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Study of mechanisms of preventive effects on preterm delivery using prebiotics

Research Project

Project/Area Number 21592113
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Obstetrics and gynecology
Research InstitutionShowa University

Principal Investigator

OTSUKI Katsufumi  昭和大学, 医学部, 講師 (90276527)

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: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2009: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
KeywordsFIRS / 早産予防 / Prebiotics / Lactoferrin / 早産 / 胎児脳障害
Research Abstract

Lactoferrin(LF) is a glycorprotein contained in large amounts in human milk and neutrophils, and is one of the probiotics present in the human body. We believed that there was a high possiblity that LF could be an effective drug for preventing preterm delivery and preventing intrauterine infections. In order to study that possibility, we performed the following : I. a study of the behavior of LF in human cervical mucus and in amniotic fluid ; II. a study of the antibacterial and anti-cytokine actions of LF and the mechanisms of those actions in human cervical gland cells and amnion cell culture systems ; and III. a study of the inhibitory effects of LF against preterm delivery in animal experiments. We treated one case in which the administration of LF to a refractory bacterial vaginosis patient with recurrent preterm delivery was effective, and we hereby report this case. Before the administration of LF to this patient, oral and written informed consent was obtained after obtaining approval from the ethics committee of our school of medicine.

Report

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

    (55 results)

All 2012 2011 2010 2009 Other

All Journal Article (21 results) (of which Peer Reviewed: 4 results) Presentation (28 results) Book (6 results)

  • [Journal Article] Retrospective cohort study : a comparison of two different management strategies in patients with preterm premature rupture of membranes2012

    • Author(s)
      Shinjo A, Otsuki K, Sawada M, Ota H, Tokunaka M, Oba T, Matsuoka R, Okai T
    • Journal Title

      Arch Obstet Gynecol

      Volume: 286 Issue: 2 Pages: 337-345

    • DOI

      10.1007/s00404-012-2271-0

    • Year and Date
      2012-03-25
    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] 胎児血IGF-I、IGFBP-3ならびにVEGFの分娩ストレスによる変化に関する検討2011

    • Author(s)
      松浦玲
    • Journal Title

      日本周産期・新生児医学会雑誌

      Volume: 47 Pages: 43-49

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 予後影響要因早産低出生体重児の予後に影響する産科要因について教えてください(母体ステロイド投与、FGRの管理について)2011

    • Author(s)
      大槻克文
    • Journal Title

      周産期医学

      Volume: 41 Pages: 1279-1281

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 【早産-ワンランク上の予防と管理】【早産の予防・診断】妊婦健診の要点2011

    • Author(s)
      大槻克文
    • Journal Title

      臨床婦人科産科

      Volume: 65 Pages: 1428-1436

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 【ハイリスク妊娠・分娩の予知・予防の最前線】子宮頸管長測定の有用性と問題点2011

    • Author(s)
      大槻克文
    • Journal Title

      周産期医学

      Volume: 41 Pages: 473-478

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 産婦人科手技シリーズ周産期手術頸管縫縮術Shirodkar法2011

    • Author(s)
      大槻克文
    • Journal Title

      産科と婦人科

      Volume: 78 Pages: 267-276

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 早産のリスク因子の解明と具体的な予防法確立に関する小委員会2011

    • Author(s)
      齋籐滋
    • Journal Title

      日本産科婦人科学会雑誌

      Volume: 63 Pages: 1327-1329

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 【周産期循環管理アップデート】胎児心機能の評価2011

    • Author(s)
      市塚清健
    • Journal Title

      周産期医学

      Volume: 41 Pages: 49-53

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 【社会医学的ハイリスク妊娠とその対策】高齢出産と早産2011

    • Author(s)
      青木弘子
    • Journal Title

      産婦人科治療

      Volume: 103 Pages: 355-361

    • Related Report
      2011 Annual Research Report
  • [Journal Article] Silvestat Sodium Hydrate suppresses premature cervical ripening and fetal brain inflammation in a rabbit preterm delivery model2011

