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Hyperglycemia-induced alterations of gut microflora and therapeutic strategy in a critically ill model

Research Project

Project/Area Number 21390484
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionKeio University

Principal Investigator

MORISAKI Hiroshi  慶應義塾大学, 医学部, 准教授 (60182226)

Co-Investigator(Kenkyū-buntansha) AI Kimiaki  慶應義塾大学, 医学部, 助教 (30265847)
矢島 聡  慶應義塾大学, 医学部, 助教 (10348766)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥11,310,000 (Direct Cost: ¥8,700,000、Indirect Cost: ¥2,610,000)
Fiscal Year 2011: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2010: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2009: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords高血糖 / 敗血症 / 腸管関連リンパ組織 / 炎症性サイトカイン / 腸管壁防御機構 / 腸内細菌 / リンパ球サブセット / Th1 / Th2 / Th17 / regulatory T cell / 腸内細菌叢 / サイトカイン
Research Abstract

In this study, we examined if persistent hyperglycemia elicited alterations of gut barrier function in a critical ill model. Short-term hyperglycemia augmented gut mucosal permeability in an endotoxemic model, while long-term hyperglycemia for 24hr resulted in the up-regulation of inflammatory cytokines such as IL-1β and IL-6 in mesenteric lymph nodes, and of T lymphocyte subset such as helper T2 and regulatory T cells in gut. The present study shed light on the significant effects of clinically relevant level of persistent hyperglycemia on gut barrier function and immune system in critical ill.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (11 results)

All 2011 2010 2009

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

  • [Journal Article] 敗血症における心機能障害~心筋保護とβ遮断薬の可能性~2011

    • Author(s)
      鈴木武志、芹田良平、森崎浩
    • Journal Title

      日集中医誌

      Volume: 18巻 Pages: 193-200

    • NAID

      130004514316

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Beta-1 blocker improves survival of septic rats through preservation of gut barrier function2011

    • Author(s)
      Katsuya Mori, Hiroshi Morisaki, Satoshi Yajima Takeshi Suzuki, Akiko Ishikawa, Norihito Nakamura, Yasushi Innami, Junzo Takeda.
    • Journal Title

      Intensive Care Med

      Volume: Vol.37 Pages: 1849-1856

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 膜外麻酔・鎮痛と消化管粘膜保護2010

    • Author(s)
      森崎浩
    • Journal Title

      日臨麻会誌

      Volume: 30巻 Pages: 106-112

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 硬膜外麻酔の抗炎症作用2010

    • Author(s)
      長田大雅、森力哉、森崎浩
    • Journal Title

      臨床麻酔

      Volume: 34巻 Pages: 1856-1863

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Tumor necrosis factor-α mediates hyperglycemia augmented gut barrier dysfunction in endotoxemia2009

    • Author(s)
      Yajima Satoshi, Morisaki Hiroshi, Serita, Ryohei, Suzuki Takeshi, Katori Nobuyuki, Asahara Takashi Nomoto Koji, Kobayashi Fujio, Ishizaka Akitoshi, Takeda Junzo
    • Journal Title

      Crit Care Med

      Volume: Vol.37 Pages: 1024-1030

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Presentation] PERSISTENT HYPERGLYCEMIA UP-REGULATES INFLAMMATORY CYTOKINES IN MESENTERIC LYMPH NODES IN ENDOTOXEMIC RATS2011

    • Author(s)
      Mori K, Morisaki H, et al
    • Organizer
      American Society of Anesthesiologists Annual Meeting 2011
    • Place of Presentation
      Chicago, IL, USA
    • Year and Date
      2011-10-17
    • Related Report
      2011 Annual Research Report
  • [Presentation] Per sistent hyperglycemian up-regula tes inflammatory cytokines in me senteric lymoh nodes in endotoxe mic rats2011

    • Author(s)
      Katsuya Mori, Hiroshi Morisaki, Toru Igarashi, Junzo Takeda
    • Organizer
      American Society of Anesthesiologists
    • Place of Presentation
      USA
    • Related Report
      2011 Final Research Report
  • [Presentation] Hyperglycemia per se deteriorates gut barrier function in rats2010

    • Author(s)
      Mori K, Morisaki H, et al
    • Organizer
      American Society of Anesthesiologists Annual Meeting 2011
    • Place of Presentation
      サンディエゴ(米国)
    • Year and Date
      2010-10-17
    • Related Report
      2010 Annual Research Report
  • [Presentation] Beta-blocker therapy minimizes gut mucosal injury and local inflammatory response in peritonitis-evoked septic rats2010

    • Author(s)
      Katsuya Mori, Hiroshi Morisaki, Takeshi Suzuki, Yasushi Innami, Junzo Takeda
    • Organizer
      American Society of Anesthesiologists
    • Place of Presentation
      USA
    • Related Report
      2011 Final Research Report
  • [Presentation] Hyperglycemia per se deteriorates gut barrier function in rats2010

    • Author(s)
      Katsuya Mori, Hiroshi Morisaki, Satoshi Yajima, Norihito Nakamura, Junzo Takeda
    • Organizer
      American Society of Anesthesiologists
    • Place of Presentation
      USA
    • Related Report
      2011 Final Research Report
  • [Presentation] Beta-blocker, esmolol, infusion improves survival of septic rats2009

    • Author(s)
      Hiroshi Morisaki, Katsuya Mori, Satoshi Yajima, Takeshi Suzuki, Junzo Takeda
    • Organizer
      American Society of Anesthesiologists
    • Place of Presentation
      USA
    • Related Report
      2011 Final Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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