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Therapeutic target for pulmonary hypertension based on coagulative and inflammatory cascade analysis

Research Project

Project/Area Number 21592003
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionMie University

Principal Investigator

MARUYAMA Kazuo  三重大学, 大学院・医学系研究科, 教授 (20181828)

Co-Investigator(Kenkyū-buntansha) MITANI Yoshihide  三重大学, 医学部附属病院, 准教授 (60273380)
MARUYAMA Junko  鈴鹿医療科学大学, 医用工学部, 教授 (50263017)
ZHANG Erquan  三重大学, 大学院・医学系研究科, 助教 (30456727)
横地 歩  三重大学, 医学部付属病院, 講師 (60359768)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2009: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords肺高血圧 / 一酸化窒素 / トロンボモジュリン / モノクロタリン
Research Abstract

The purpose of the present study was to investigate whether procoagulant state and inflammatory response occur and administration of trombomodulin(TM) prevents the development of pulmonary hypertension(PH) in monocrotaline. injected rats. Monocrotaline increased mPAP, RVH,% muscularization, and% MWT. TM treatment significantly reduced mPAP,% muscularization, and% MWT in peripheral arteries with an external diameter of 50-100μm in 19 days after monocrotaline injecton, but the effect was lost after 29 days. Monocrotaline increased the levels of tumor necrosis factor alpha, monocyte chemoattractant protein-1, and thrombin-antithrombin complex(TAT) in BALF, and expression of eNOS while peNOS was decreased. In TM-treated rats eNOS expression was decreased and peNOS was similar compared to TM-non-treated rats. A Kaplan-Meier survival curve showed no difference between rats with and without TM. Although the administration of TM might slightly delay the progression of monocrotaline-induced PH, the physiological significance for treatment is limited, since TM did not improve survival. Although exogenous TM failed to prevent the occurrence of PH in the present study, treatment to increase the endogenous production of TM in endothelial cells might reduce the severity of PH. Further investigation will be necessary.

Report

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

    (49 results)

All 2012 2011 2010 2009

All Journal Article (27 results) (of which Peer Reviewed: 14 results) Presentation (6 results) Book (16 results)

  • [Journal Article] 周術期輸液とは2012

    • Author(s)
      丸山一男、張尓泉、横地歩
    • Journal Title

      内科

      Volume: 109 Pages: 240-244

    • Related Report
      2011 Final Research Report
  • [Journal Article] 抑肝散と集中治療:東洋医学的考察2012

    • Author(s)
      丸山一男
    • Journal Title

      日集中医誌

      Volume: 19 Pages: 5-7

    • NAID

      10030288037

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Plasma ADAMTS 13, von Willebrand factor (VWF) and VWF propeptide profiles in patients with DIC and related diseases2012

    • Author(s)
      Habe K, et al
    • Journal Title

      Thrombosis Res

      Volume: (In press)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] NO吸入をどう使うか2011

    • Author(s)
      丸山一男、丸山淳子
    • Journal Title

      Heart View

      Volume: 15 Pages: 74-79

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Journal Article] 術前の動脈血酸素分圧はどのように評価するか2011

    • Author(s)
      丸山一男
    • Journal Title

      Lisa

      Volume: 18 Pages: 210-212

    • Related Report
      2011 Final Research Report
  • [Journal Article] Prospective evaluation of three different diagnostic criteria for disseminated intravascular coagulation2011

    • Author(s)
      Takemitsu T, Maruyama K
    • Journal Title

      Thromb Haemost

      Volume: 105(1) Pages: 40-44

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 筋弛緩薬と呼吸管理2011

    • Author(s)
      丸山一男、張尓泉、山田康晴、横地歩、今井寛
    • Journal Title

      人工呼吸

      Volume: 28 Pages: 161-167

    • Related Report
      2011 Final Research Report
  • [Journal Article] 分離肺換気時の先読ポイント2011

    • Author(s)
      張尓泉、横地歩、丸山一男
    • Journal Title

      Ope nursing

      Volume: 26 Pages: 857-862

    • Related Report
      2011 Final Research Report
  • [Journal Article] 人工呼吸器関連の先読みポイント2011

    • Author(s)
      山田康晴、張尓泉、横地歩、丸山一男
    • Journal Title

      Ope nursing

      Volume: 26 Pages: 850-856

    • Related Report
      2011 Final Research Report
  • [Journal Article] 呼吸不全―なぜPaCO2は低下するのか―2011

    • Author(s)
      丸山一男、山田康晴、丸山淳子
    • Journal Title

      クリニカルエンジニアリング

      Volume: 22 Pages: 326-332

    • Related Report
      2011 Final Research Report
  • [Journal Article] Prospective evaluation of three different diagnostic criteria for disseminated intravascular coagulation2011

