| Project/Area Number |
20791122
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Single-year Grants |
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| Research Field |
Urology
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| Research Institution | Tokai University |
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Principal Investigator |
HOSHI Akio Tokai University, 医学部, 助教 (90453711)
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| Co-Investigator(Renkei-kenkyūsha) |
TAMAKI Tetsuro 東海大学, 医学部, 准教授 (10217177)
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| Project Period (FY) |
2008 – 2009
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| Project Status |
Completed (Fiscal Year 2009)
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| Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2009: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2008: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
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| Keywords | 再生医学 / 神経因性膀胱 / 血管 / 神経束 / 膀胱内圧 / incontinence / rhabdoshincter / neurovascular bundle / QOL |
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| Research Abstract |
Postoperative damage of the urethral rhabdosphincter (URS) and neurovascular bundle (NVB) is a major operative complication of radical prostatectomy. It is generally recognized to be caused by unavoidable surgical damage to the muscle-nerve-blood vessel units around the urethra. We have identified two stem cell populations in the skeletal muscle that are able to reconstitute the muscle-nerve-blood vessel unit. Thus, we tried to reconstitute post-operative damage of urethral sphincter and NVB using these stem cells. Results showed that transplanted cells differentiated into skeletal muscle fibers, peripheral nerve (Schwann cells, perineurium) and blood vessel (endothelial cells, pericyte) relating cells and facilitated the reconstitution of the muscle-nerve-blood vessel units around the urethra. Supporting these data, significant functional recovery (P<0.05) of urethral sphincter and NBV unit, which was evaluated as urethral pressure profile (UPP) via electrical stimulation, was observed in the cell-transplanted group compared to control group. These findings indicated that transplantation and/or teatment of skeletal muscle-derived stem cells is a useful tool for the reconstitution of reduced urethral function after radical prostatectomy.
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