journal Title

      日本透析医学会雑誌 43

      Pages: 46-48

    • NAID

      10026316085

    • Related Report
      2009 Annual Research Report
  • [Presentation] 慢性腎不全時に生じるプラバスタチンの腎外クリアランス低下に及ぼす中部小腸Oatp2b1の関与2010

    • Author(s)
      横田人士, 辻本雅之, ら
    • Organizer
      難病克服を目指した分子基盤創薬科学の開拓成果発表会
    • Place of Presentation
      京都
    • Year and Date
      2010-03-15
    • Related Report
      2009 Final Research Report
  • [Presentation] 末期腎不全患者特有の現象であるフェキソフェナジン併用時のジゴキシン血中濃度低下に対する消化管吸収過程の関与2010

    • Author(s)
      志摩大介, 辻本雅之, ら
    • Organizer
      難病克服を目指した分子基盤創薬科学の開拓成果発表会
    • Place of Presentation
      京都
    • Year and Date
      2010-03-15
    • Related Report
      2009 Annual Research Report 2009 Final Research Report
  • [Presentation] 慢性腎不全時に生じるプラバスタチンの腎外クリアランス低下に及ぼす中部小腸 Oatp 2b1の関与2010

    • Author(s)
      横田人士, 辻本雅之, ら
    • Organizer
      難病克服を目指した分子基盤創薬科学の開拓成果発表会
    • Place of Presentation
      京都
    • Year and Date
      2010-03-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] ジゴキシンの肝取り込みに及ぼす透析患者血清とフェキソフェナジンとの協同的作用2010

    • Author(s)
      辻本雅之, ら
    • Organizer
      日本薬学会第130年会
    • Place of Presentation
      岡山
    • Related Report
      2009 Annual Research Report 2009 Final Research Report
  • [Presentation] Mechanism for decreased digoxin concentration by fexofenadine in hemodialysis patients.2009

    • Author(s)
      Daisuke Shima, Masayuki Tsujimoto etc.
    • Organizer
      24th JSSX Annual Meeting in Kyoto
    • Related Report
      2009 Final Research Report
  • [Presentation] 慢性腎不全モデルラットにおける薬物トランスポーターの組織特異的な発現変動2009

    • Author(s)
      横田人士, 辻本雅之, ら
    • Organizer
      医療薬学フォーラム2009/第17回クリニカルファーマシーシンポジウム
    • Place of Presentation
      京都
    • Related Report
      2009 Final Research Report
  • [Presentation] 透析患者における腎外クリアランスの変動;シンポジウム13「透析における薬物投与の問題点」2009

    • Author(s)
      辻本雅之
    • Organizer
      第54回日本透析医学会学術集会・総会
    • Place of Presentation
      横浜
    • Related Report
      2009 Final Research Report
  • [Presentation] 透析患者における腎外クリアランスの変動2009

    • Author(s)
      辻本雅之
    • Organizer
      第54回日本透析医学会学術集会・総会
    • Place of Presentation
      横浜市
    • Related Report
      2009 Annual Research Report
  • [Presentation] 慢性腎不全モデルラットにおける薬物トランスポーターの組織特異的な発現変動2009

    • Author(s)
      横田人士, 辻本雅之, ら
    • Organizer
      医療薬学フォーラム2009/第17回クリニカルファーマシーシンポジウム
    • Place of Presentation
      京都市
    • Related Report
      2009 Annual Research Report
  • [Presentation] Mechanism for decreased digoxin concentration by fexofenadine in hemodialysis patients2009

    • Author(s)
      志摩大介, 辻本雅之 et al.
    • Organizer
      24th JSSX Annual Meeting in Kyoto
    • Place of Presentation
      Kyoto
    • Related Report
      2009 Annual Research Report
  • [Presentation] The influence of uremic serum and uremic toxins on intestinal and hepatic excretion of pravastatin.2008

    • Author(s)
      Masayuki Tsujimoto etc.
    • Organizer
      International Symposium on Integrated Medicinal Science -On the basis of traditional medicine to biomolecular system -
    • Place of Presentation
      Kyoto
    • Year and Date
      2008-12-13
    • Related Report
      2009 Final Research Report
  • [Presentation] The influence of uremic serum and uremic toxins on intestinal and hepatic excretion of pravastatin2008

    • Author(s)
      Tsujimoto Masayuki, et.al.
    • Organizer
      International Symposium on Integrated Medicinal Science-On the basis of traditional medicine to biomolecular system
    • Place of Presentation
      Kyoto
    • Year and Date
      2008-12-13
    • Related Report
      2008 Annual Research Report
  • [Presentation] プラバスタチンの消化管及び肝消失に対する透析患者血清及び血清成分の影響2008

    • Author(s)
      辻本雅之, ら
    • Organizer
      第2回日本腎と薬剤研究会・学術大会
    • Place of Presentation
      熊本
    • Related Report
      2009 Final Research Report
  • [Presentation] プラバスタチンの消化管及び肝消失に対する透析患者血清及び血清成分の影響2008

    • Author(s)
      辻本雅之, ら
    • Organizer
      第2回日本腎と薬剤研究会・学術大会
    • Place of Presentation
      熊本市
    • Related Report
      2008 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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