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Development of perfusion preservation method of liver graft, aiming to clinical application for liver transplantation using non-heart-beating-donor

Research Project

Project/Area Number 23659608
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field General surgery
Research InstitutionAsahikawa Medical College

Principal Investigator

FURUKAWA Hiroyuki  旭川医科大学, 医学部, 教授 (70292026)

Co-Investigator(Kenkyū-buntansha) TANIGUCHI Masahiko  旭川医科大学, 医学部, 准教授 (30374333)
FUKAI Moto  北海道大学, 大学病院, 医員 (60374344)
MATSUBARA Kazuo  旭川医科大学, 医学部, 教授 (20127533)
Co-Investigator(Renkei-kenkyūsha) NISHIKAWA Yuji  旭川医科大学, 医学部, 教授 (90208166)
KARASAKI Hidenori  旭川医科大学, 医学部, 講師
Project Period (FY) 2011 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2011: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords移植外科学 / 灌流保存 / 心停止下移植 / 肝移植 / マージナルドナー / 臓器不足 / 心停止ドナー / 臓器保存
Research Abstract

We confirmed that the superiority of the novel solution over UW solution for the use of simple cold preservation in rat liver and heart, due to the inhibition of cytosolic Ca2+ overload and cytoskeletal breakdown, and stimulation of aerobic respiration. However, these beneficial effects were abolished in liver and kidney preservation and transplantation of the large animal models, due to insufficient perfusion, which is possibly attributed with high concentration of PEG. To proceed for clinical application, customization of PEG concentration should be explored. Perfusion preservation might be a solution for this problem. Thus, the model of liver perfusion preservation and transplantation in pigs has been established with resolving various technical problems.

Report

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

    (63 results)

All 2013 2012 2011

All Journal Article (17 results) (of which Peer Reviewed: 11 results) Presentation (39 results) Book (7 results)

  • [Journal Article] Inomata Y Waiting list mortality of patients with primary biliary cirrhosis in the Japanese transplant allocation system.2013

    • Author(s)
      Genda T, Ichida T, Sakisaka S, Sata M, Tanaka E, Inui A, Egawa H, Umeshita K, Furukawa H, Kawasaki S
    • Journal Title

      J Gastroenterol

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Waiting list mortality of patients with primary biliary cirrhosis in the Japanese transplant allocation system2013

    • Author(s)
      Genda T
    • Journal Title

      J Gastroenterol

      Volume: 99 Issue: 2 Pages: 999-999

    • DOI

      10.1007/s00535-013-0782-5

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Japanese Study Group of Liver Transplantation.2012

    • Author(s)
      Furukawa H, Taniguchi M, Fujiyoshi M, Oota M;
    • Journal Title

      Experience using extended criteria donors in first 100 cases of deceased donor liver transplantation in Japan. Transplant Proc

      Volume: 44 Pages: 373-5

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Does heavy water attenuate cold preservation and reperfusion injury in canine kidney?2012

    • Author(s)
      Hirokata G, Fukai M, Wakayama K, Suzuki T, Taniguchi M, Yamashita K, Tahara M, Shibasaki S, Shimada S, Shimamura T, Hatanaka K, Taketomi A, and Todo S.
    • Journal Title

      Low Temperature Medicine

      Volume: 38(3) Pages: 62-68

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Long-Term Hepatic Allograft Acceptance Based on CD40 Blockade by ASKP1240 in Nonhuman Primates2012

    • Author(s)
      Tetsu Oura
    • Journal Title

      Am J Transplant

      Volume: 12(7) Issue: 7 Pages: 1740-54

    • DOI

      10.1111/j.1600-6143.2012.04014.x

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Successful transplantation of rat hearts subjected to extended cold preservation with a novel preservation solution2012

    • Author(s)
      Wakayama K
    • Journal Title

      Transplant international

      Volume: 25 Issue: 6 Pages: 696-706

    • DOI

      10.1111/j.1432-2277.2012.01469.x

    • Related Report
      2012 Annual Research Report 2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Experience using extended criteria donors in first 100 cases of deceased donor liver transplantation in Japan2012

    • Author(s)
      Furukawa H
    • Journal Title

      Transplant Proc

      Volume: 44 Pages: 373-375

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Does heavy water attenuate cold preservation and reperfusion injury in canine kidney?2012

    • Author(s)
      Hirokata G
    • Journal Title

      Low Temperature Medicine

      Volume: 38 Pages: 62-68

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Experience using extended criteria donors in first 100 cases of deceased donor2012