    • Author(s)
      Katsufumi OTSUKI
    • Journal Title

      American Journal of Obstetrics and Gynecology

      Volume: 204

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢妊娠の諸問題2010

    • Author(s)
      大槻克文
    • Journal Title

      産科と婦人科

      Volume: 77 Pages: 154-158

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 切迫早産の予知・管理2010

    • Author(s)
      大槻克文
    • Journal Title

      産婦人科治療

      Volume: 100 Pages: 448-455

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 子宮頸管長測定2010

    • Author(s)
      大槻克文
    • Journal Title

      産科と婦人科

      Volume: 77 Pages: 203-207

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 早産の予防 頸管無力症に対する方策2010

    • Author(s)
      大槻克文
    • Journal Title

      母子保健情報

      Volume: 61

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 早産兆候はないか2010

    • Author(s)
      大槻克文
    • Journal Title

      ペリネイタルケア

      Volume: 29 Pages: 767-773

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 頸管縫縮術2010

    • Author(s)
      大槻克文
    • Journal Title

      周産期医学

      Volume: 40 Pages: 103-108

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Recombinant human lactoferrin inhibits matrix metalloproteinase(MMP-2, MMP-3, and MMP-9) activity in a rabbit preterm delivery model2009

    • Author(s)
      Nakayama K, Otsuki K, Yakuwa K, Hasegawa A, Sawada M, Mitsukawa K, Chiba H, Nagatsuka M, Okai T
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 34 Pages: 931-4

    • NAID

      10025020928

    • Related Report
      2011 Final Research Report
  • [Journal Article] Sivelestat Sodium Hydrate(Elaspol)の妊娠子宮頸管熟化抑制作用2009

    • Author(s)
      杉山将樹、大槻克文、松浦玲、新城梓、八鍬恭子、中山健、満川香織、千葉博、長塚正晃、岡井崇
    • Journal Title

      日本周産期・新生児医学会雑誌

      Volume: 45(1) Pages: 67-71

    • NAID

      10025167578

    • Related Report
      2011 Final Research Report
  • [Journal Article] Recombinant human lactoferrin inhibits matrix metalloproteinase(MMP-2, MMP-3, and MMP-9)activity in a rabbit preterm delivery model2009

    • Author(s)
      Nakayama K, et al.
    • Journal Title

      J Obstet Gynaecol Res 34

      Pages: 931-934

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 早産予防に関する多施設共同研究の中間報告2009

    • Author(s)
      大槻克文
    • Journal Title

      日本周産期・新生児医学会雑誌 44

      Pages: 850-856

    • NAID

      10023969120

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Sivelestat Sodinm Hydrate(Elaspol)の妊娠子宮頸管熱化抑制作用2009

    • Author(s)
      杉山将樹
    • Journal Title

      日本周産期・新生児医学会雑誌 45

      Pages: 67-71

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] Silvestat sodium hydrate suppresses premature cervical ripening in a rabbit preterm delivery model. ociety for Maternal Fetal medicine2012

    • Author(s)
      Katsufumi Otsuki, Maki Sawada, Hiroshi Chiba, Mayumi Tokunaka, Hajime Ota, Masaaki Nagatsuka, Takashi Okai
    • Organizer
      32nd Annual Meeting-The Pregnancy Meerting
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2012-02-11
    • Related Report
      2011 Final Research Report
  • [Presentation] Silvestat Sodium Hydrate suppresses premature cervical ripening and fetal brain inflammation in a rabbit preterm delivery model2012

    • Author(s)
      大槻克文
    • Organizer
      Society for Maternal Fetal medicine, 32nd Annual Meeting-The Pregnancy Meerting
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2012-02-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] Should all women be screened and with which test? Prediction of preterm labor2011

    • Author(s)
      Katsufumi Otsuki
    • Organizer
      The 4th Asia Pacific Congress on Controversies in Obstetrics Gynecology and Infertility
    • Place of Presentation
      Bangkok, Thailand
    • Year and Date
      2011-11-25
    • Related Report
      2011 Final Research Report
  • [Presentation] Should all women be screened and with which test? Prediction of preterm labor2011