    • Author(s)
      Takemitsu T, et al
    • Journal Title

      Thromb Haemost

      Volume: 105 Pages: 40-44

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 筋弛緩薬と呼吸管理2011

    • Author(s)
      丸山一男, 他
    • Journal Title

      日本呼吸療法医学会誌人工呼吸

      Volume: 26 Pages: 15-21

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 肺循環・肺高血圧を知る-診断・治療の現在-NO吸入をどう使うか2011

    • Author(s)
      丸山一男、丸山淳子
    • Journal Title

      Heart View

      Volume: 15 Pages: 74-79

    • Related Report
      2011 Annual Research Report
  • [Journal Article] Prospective evaluation of three different diagnoatic criteria for disseminated intravascular coagulation2011

    • Author(s)
      Takemitsu, Wada H, et al.
    • Journal Title

      Thromb Haemost

      Volume: 105 Pages: 40-44

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] NO吸入療法2010

    • Author(s)
      丸山一男、張 尓泉、山田康晴、丸山淳子
    • Journal Title

      救急医学

      Volume: 34 Pages: 1328-1333

    • Related Report
      2011 Final Research Report
  • [Journal Article] ALI/ARDSに対する一酸化窒素(NO)吸入療法とは?2010

    • Author(s)
      丸山一男、張 尓泉
    • Journal Title

      救急・集中治療

      Volume: 22 Pages: 1259-1265

    • Related Report
      2011 Final Research Report
  • [Journal Article] Effect of all-trans-retinoic acid on the development of chronic hypoxia -induced pulmonary hypertension2010

    • Author(s)
      Zhang E, Maruyama J, Mitani Y, Yokochi A, Maruyama K
    • Journal Title

      Circ J

      Volume: 74(8) Pages: 1696-1703

    • NAID

      10026566030

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Colforsin-induced vasodilation in chronic hypoxic pulmonary hypertension in rats2010

    • Author(s)
      Yokochi A, Maruyama J, Zhang E, Mitani Y, Maruyama K
    • Journal Title

      J Anesth

      Volume: 24(3) Pages: 432-440

    • NAID

      10026545645

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Colforsin-induced vasodilatation in chronic hypoxic pulmonary hypertension in rats.2010

    • Author(s)
      Yokochi A, Itoh H, Maruyama J, et al.
    • Journal Title

      Journal of Anesthesia

      Volume: 24 Pages: 432-440

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Colforsin-induced vasodilatation in chronic hypoxic pulmonary hypertension in rats2010

    • Author(s)
      Yokochi A., Itoh H., Maruyama J., et al.
    • Journal Title

      Journal of Anesthesia (in press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 一酸化窒素(NO)の臨床応用・治療効果2009

    • Author(s)
      丸山一男、張 尓泉、山田康晴、丸山淳子
    • Journal Title

      ICUとCCU

      Volume: 33 Pages: 969-979

    • Related Report
      2011 Final Research Report
  • [Journal Article] Ventilator-induced Lung Injury(VILI)に関する基礎研究2009

    • Author(s)
      張尓泉、横地歩、岡田アムポン、他
    • Journal Title

      臨床麻酔

      Volume: 33 Pages: 863-868

    • Related Report
      2011 Final Research Report
  • [Journal Article] 成人でのNO吸入2009

    • Author(s)
      丸山一男、張尓泉、山田康晴、丸山淳子
    • Journal Title

      臨床麻酔

      Volume: 33 Pages: 984-994

    • Related Report
      2011 Final Research Report
  • [Journal Article] In vivo plaque composition and morphology in coronary artery lesions in adolescents and young adults long after Kawasaki disease: a virtual histology-intravascular ultrasound study2009

    • Author(s)
      Mitani Y, Sawada H, Maruyama K
    • Journal Title

      Circulation

      Volume: 119(21) Pages: 2829-2836

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of procalcitonin in the early diagnosis of bacterial infections in a critical care unit2009

    • Author(s)
      Nakamura A, Maruyama K
    • Journal Title

      Shock

      Volume: 31(6) Pages: 586-593

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] In vivo plaque composition and morphology in coronary artery lesions In adolescents and young adults long after Kawasaki disease2009

    • Author(s)
      Mitani Y, Ohashi H, Sawada H, et al.
    • Journal Title

      Circulation 119

      Pages: 2829-2836

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of procalcitonin in the early diagnosis of bacterial infections in a critical care unit2009

    • Author(s)
      Nakamura A, Wada H, Ikejiri M, et al.
    • Journal Title

      Shock 31

      Pages: 586-591

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] ラットにおけるVILI(Ventilator induced lung Injury)の発生条件2011

    • Author(s)
      橋本祐樹、張尓泉、井波亜紗、大橋ひとみ、丸山淳子、山田康晴、大森彩加、丸山一男
    • Organizer
      第33回日本呼吸療法医学会総会ポスター発表
    • Place of Presentation
      横浜
    • Year and Date
      2011-06-10
    • Related Report
      2011 Final Research Report
  • [Presentation] ラットにおけるVILI (Ventilator induced lung Injury)の発生条件2011

