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Study of long-term side effects of morphine intrathecal administration in cancer pain model

Research Project

Project/Area Number 22591750
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionJikei University School of Medicine

Principal Investigator

KONDO Ichiro  東京慈恵会医科大学, 医学部, 准教授 (50266623)

Co-Investigator(Kenkyū-buntansha) NAGANUMA Keiko  東京慈恵会医科大学, 医学部, 助教 (70277086)
FUJIGASAKI Jyunko  東京慈恵会医科大学, 医学部, 講師 (60312021)
Project Period (FY) 2009 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2012: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2010: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Keywords癌性疼痛 / モルヒネ / 髄腔内投与 / 鎮痛耐性 / 脊髄肉芽腫 / 肉芽形成 / 脊髄鎮痛
Research Abstract

Analgesic doses of IT morphine and IT DEX infusion produce tolerance. Co-administration of low doses of IT DEX with IT morphine has significant analgesia without tolerance. Severe impression of the spinal cord along the course of the catheter indicating granuloma formation could be seen in morphine infusion animals. Addition of low dose of IT DEX inhibits IT morphine infusion-induced granuloma formation followed by motor impairment. However, IT DEX and morphine provided a littleanalgesic effects in a rat model of cancer induced bone pain. Development of tolerance and granuloma formation followed by motor impairment induced by chronic IT morphine were inhibited by addition of DEX. Combination of IT morphine and DEX may contribute to patients with chronic cancer pain to avoid side effects.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (4 results)

All 2012 2011

All Journal Article (2 results) Presentation (2 results)

  • [Journal Article] 脊髄への薬物投与の現況と将来(総説)2011

    • Author(s)
      近藤一郎
    • Journal Title

      ペインクリニック

      Volume: 32 Pages: 217-27

    • Related Report
      2012 Final Research Report
  • [Journal Article] 脊髄への薬物投与の現況と将来2011

    • Author(s)
      近藤一郎
    • Journal Title

      ペインクリニック

      Volume: 2 Pages: 217-27

    • Related Report
      2011 Annual Research Report
  • [Presentation] Addition of low dose dexmedetomidine inhibits intrathecal morphine infusion-induced tolerance and granuloma formation in rats2012

    • Author(s)
      Ichiro Kondo
    • Organizer
      The European Anaesthesiology Congress
    • Place of Presentation
      Paris, France
    • Year and Date
      2012-10-06
    • Related Report
      2012 Final Research Report
  • [Presentation] Addition of low dose dexmedetomidine inhibits intrathecal morphine infusion-induced tolerance and granuloma formation in rats2012

    • Author(s)
      Ichiro Kondo
    • Organizer
      The european anesthesiology congress
    • Place of Presentation
      Paris, France
    • Related Report
      2012 Annual Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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