    • Author(s)
      大槻克文
    • Organizer
      The 4th Asia Pacific Congress on Controversies in Obstetrics Gynecology and Infertility
    • Place of Presentation
      Bangkok, Thailand(招待講演)
    • Year and Date
      2011-11-25
    • Related Report
      2011 Annual Research Report
  • [Presentation] 早産を繰り返した難治性腟炎患者に対してLactoferrin投与が有効であった1症例2011

    • Author(s)
      大槻克文
    • Organizer
      日本ラクトフェリン学会台4回学術集会
    • Place of Presentation
      長浜、滋賀県
    • Year and Date
      2011-11-13
    • Related Report
      2011 Final Research Report
  • [Presentation] シロッカー術後に発生した仮性動脈瘤にトロンビンを注入し治療し得た一症例2011

    • Author(s)
      武田豊明
    • Organizer
      第47回日本第122回関東連合産科婦人科学会総会・学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2011-10-30
    • Related Report
      2011 Annual Research Report
  • [Presentation] 流早産のハイリスクのため妊娠22週までに入院管理を要した症例の予後検討2011

    • Author(s)
      太田創
    • Organizer
      第63回日本産科婦人科学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2011-08-29
    • Related Report
      2011 Annual Research Report
  • [Presentation] 流早産を繰り返した難治性細菌性腟炎患者に対してラクトフェリン投与が有効であった1症例2011

    • Author(s)
      大槻克文
    • Organizer
      第63回日本産科婦人科学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2011-08-29
    • Related Report
      2011 Annual Research Report
  • [Presentation] 頸管長計測正しい計測法と早産予防への応用2011

    • Author(s)
      大槻克文
    • Organizer
      日本母体胎児医学会産婦人科超音波セミナー2011
    • Place of Presentation
      順天堂大学医学部、東京都文京区(招待講演)
    • Year and Date
      2011-07-23
    • Related Report
      2011 Annual Research Report
  • [Presentation] 早産期前期破水症例の子宮内感染の重症度予測に母体血中白血球数、CRP値は有用か?2011

    • Author(s)
      新城梓
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] 入院治療を必要とした妊娠12週以降の切迫流産症例の予後2011

    • Author(s)
      太田創
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] 炎症性疾患としての歯周病2011

    • Author(s)
      小出容子
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] 流早産を繰り返した難治性細菌性腟症患者に対してラクトフェリン投与が有効であった1症例2011

    • Author(s)
      大槻克文
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] Late preterm birth症例の検討2011

    • Author(s)
      大場智洋
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] 破水時期と母体感染の重症度の検討2011

    • Author(s)
      澤田真紀
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] 子宮頸部円錐切除後妊娠の管理と早産予後に関する検討2011

    • Author(s)
      徳中真由美
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2011-07-11
    • Related Report
      2011 Annual Research Report
  • [Presentation] Silvestat Sodium Hydrate suppresses premature cervical ripening and fetal brain inflammation in a rabbit preterm delivery model2011

    • Author(s)
      Ktsufumi OTSUKI
    • Organizer
      Society for Maternal Fetal Medicine's 31st Annual Pregnancy Meeting
    • Place of Presentation
      San Francisco
    • Year and Date
      2011-02-11
    • Related Report
      2010 Annual Research Report
  • [Presentation] 早産を繰り返した難治性細菌性腟炎患者に対してLactoferrin投与が有効であった1症例2010

    • Author(s)
      大槻克文
    • Organizer
      日本ラクトフェリン学会第5回学術集会
    • Place of Presentation
      長浜バイオ大学
    • Year and Date
      2010-11-13
    • Related Report
      2010 Annual Research Report
  • [Presentation] 周産期医療研修会医師コース 産科編「(胎児)超音波検査スクリーニングの実際」2010

    • Author(s)
      大槻克文
    • Organizer
      周産期医療研修会医師コース 産科編
    • Place of Presentation
      社会福祉法人恩賜財団母子愛育会
    • Year and Date
      2010-09-17
    • Related Report
      2010 Annual Research Report
  • [Presentation] 多施設共同による子宮頸管長短縮症例の臨床所見および治療の予後への関与に関する検討 探索的後方視的解析2010