    • Author(s)
      Furukawa H, Taniguchi M, Fujiyoshi M, Oota M; Japanese Study Group of Liver
    • Journal Title

      Transplant Proc

      Volume: 44 Pages: 373-375

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 臓器移植の非侵襲的モニタリング法の開発2011

    • Author(s)
      尾崎倫孝、芳賀早苗、森田直樹、深井原、藤堂省、小澤昌、近江谷克裕
    • Journal Title

      Organ Biology 18

      Volume: (1) Pages: 134-140

    • Related Report
      2012 Final Research Report
  • [Journal Article] 臓器保存における重水の可能性-Possible cytoprotective actions of heavy water in organ preservation.2011

    • Author(s)
      深井原、藤堂省
    • Journal Title

      Organ Biology

      Volume: 18(1) Pages: 101-107

    • Related Report
      2012 Final Research Report
  • [Journal Article] 臓器保存の現状と今後--新しい保存法開発のための基礎知識 (第5土曜特集 臓器移植の新時代) --2011

    • Author(s)
      深井原、嶋村剛
    • Journal Title

      (研究の新しい展開) 医学のあゆみ

      Volume: 237(5) Pages: 583-591

    • Related Report
      2012 Final Research Report
  • [Journal Article] Replacement of liver parenchyma inanalbuminemic rats with allogenichepatocytes is facilitated by intrabonemarrow-bone marrow transplantation2011

    • Author(s)
      Inagaki M, Furukawa H, Satake Y, Okada Y, Chiba S, Nishikawa Y, Ogawa K
    • Journal Title

      CellTransplant

      Volume: 20 Issue: 9 Pages: 1479-891

    • DOI

      10.3727/096368910x547453

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Endoscopic naso-pancreatic drainage for the treatment of pancreatic fistula occurring after LDLT2011

    • Author(s)
      Nagatsu A, Taniguchi M, Shimamura T, Suzuki T, Yamashita K, Kawakami H, Abo D,
    • Journal Title

      World J Gastroenterol

      Volume: 34 Pages: 1325-1329

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] 臓器保存における重水の可能性-Possible cytoprotective actions of heavy water in organ preservation2011

    • Author(s)
      深井原、藤堂省
    • Journal Title

      Organ Biology

      Volume: 18 Pages: 101-107

    • Related Report
      2011 Research-status Report
  • [Journal Article] 移植臓器の非侵襲的モニタリング法の開発2011

    • Author(s)
      尾崎倫孝、深井原、藤堂省 他
    • Journal Title

      Organ Biology

      Volume: 18 Pages: 134-140

    • NAID

      130004709996

    • Related Report
      2011 Research-status Report
  • [Journal Article] 臓器保存の現状と今後--新しい保存法開発のための基礎知識2011

    • Author(s)
      深井原, 嶋村剛
    • Journal Title

      医学のあゆみ

      Volume: 237 Pages: 583-591

    • Related Report
      2011 Research-status Report
  • [Presentation] Heavy water confers protection against hepatic cold ischemia injury and hydrogen confers protection against hepatic reperfusion injury in isolated perfused rat liver2013

    • Author(s)
      Shimada S, Fukai M, Wakayama K, Yamashita K, Taniguchi M, Suzuki T, Shimamura T, Kamiyama T, Furukawa H, Todo S, Taketomi A,
    • Organizer
      The American Transplant Congress
    • Place of Presentation
      Seattle, WA, USA
    • Related Report
      2012 Final Research Report
  • [Presentation] 低温下でエネルギー産生を賦活化させる新しい方法~有効性と普遍性2013

    • Author(s)
      深井原、島田慎吾、山下健一郎、鈴木友己、藤堂省, 他
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      福岡国際会議場
    • Related Report
      2012 Final Research Report
  • [Presentation] ラット冷保存肝における再灌流時水素ガス投与の効果2013

    • Author(s)
      島田慎吾、深井原、山下健一郎、鈴木友己、藤堂省, 他
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      福岡国際会議場
    • Related Report
      2012 Final Research Report
  • [Presentation] Heavy water confers protection against hepatic cold ischemia injury and hydrogen confers protection against hepatic reperfusion injury in isolated perfused rat2013

    • Author(s)
      Fukai M
    • Organizer
      American Transplant Congress 2013
    • Place of Presentation
      Seattle, WA, USA
    • Related Report
      2012 Annual Research Report
  • [Presentation] 低温下でエネルギー産生を賦活化させる新しい方法~有効性と普遍性2013

    • Author(s)
      深井原
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      福岡
    • Related Report
      2012 Annual Research Report
  • [Presentation] ラット冷保存肝における再灌流時水素ガス投与の効果2013