    • Author(s)
      橋本祐樹
    • Organizer
      日本呼吸療法医学会
    • Place of Presentation
      横浜
    • Year and Date
      2011-06-10
    • Related Report
      2011 Annual Research Report
  • [Presentation] 低酸素性肺高血圧発症におけるInterleukin-17(IL-17)の関与2011

    • Author(s)
      中西雄紀、丸山淳子、張尓泉、横地歩、丸山一男
    • Organizer
      日本麻酔科学会第58回学術集会
    • Place of Presentation
      神戸
    • Year and Date
      2011-05-19
    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Presentation] シロスタゾールによるモノクロタリン誘起肺高血圧発症抑制作用2010

    • Author(s)
      張尓泉、丸山淳子、横地歩、丸山一男
    • Organizer
      第57回日本麻酔科学会ポスター発表
    • Place of Presentation
      福岡
    • Year and Date
      2010-06-04
    • Related Report
      2011 Final Research Report
  • [Presentation] シロスタゾールによるモノクロタリン誘起肺高血圧発症抑制効果2010

    • Author(s)
      張尓泉, 他
    • Organizer
      日本麻酔科学会
    • Place of Presentation
      博多
    • Year and Date
      2010-06-04
    • Related Report
      2010 Annual Research Report
  • [Presentation] 塩酸サルボグレラートによる低酸素性肺高血圧血管病変抑制作用2010

    • Author(s)
      張尓泉, 丸山淳子, 横地歩, 他
    • Organizer
      日本心血管作動物質学会
    • Place of Presentation
      名古屋
    • Year and Date
      2010-01-23
    • Related Report
      2009 Annual Research Report
  • [Book] 麻酔科学レビュー20122012

    • Author(s)
      丸山一男
    • Publisher
      総合医学社
    • Related Report
      2011 Final Research Report
  • [Book] 医療ガス2011

    • Author(s)
      丸山一男、丸山淳子
    • Publisher
      真興交易医書出版部
    • Related Report
      2011 Final Research Report
  • [Book] Gas Biology Research in Clinical Practice2011

    • Author(s)
      Maruyama K, Zhang K, Maruyama J
    • Publisher
      KARGER, Basel
    • Related Report
      2011 Final Research Report
  • [Book] 総合医学社2011

    • Author(s)
      丸山一男
    • Publisher
      全身麻酔後の術後管理
    • Related Report
      2011 Final Research Report
  • [Book] Clinical application of inhaled nitric oxide p43-55 In Gas bioology Research in Clinical Practice2011

    • Author(s)
      Yoshikawa T, et eds., Maruyama K, et al
    • Publisher
      KARGER, Basel
    • Related Report
      2011 Annual Research Report
  • [Book] Gas Biology Research in Clinical Practice2011

    • Author(s)
      Yoshikawa, et al. eds. Kazuo Maruyama, Erquan Zhang, Junko Maruayma
    • Publisher
      Kargar Basel
    • Related Report
      2010 Annual Research Report
  • [Book] 文光堂2010

    • Author(s)
      丸山一男
    • Publisher
      ダブルルーメンチューブ挿入後に、片肺換気にしたが純酸素でも酸素化が悪い
    • Related Report
      2011 Final Research Report
  • [Book] 文光堂2010

    • Author(s)
      丸山一男
    • Publisher
      呼気終末CO2濃度が急に低下した
    • Related Report
      2011 Final Research Report
  • [Book] 文光堂2010

    • Author(s)
      丸山一男
    • Publisher
      呼気終末CO2濃度が上昇する
    • Related Report
      2011 Final Research Report
  • [Book] メディカル・サイエンス・インターナショナル2010

    • Author(s)
      丸山一男
    • Publisher
      薬物情報、MGHでの成人血液検査正常価
    • Related Report
      2011 Final Research Report
  • [Book] 肺血管系と体血管系の違い2010

    • Author(s)
      丸山一男、丸山淳子
    • Related Report
      2011 Final Research Report
  • [Book] メディカ出版2010

    • Author(s)
      丸山一男、横地歩
    • Publisher
      導入・挿管の重要ポイント
    • Related Report
      2011 Final Research Report
  • [Book] 金芳堂2010

    • Author(s)
      丸山一男
    • Publisher
      帝王切開の麻酔
    • Related Report
      2011 Final Research Report
  • [Book] 総合医学社2009

    • Author(s)
      丸山一男
    • Publisher
      全身麻酔後の術後管理
    • Related Report
      2011 Final Research Report
  • [Book] 南江堂2009

    • Author(s)
      丸山一男
    • Publisher
      人工呼吸の考えかた
    • Related Report
      2011 Final Research Report
  • [Book] 人工呼吸の考えかた ―いつ・どうして・どのように―2009

    • Author(s)
      丸山一男
    • Total Pages
      271
    • Publisher
      南江堂
    • Related Report
      2009 Annual Research Report

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

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