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Effects of pulmonary rehabilitation on inflammatory response, oxidative stress, and nitrosative stress in COPD patients

Research Project

Project/Area Number 23500862
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Applied health science
Research InstitutionTokyo Medical University

Principal Investigator

OHISHI SHUJI  東京医科大学, 医学部, 教授 (00322462)

Co-Investigator(Renkei-kenkyūsha) ITOH Masayuki  東京医科大学, 医学部, 助教 (10419731)
SENBA Seitaro  東京医科大学, 医学部, 助教 (10408156)
Research Collaborator NEMOTO Kenji  東京医科大学, 医学部, 大学院生
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords慢性閉塞性肺疾患 / 運動療法 / 酸化ストレス / 窒素化ストレス / COPD / 呼吸リハビリテーション / インターロイキン-6 / レプチン / 過酸化脂質 / ニトロ化チロシン / 酸化DNA
Research Abstract

Comprehensive pulmonary rehabilitation (PR) program used in the current study significantly improved the exercise endurance capacity in COPD patients. And it also decreased the level of serum TBARS, the marker of oxidative stress. However, there was no significant change in any of respiratory function tests between pre- and post-rehabilitation. On the other hand, serum nitrotyrosine, the marker for nitrosative stress, did not alter after PR. Inflammatory cytokines (TNF-alfa,IL-1, IL-6, Leptin) did not alter after PR, too. Furthermore, in severe COPD patients, PR may have a risk to induce further oxidative stress.
Taken together above, our findings suggest that PR to COPD patients improves the exercise performance, and it also reduces the oxidative stress. However, PR with heavier exercise intensity might induce more oxidative stress in COPD patients, especially severe COPD patients, seen as the increase of urinary 8-OH-dG.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (14 results)

All 2014 2013 2012 2011

All Journal Article (3 results) (of which Peer Reviewed: 2 results) Presentation (11 results)

  • [Journal Article] Urinary 8-hydroxydeoxyguanosine is A Potential Indicator for Estimating Pulmonary Rehabilitation Induced Oxidative Stress in COPD Patients2014

    • Author(s)
      Kenji Nemoto, Shuji Oh-ishi, Masayuki Itoh, Takefumi Saito, Toshio Ichiwata
    • Journal Title

      Tohoku Journal of Experimental Medicine

      Volume: (in press)

    • NAID

      130004460140

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 運動時の呼吸循環調節2013

    • Author(s)
      大石修司 , 清水谷尚宏, 内海健太, 一和多俊男
    • Journal Title

      THE LUNG perspectives

      Volume: 21(2) Pages: 183-187

    • Related Report
      2013 Final Research Report
  • [Journal Article] COPD 患者に対する運動療法が活性酸素種と活性窒素種へ及ぼす影響に関する検討2012

    • Author(s)
      根本健司, 伊藤昌之, 中村博幸, 大石修司
    • Journal Title

      東京医科大学雑誌

      Volume: 70 Pages: 34-41

    • NAID

      10030195614

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Presentation] Effect of pulmonary rehabilitation on RBC oxidative markers and urinary 8-OHdG in COPD patients with different severities2014

    • Author(s)
      Kenji Nemoto
    • Organizer
      2014ATS International Conference
    • Place of Presentation
      San Diego
    • Related Report
      2013 Final Research Report
  • [Presentation] Effect of pulmonary rehabilitation on RBC oxidative markers and urinary 8-OHdG in COPD patients with different severities2014

    • Author(s)
      Kenji Nemoto, Shuji Oh-ishi, Masayuki Itoh, Mariko Nakazawa, Kazutaka Fujita, Hirofumi Sakurai, Jun Kanazawa, Lin Shih-Yuan, Takio Takaku, Kenji Hayashihara, Takefumi Saito, Toshio Ichiwata
    • Organizer
      2005ATS 101th International Conference
    • Place of Presentation
      San Diego, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] 気流閉塞の重症度によりCOPD症例における運動誘発性酸化ストレスの影響は異なる2013

    • Author(s)
      根本健司
    • Organizer
      第53回臨床呼吸生理研究会
    • Place of Presentation
      東京
    • Year and Date
      2013-06-22
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] COPD 患者への運動療法が酸化ストレスに及ぼす影響-気流閉塞の重症度での比較-2013

    • Author(s)
      根本健司
    • Organizer
      第53回日本呼吸器学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD患者への運動療法が酸化ストレスに及ぼす影響-気流閉塞の重症度での比較2013

    • Author(s)
      根本健司,大石修司,伊藤昌之,一和多俊男,齋藤武文
    • Organizer
      第53回日本呼吸器学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
  • [Presentation] Effect of pulmonary rehabilitation on erythrocyte oxidative stress and antioxidants in COPD patients2012

    • Author(s)
      Kenji Nemoto
    • Organizer
      European Respiratory Society Annual Congress 2012
    • Place of Presentation
      Vienna (Austria)
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD患者への運動療法と生体酸化物質への影響に関する検討2012

    • Author(s)
      根本健司
    • Organizer
      第52回日本呼吸器学会総会
    • Place of Presentation
      神戸
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD患者への運動療法と生体酸化物質への影響に関する検討.,2012

    • Author(s)
      根本健司,大石修司,仙波征太郎,伊藤昌之,清水谷尚宏,足立秀喜,岸 厚次,一和多俊男,中村博幸
    • Organizer
      第52回日本呼吸器学会総会
    • Place of Presentation
      神戸
    • Related Report
      2012 Research-status Report
  • [Presentation] Effect of pulmonary rehabilitation on erythrocyte oxidative stress and antioxidants in COPD patients2012

    • Author(s)
      根本健司,大石修司,伊藤昌之,仙波征太郎,足立秀喜,岸 厚次,中村博幸
    • Organizer
      ヨーロッパ呼吸器学会総会2012
    • Place of Presentation
      ウィーン、オーストリア
    • Related Report
      2012 Research-status Report
  • [Presentation] COPD患者への運動療法と赤血球酸化ストレスに関する検討2011

    • Author(s)
      根本健司
    • Organizer
      第16回IRC (Ibaraki Respiration Conference)
    • Place of Presentation
      つくば
    • Year and Date
      2011-07-08
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD 患者への運動療法におけるFRAS4 を用いた酸化ストレス度の測定とその意義に関する検討2011

    • Author(s)
      根本健司
    • Organizer
      第21日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      松本
    • Related Report
      2013 Final Research Report

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Published: 2011-08-05   Modified: 2019-07-29  

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