    • Author(s)
      島田慎吾
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      福岡
    • Related Report
      2012 Annual Research Report
  • [Presentation] 移植医療の現場から2013

    • Author(s)
      古川博之
    • Organizer
      第60回日本病理学会近畿支部学術会議
    • Place of Presentation
      神戸
    • Related Report
      2012 Annual Research Report
  • [Presentation] ラット冷保存肝における再灌流時水素ガス投与の効果2012

    • Author(s)
      島田慎吾 ,深井原 ,若山顕治, 山下健一郎,谷口雅彦,鈴木友己 ,嶋村剛 ,神山俊哉,古川博之,藤堂省 , 武冨紹信
    • Organizer
      第39回日本臓器保存生物医学会
    • Place of Presentation
      コラッセ福島
    • Related Report
      2012 Final Research Report
  • [Presentation] 臓器保存液の現状と今後の展望2012

    • Author(s)
      深井原、島田慎吾、若山顕治、廣方玄太郎、谷口雅彦、鈴木友己、田原宗徳、嶋村剛、山下健一郎、古川博之、藤堂省、武冨紹信
    • Organizer
      第39回日本臓器保存生物医学会
    • Place of Presentation
      コラッセ福島
    • Related Report
      2012 Final Research Report
  • [Presentation] マウス肝温虚血再灌流障害における硫化水素の効果2012

    • Author(s)
      島田慎吾、深井原、嶋村剛、鈴木友己、山下健一郎、藤堂省
    • Organizer
      第48回日本移植学会総会
    • Place of Presentation
      愛知県産業労働センター
    • Related Report
      2012 Final Research Report
  • [Presentation] 脳死小腸移植の現状と将来の展望2012

    • Author(s)
      古川博之
    • Organizer
      第48回日本移植学会総会
    • Place of Presentation
      愛知県産業労働センター
    • Related Report
      2012 Final Research Report
  • [Presentation] Hydrogen Sulfide Confers Protection Against Hepatic Warm Ischemia Reperfusion Injury in Mice2012

    • Author(s)
      Shimada S, Fukai M, Yamashita K, Wakayama K, Kimura T, Fujiyoshi M, Suzuki T, Shimamura T, Kamiyama T, Taketomi A, and Todo S
    • Organizer
      Annual Congress 24th International Congress of the Transplantation Society
    • Place of Presentation
      Berlin Germany
    • Related Report
      2012 Final Research Report
  • [Presentation] 低温酸素化灌流による臓器修復は可能か?~ミトコンドリア機能と細胞内Ca2+2012

    • Author(s)
      深井原、若山顕治、山下健一郎、廣方玄太郎、谷口雅彦、古川博之、島田慎吾、小倉正臣、鈴木友己、嶋村剛、尾崎倫孝、神山俊哉、藤堂省
    • Organizer
      第112回日本外科学会定期学術集会
    • Place of Presentation
      幕張メッセ
    • Related Report
      2012 Final Research Report
  • [Presentation] マウス肝虚血再灌流モデルにおける硫化水素の肝保護効果2012

    • Author(s)
      島田慎吾、深井原、山下健一郎、鈴木友己、嶋村剛、尾崎倫孝、神山俊哉、藤堂省
    • Organizer
      第112回日本外科学会定期学術集会
    • Place of Presentation
      幕張メッセ
    • Related Report
      2012 Final Research Report
  • [Presentation] ラット冷保存肝における再灌流時水素ガス投与の効果2012

    • Author(s)
      島田慎吾
    • Organizer
      第39回日本臓器保存生物医学会
    • Place of Presentation
      福島
    • Related Report
      2012 Annual Research Report
  • [Presentation] 臓器保存液の現状と今後の展望2012

    • Author(s)
      深井原
    • Organizer
      第39回日本臓器保存生物医学会
    • Place of Presentation
      福島
    • Related Report
      2012 Annual Research Report
  • [Presentation] マウス肝温虚血再灌流障害における硫化水素の効果2012

    • Author(s)
      島田慎吾
    • Organizer
      第48回日本移植学会総会
    • Place of Presentation
      名古屋
    • Related Report
      2012 Annual Research Report
  • [Presentation] 脳死小腸移植の現状と将来の展望2012

    • Author(s)
      古川博之
    • Organizer
      第48回日本移植学会総会
    • Place of Presentation
      名古屋
    • Related Report
      2012 Annual Research Report
  • [Presentation] アルコール性肝硬変の肝移植適応とその成績2012

