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Application of parathyroid hormone to treatment of intractable fractures and nonunions

Research Project

Project/Area Number 23791641
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Orthopaedic surgery
Research InstitutionKobe University

Principal Investigator

NIIKURA Takahiro  神戸大学, 医学(系)研究科(研究院), 特命講師 (40448171)

Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords骨折治療 / 難治性骨折 / 骨癒合不全 / 骨癒合促進
Research Abstract

Parathyroid hormone (PTH) 1-34 has capacity of enhancing bone formation. We hypothesized that the osteogenic capacity can be applied to enhance fracture healing. First, we investigated the effect of PTH treatment on human fracture haematoma-derived cells in vitro. PTH treatment did not affect cell proliferation. Osteogenic activity was also not significantly affected by continuous PTH treatment but significantly inhibited by pulsatile PTH treatment. Conversely, chondrogenic differentiation was significantly inhibited by continuous PTH treatment. Next, we conducted in vivo experiments. A rat fracture model which leads to nonunion by cauterization of periosteum was used. PTH was given to the rats by local and systemic administration. Although the local administration revealed no effect, the systemic administration demonstrated a tendency to enhance fracture healing. Our results suggested that a systemic administration was an appropriate way for a use of PTH to enhance fracture healing.

Report

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

    (16 results)

All 2014 2013 2012 2011

All Journal Article (2 results) (of which Peer Reviewed: 1 results) Presentation (14 results)

  • [Journal Article] PTHによる骨癒合促進の可能性2014

    • Author(s)
      新倉隆宏
    • Journal Title

      災害外科5月臨時増刊号骨折の診断と治療最新update

      Volume: 57(6) Pages: 637-645

    • Related Report
      2013 Final Research Report
  • [Journal Article] Effects of parathyroid hormone 1-34 on osteogenic and chondrogenic differentiation of human fracture haematoma-derived cells in vitro.2013

    • Author(s)
      Dogaki Y, Lee SY, Niikura T, Koga T, Okumachi E, Nishida K, Kuroda R, Kurosaka M
    • Journal Title

      J Tissue Eng Regen Med

      Volume: Epub ahead of print Issue: 10 Pages: E365-E371

    • DOI

      10.1002/term.1818

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Presentation] Therapeutic Effect of Local Application of Parathyroid Hormone for Unhealing Fracture2013

    • Author(s)
      Okumachi E, Niikura T, Lee SY, Koga T, Dogaki Y, Waki T, Kurosaka M
    • Organizer
      The 59th Annual Meeting of Orthopaedic Research Society
    • Place of Presentation
      San Antonio, USA.
    • Year and Date
      2013-01-26
    • Related Report
      2013 Final Research Report
  • [Presentation] Therapeutic Effect of Local Application of Parathyroid Hormone for Unhealing Fracture2013

    • Author(s)
      Etsuko Okumachi, Sang Yang Lee,Takahiro Niikura, Takaaki Koga, Yoshihiro Dogaki, Takahiro Waki, Ryosuke Kuroda, Yasuhiko Tabata
    • Organizer
      59th ORS 2013 Annual Meeting 【Orthopaedic Research Society (ORS)】
    • Place of Presentation
      San Antonio, Texas, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] Effects of Parathyroid Hormone 1-34 Treatments on Osteogenic/Chondrogenic Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2012

    • Author(s)
      Dogaki Y, Lee SY, Niikura T, Koga T, Okumachi E, Waki T, Kurosaka M
    • Organizer
      The 13th Biennial Conference of International Society for Fracture Repair
    • Place of Presentation
      Kyoto, Japan
    • Year and Date
      2012-11-06
    • Related Report
      2013 Final Research Report
  • [Presentation] Effects of Parathyroid Hormone 1-34 Treatments on Osteogenic Differentiation of Human Nonunion Tissue-Derived Cells in Vitro2012

    • Author(s)
      Okumachi E, Lee SY, Niikura T, Koga T, Dogaki Y, Waki T, Kurosaka M
    • Organizer
      The 13th Biennial Conference of International Society for Fracture Repair
    • Place of Presentation
      Kyoto, Japan
    • Year and Date
      2012-11-06
    • Related Report
      2013 Final Research Report
  • [Presentation] Parathyroid hormone (1-34)連続投与によるヒト骨折血腫由来細胞の骨・軟骨分化に対する効果2012

    • Author(s)
      堂垣佳宏,李相亮,新倉隆宏,康暁博,古賀敬章,奥町悦子,黒坂昌弘
    • Organizer
      第27回日本整形外科学会基礎学術集会
    • Place of Presentation
      名古屋市
    • Year and Date
      2012-10-26
    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Presentation] Effects of Parathyroid Hormone Treatment on Osteogenic/Chondrogenc Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2012