    • Author(s)
      大槻克文
    • Organizer
      第46回日本周産期・新生児医学会学術集会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2010-07-12
    • Related Report
      2010 Annual Research Report
  • [Presentation] 子宮頸管長短縮症例の臨床所見及び治療の予後への関与に関する多施設共同研究2010

    • Author(s)
      大槻克文
    • Organizer
      第62回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2010-04-23
    • Related Report
      2010 Annual Research Report
  • [Presentation] 正期産での低酸素被曝と母体、臍帯、新生児の血液中IGF-1ならびにVEGFに関する検討2010

    • Author(s)
      松浦玲
    • Organizer
      第62回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2010-04-23
    • Related Report
      2010 Annual Research Report
  • [Presentation] 早期 preterm PROMの管理と分娩予後管理方針変更による比較2009

    • Author(s)
      新城梓
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都府(京都国際会館)
    • Year and Date
      2009-04-05
    • Related Report
      2009 Annual Research Report
  • [Presentation] 在胎27週未満の超早産症例についての背景因子分析2009

    • Author(s)
      成島三里
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都府(京都国際会館)
    • Year and Date
      2009-04-05
    • Related Report
      2009 Annual Research Report
  • [Presentation] ラビット早産モデルにおけるLactoferrinの早産予防効果とその機序に関する検討2009

    • Author(s)
      杉山将樹、大槻克文、他
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都、京都府
    • Year and Date
      2009-04-03
    • Related Report
      2011 Final Research Report
  • [Presentation] 母体合併症管理の up-to-date 切迫早産の頸管長による予知・管理2009

    • Author(s)
      大槻克文
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都府(京都国際会館)
    • Year and Date
      2009-04-03
    • Related Report
      2009 Annual Research Report
  • [Presentation] ラビットヒ早産モデルにおける Lacloferrin の早産抑制効果とその機序に関する検討2009

    • Author(s)
      杉山将樹
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都府(京都国際会館)
    • Year and Date
      2009-04-03
    • Related Report
      2009 Annual Research Report
  • [Presentation] 腹膜開放式子宮頸管縫縮術が妊娠期間延長に対して有効であった4症例2009

    • Author(s)
      小林翠
    • Organizer
      第61回日本産科婦人科学会学術集会
    • Place of Presentation
      京都府(京都国際会館)
    • Year and Date
      2009-04-03
    • Related Report
      2009 Annual Research Report
  • [Book] 早産を繰り返した難治性腟炎患者に対してラクトフェリン投与が有効であった1症例、ラクトフェリン20112011

    • Author(s)
      大槻克文
    • Total Pages
      162
    • Publisher
      日本医学館
    • Related Report
      2011 Final Research Report
  • [Book] 『母子感染』「早産と感染症」2011

    • Author(s)
      大槻克文
    • Total Pages
      357
    • Publisher
      金原出版
    • Related Report
      2011 Annual Research Report
  • [Book] 『ラクトフェリン2011』「早産を繰り返した難治性腟炎患者に対してラクトフェリン投与が有効であった1症例」2011

    • Author(s)
      大槻克文
    • Total Pages
      162
    • Publisher
      日本医学館
    • Related Report
      2011 Annual Research Report
  • [Book] 『FirstPre-mo2012年版妊娠初期に読む本』「ママのカラダの変化と胎児の発達10カ月」2011

    • Author(s)
      大槻克文
    • Total Pages
      162
    • Publisher
      主婦の友社
    • Related Report
      2011 Annual Research Report
  • [Book] 母子感染「早産と感染症」2011

    • Author(s)
      大槻克文
    • Total Pages
      357
    • Publisher
      金原出版
    • Related Report
      2010 Annual Research Report
  • [Book] 早産と感染症、母子感染

    • Author(s)
      大槻克文
    • Total Pages
      357
    • Publisher
      金原出版
    • Related Report
      2011 Final Research Report

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

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