    • Author(s)
      古川博之
    • Organizer
      平成24年度アルコール・薬物依存関連学会合同学術総会
    • Place of Presentation
      札幌
    • Related Report
      2012 Annual Research Report
  • [Presentation] Hydrogen Sulfide Confers Protection Against Hepatic Warm Ischemia Reperfusion Injury in Mice2012

    • Author(s)
      Shimada S
    • Organizer
      Annual Congress 24th International Congress of the Transplantation Society
    • Place of Presentation
      Berlin, Germany
    • Related Report
      2012 Annual Research Report
  • [Presentation] 欧米・アジア肝移植の現状2012

    • Author(s)
      古川博之
    • Organizer
      第30回日本肝移植研究会
    • Place of Presentation
      福岡
    • Related Report
      2012 Annual Research Report
  • [Presentation] 低温酸素化灌流による臓器修復は可能か?~ミトコンドリア機能と細胞内Ca2+2012

    • Author(s)
      深井原
    • Organizer
      第112回日本外科学会定期学術集会
    • Place of Presentation
      幕張
    • Related Report
      2012 Annual Research Report
  • [Presentation] マウス肝虚血再灌流モデルにおける硫化水素の肝保護効果2012

    • Author(s)
      島田慎吾
    • Organizer
      第112回日本外科学会定期学術集会
    • Place of Presentation
      幕張
    • Related Report
      2012 Annual Research Report
  • [Presentation] 肝移植2012

    • Author(s)
      古川博之
    • Organizer
      第112回日本外科学会定期学術集会
    • Place of Presentation
      福岡
    • Related Report
      2012 Annual Research Report
  • [Presentation] 脳死臓器移植の発展に向けて2012

    • Author(s)
      古川博之
    • Organizer
      第48回 日本腹部救急学会(招待講演)
    • Place of Presentation
      金沢
    • Related Report
      2011 Research-status Report
  • [Presentation] 臓器の保存から修復への試み~ミトコンドリア機能と細胞内Ca2+ の重要性2011

    • Author(s)
      深井原, 若山顕治, 山下健一郎, 福森大介, 廣方玄太郎、島田慎吾、芳賀早苗, 谷口雅彦, 嶋村剛, 鈴木友己, 尾崎倫孝, 松下通明, 古川博之, 藤堂省
    • Organizer
      第38回日本臓器保存生物医学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2011-11-23
    • Related Report
      2012 Final Research Report
  • [Presentation] ラット心冷保存・移植後のグラフト機能の評価2011

    • Author(s)
      島田慎吾、深井原, 若山顕治, 山下健一郎, 福森大介, 廣方玄太郎, 芳賀早苗, 谷口雅彦, 嶋村剛, 鈴木友己, 尾崎倫孝, 松下通明, 古川博之, 藤堂省
    • Organizer
      第38回日本臓器保存生物医学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2011-11-23
    • Related Report
      2012 Final Research Report
  • [Presentation] Experience using ECD donors in first 100 cases of deceased liver transplantation in Japan2011

    • Author(s)
      Furukawa H
    • Organizer
      CAST2011
    • Place of Presentation
      Soul, Korea
    • Year and Date
      2011-09-27
    • Related Report
      2012 Final Research Report
  • [Presentation] 外科の立場からみる脳死移植の現状と問題2011

    • Author(s)
      古川博之
    • Organizer
      第58回日本麻酔科学会
    • Place of Presentation
      神戸
    • Year and Date
      2011-05-19
    • Related Report
      2012 Final Research Report
  • [Presentation] 低温下で好気代謝を促進する新規臓器保存液の至的条件~低温酸素化灌流保存法への応用を目指した基礎的検討2011

    • Author(s)
      深井原、若山顕治、山下健一郎、福森大介、廣方玄太郎、芳賀早苗、谷口雅彦、嶋村剛、鈴木友己、尾崎倫孝、松下通明、古川博之、藤堂省
    • Organizer
      第111回日本外科学会定期学術集会
    • Place of Presentation
      震災のため紙上開催
    • Related Report
      2012 Final Research Report
  • [Presentation] 新規臓器保存液(FJ液)による肝冷凍保存再灌流障害の軽減~FJ液の重要な成分2011

    • Author(s)
      旭火華、深井原、福森大介、若山顕治、山下健一郎、廣方玄太郎、芳賀早苗、田原宗徳、谷口雅彦、嶋村剛、鈴木友己、松下通明、古川博之、尾崎倫孝、藤堂省
    • Organizer
      第111回日本外科学会定期学術集会
    • Place of Presentation
      震災のため紙上開催
    • Related Report
      2012 Final Research Report
  • [Presentation] 「再発肝細胞癌への治療戦略Salvage肝移植を考慮して2011