    • Author(s)
      Dogaki Y, Lee SY, Niikura T, Koh A, Koga T, Okumachi E, Kuroda R, Kurosaka M
    • Organizer
      The 58th Annual Meeting of Orthopaedic Research Society
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2012-02-04
    • Related Report
      2013 Final Research Report
  • [Presentation] Effects of Parathyroid Hormone 1-34 Treatments on Osteogenic/Chondrogenic Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2012

    • Author(s)
      Yoshihiro Dogaki, Sang Yang Lee, Takahiro Niikura, Takaaki Koga, Etsuko Okumachi, Takahiro Waki, Masahiro Kurosaka
    • Organizer
      ISFR 2012 13th Biennial Conference 【The International Society for Fracture Repair (ISFR)】
    • Place of Presentation
      Kyoto, Japan
    • Related Report
      2012 Research-status Report
  • [Presentation] Effects of Parathyroid Hormone 1-34 Treatments on Osteogenic Differentiation of Human Nonunion Tissue-Derived Cells in Vitro2012

    • Author(s)
      Etsuko Okumachi, Sang Yang Lee,Takahiro Niikura, Takaaki Koga, Yoshihiro Dogaki, Takahiro Waki, Masahiro Kurosaka
    • Organizer
      ISFR 2012 13th Biennial Conference 【The International Society for Fracture Repair (ISFR)】
    • Place of Presentation
      Kyoto, Japan
    • Related Report
      2012 Research-status Report
  • [Presentation] Effects of Parathyroid Hormone Treatment on Osteogenic/Chondrogenic Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2012

    • Author(s)
      Dogaki, Y; Lee, S Y; Niikura, T; Koh, A; Koga, T; Okumachi, E; Kuroda R; Kurosaka, M
    • Organizer
      58th Orthopaedic Research Society 2012 Annual Meeting
    • Place of Presentation
      サンフランシスコ(アメリカ合衆国)
    • Related Report
      2011 Research-status Report
  • [Presentation] ヒト骨折血腫細胞の骨分化に対するParathyroid Hormone (1-34)の効果の検討-連続投与と間欠投与の比較-2011

    • Author(s)
      堂垣佳宏,李相亮,新倉隆宏,康暁博,古賀敬章,奥町悦子,黒坂昌弘
    • Organizer
      第26回日本整形外科学会基礎学術集会
    • Place of Presentation
      前橋市
    • Year and Date
      2011-10-20
    • Related Report
      2013 Final Research Report
  • [Presentation] Effects of Parathyroid Hormone Treatment on Osteogenic/Chondrogenic Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2011

    • Author(s)
      Dogaki Y, Lee SY, Niikura T, Koh A, Koga T, Okumachi E, Kurosaka M
    • Organizer
      SICOT 2011 XXV Triennial World Congress
    • Place of Presentation
      Prague, Czech
    • Year and Date
      2011-09-06
    • Related Report
      2013 Final Research Report
  • [Presentation] Effects of Continuous and Pulsatile Parathyroid Hormone (PTH) Treatment on Osteogenic Differentiation of Human Fracture-Derived Cells in vitro2011

    • Author(s)
      Dogaki Y, Lee SY, Niikura T, Oe K, Koh A, Koga T, Kurosaka M
    • Organizer
      The 57th Annual Meeting of Orthopaedic Research Society
    • Place of Presentation
      Long Beach, USA
    • Year and Date
      2011-01-13
    • Related Report
      2013 Final Research Report
  • [Presentation] Effects of Parathyroid Hormone Treatments on Osteogenic/Chondrogenic Differentiation of Human Fracture Hematoma-Derived Cells in Vitro2011

    • Author(s)
      Dogaki, Y; Lee, S Y; Niikura, T; Koh, A; Koga, T; Kurosaka, M
    • Organizer
      Societe Internationale de Chirurgie Orthopedique et de Traumatologie(SICOT) XXV Triennial World Congress
    • Place of Presentation
      プラハ(チェコ)
    • Related Report
      2011 Research-status Report
  • [Presentation] ヒト骨折血腫細胞の骨分化に対するParathyroid Hormone (1-34)の効果の検討―連続投与と間欠投与の比較―2011

    • Author(s)
      堂垣佳宏,李相亮,新倉隆宏,康暁博,古賀敬章,奥町悦子,黒坂昌弘
    • Organizer
      第26回日本整形外科学会基礎学術集会
    • Place of Presentation
      前橋市(群馬県)
    • Related Report
      2011 Research-status Report

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

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