    • Author(s)
      神山俊哉、中西一彰、横尾英樹、蒲池浩文、田原宗徳、柿坂達彦、小丹枝裕二、山下健一郎、谷口雅彦、鈴木友己、嶋村剛、古川博之、松下通明、藤堂省
    • Organizer
      第111回日本外科学会定期学術集会
    • Place of Presentation
      震災のため紙上開催)
    • Related Report
      2012 Final Research Report
  • [Presentation] Experience using ECD donors in first 100 cares of deceased liver transplantation in Japan2011

    • Author(s)
      Furukawa H
    • Organizer
      The 12th Congress of the Asian Society of Transplantation
    • Place of Presentation
      韓国 ソウル
    • Related Report
      2011 Research-status Report
  • [Presentation] 脳死肝移植の発展に向けて2011

    • Author(s)
      古川博之
    • Organizer
      第2回 京滋肝移植・肝不全治療カンファレンス(招待講演)
    • Place of Presentation
      京都
    • Related Report
      2011 Research-status Report
  • [Presentation] 外科の立場からみる脳死移植の現状と問題2011

    • Author(s)
      古川博之
    • Organizer
      第58回 日本麻酔科学会(招待講演)
    • Place of Presentation
      神戸
    • Related Report
      2011 Research-status Report
  • [Presentation] 改正臓器移植法1年の総括-脳死肝移植の体制強化に向けて2011

    • Author(s)
      古川博之
    • Organizer
      第29回 日本肝移植研究会(招待講演)
    • Place of Presentation
      仙台
    • Related Report
      2011 Research-status Report
  • [Presentation] 我が国の肝移植の現状と将来2011

    • Author(s)
      古川博之
    • Organizer
      第15回 日本肝臓学会(招待講演)
    • Place of Presentation
      福岡
    • Related Report
      2011 Research-status Report
  • [Presentation] 低温下で好気代謝を促進する新規臓器保存液の至適条件 : 低温酸素化灌流保存法への応用を目指した基礎的検討2011

    • Author(s)
      深井原
    • Organizer
      第111回 日本外科学会定期学術集会
    • Place of Presentation
      東京(震災のため誌上発表)
    • Related Report
      2011 Research-status Report
  • [Presentation] 心停止ドナーからの臓器移植の展望;「臓器の保存から修復への試み~ミトコンドリア機能と細胞内Ca2+ の重要性2011

    • Author(s)
      深井原
    • Organizer
      第38回 日本臓器保存生物医学会
    • Place of Presentation
      仙台
    • Related Report
      2011 Research-status Report
  • [Book] 「腹部多臓器移植」スタンダード小児外科手術2013

    • Author(s)
      古川博之 (分担執筆)
    • Publisher
      岩中督・田口智章監修、猪俣裕紀洋・黒田達夫、奥山宏臣編、MEDICAL VIEW
    • Related Report
      2012 Final Research Report
  • [Book] 「臓器移植」標準外科学2013

    • Author(s)
      古川博之 (分担執筆)
    • Publisher
      加藤治文監修、畠山勝義・北野正剛・若林剛編、医学書院
    • Related Report
      2012 Final Research Report
  • [Book] スタンダード小児外科手術2013

    • Author(s)
      田口智章 岩中督
    • Total Pages
      387
    • Publisher
      MEDICAL VIEW
    • Related Report
      2012 Annual Research Report
  • [Book] 標準外科学2013

    • Author(s)
      加藤治文
    • Total Pages
      743
    • Publisher
      医学書院
    • Related Report
      2012 Annual Research Report
  • [Book] 「多臓器摘出の実際」移植のための臓器摘出と保存2012

    • Author(s)
      福嶌教偉、古川博之 (分担執筆)
    • Publisher
      浅野武秀監修、福島教偉・剣持敬・絵野沢伸編、丸善出版
    • Related Report
      2012 Final Research Report
  • [Book] 「脳死ドナーからの臓器摘出と保存:肝臓」移植のための臓器摘出と保存2012

    • Author(s)
      古川博之 (分担執筆)
    • Publisher
      浅野武秀監修、福島教偉・剣持敬・絵野沢伸編、丸善出版
    • Related Report
      2012 Final Research Report
  • [Book] 移植のための臓器摘出と保存2012

    • Author(s)
      浅野武秀
    • Total Pages
      304
    • Publisher
      丸善出版
    • Related Report
      2012 Annual Research Report

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

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