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The mechanism on ventilator induced kidney injury associated with kidney-lung crosstalk

Research Project

Project/Area Number 24390404
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

Hashimoto Satoru  京都府立医科大学, 医学(系)研究科(研究院), 准教授 (90167578)

Co-Investigator(Kenkyū-buntansha) 志馬 伸朗  広島大学, 医歯薬保健学研究院・応用生命科学部門・救急医学, 教授 (00260795)
佐和 貞治  京都府立医科大学, 医学(系)研究科(研究院), 教授 (10206013)
柴崎 雅志  京都府立医科大学, 医学(系)研究科(研究院), 助教 (20405319)
足立 孝臣  京都府立医科大学, 医学(系)研究科(研究院), 助教 (20637277)
橋本 壮志  京都府立医科大学, 医学(系)研究科(研究院), 助教 (60515279)
徳平 夏子  京都府立医科大学, 医学(系)研究科(研究院), 助教 (60597227)
中嶋 康文  関西医科大学, 医学部, 教授 (70326239)
金子 猛  横浜市立大学, 医学(系)研究科(研究院), 教授 (90275066)
成宮 博理  京都府立医科大学, 医学(系)研究科(研究院), 助教 (20768105)
天谷 文昌  京都府立医科大学, 医学(系)研究科(研究院), 准教授 (60347466)
松山 広樹  京都府立医科大学, 医学研究科, 助教 (80515289)
Project Period (FY) 2012-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥14,300,000 (Direct Cost: ¥11,000,000、Indirect Cost: ¥3,300,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2014: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2013: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2012: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords急性呼吸窮迫症候群 / 急性腎不全 / Heme Oxygenase-1 / 多臓器不全 / HO-1 / 急性肺損傷 / 腎不全 / クロストーク / ARDS / 急性腎障害 / 急性肺障害 / 人工呼吸 / 急性肺傷
Outline of Final Research Achievements

Several studies have suggested the interdependent crosstalk mechanism might exit among several vital organs and especially crosstalk between lung and kidney has been a focus of attention in the critical care settings. We evaluated serum HO-1 measured by modified ELISA as a biomarker to predict a prognosis of patients with acute respiratory distress syndrome. Concentrations of serum HO1 in non-survivors during the ICU stay were persistently higher than those of survivors. We also conducted animal study using pathogen-free mice. Pseudomonas aeruginosa PA103 were given via instillation to the trachea to cause lethal effect within 24 hours in control mice. We showed that administration of anti-PcrV polyclonal IgG or commercially available immunoglobulin have significant effectiveness against the Pseudomonas induced lung injury and reduced mortality. These results validated further investigation to elucidated the cross talk of kidney and lung.

Report

(6 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • 2012 Annual Research Report
  • Research Products

    (14 results)

All 2016 2015 2014 2013

All Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Acknowledgement Compliant: 2 results,  Open Access: 1 results) Presentation (6 results) (of which Invited: 3 results) Book (3 results)

  • [Journal Article] Cellular Stress Responses and Monitored Cellular Activities.2016

    • Author(s)
      Sawa T, Naito Y, Kato H, Amaya F.
    • Journal Title

      Shock

      Volume: 46 Issue: 2 Pages: 113-121

    • DOI

      10.1097/shk.0000000000000603

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Factors affecting biomarkers of endothelial and alveolar epithelial dysfunction.2016

    • Author(s)
      Kyo M, Ohshimo S, Shime N
    • Journal Title

      Intensive Care Medicine

      Volume: 42 Issue: 12 Pages: 2111-2112

    • DOI

      10.1007/s00134-016-4460-y

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] IV Immunoglobulin for Acute Lung Injury and Bacteremia in Pseudomonas aeruginosa Pneumonia.2015

    • Author(s)
      Katoh H, Yasumoto H, Shimizu M, Hamaoka S, Kinoshita M, Akiyama K, Sawa T.
    • Journal Title

      Critical Care Medicine

      Volume: 44 Issue: 1 Pages: 12-24

    • DOI

      10.1097/ccm.0000000000001271

    • Related Report
      2016 Annual Research Report 2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Impact of corticosteroids on mortality in patients with acute respiratory distress syndrome: A systematic review and meta-analysis.2015

    • Author(s)
      Horita N, Hashimoto S, Miyazawa N, et al.
    • Journal Title

      Internal medicine

      Volume: 54 Pages: 1473-1479

    • NAID

      130005075938

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] RDS診療の診療の現在の状況と今後の展開, 概念、診断基準、ガイドライン2013

    • Author(s)
      橋本悟
    • Journal Title

      麻酔

      Volume: 62 Pages: 517-521

    • Related Report
      2013 Annual Research Report
  • [Presentation] RDS患者における血清HO-1の予後因子としての可能性2016

    • Author(s)
      原悠,新海正晴,長井賢次朗次郎,橋本壮志,橋本悟,金子猛
    • Organizer
      第56回日本呼吸器学会
    • Place of Presentation
      京都
    • Year and Date
      2016-04-08
    • Related Report
      2015 Annual Research Report
  • [Presentation] 急性呼吸窮迫症候群における血清heme oxygenase-1(HO-1)のバイオマーカーとしての有用性に関する検討2015

    • Author(s)
      原悠, 新海正晴,橋本壮志, , 橋本悟, 金子猛
    • Organizer
      第54回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2015-04-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] ARDSの基礎と臨床 -最新の知見を交えて- 特別講演2014

    • Author(s)
      橋本悟
    • Organizer
      日本麻酔科学会東海北陸支部第12回学術集会
    • Place of Presentation
      金沢
    • Year and Date
      2014-09-13
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] ARDSに対する治療戦略2014

    • Author(s)
      橋本悟
    • Organizer
      第28回東北救急医学会総会・学術集会
    • Place of Presentation
      森岡
    • Year and Date
      2014-07-04
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Biomarkers in AEDS2013

    • Author(s)
      Satoru Hashimoto
    • Organizer
      10th Critical Care Symposium
    • Place of Presentation
      英国、マンチェスター
    • Year and Date
      2013-04-25
    • Related Report
      2012 Annual Research Report
  • [Presentation] Biomarkers in ARDS2013

    • Author(s)
      Hashimoto Satoru
    • Organizer
      10th Critical Care Symposium
    • Place of Presentation
      Manchester
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Book] ARDS診療ガイドライン20162016

    • Author(s)
      橋本悟, 石井芳樹, 讃井将満, 志馬伸朗, 他
    • Total Pages
      293
    • Publisher
      日本呼吸器学会, 日本集中治療医学会, 日本呼吸療法医学会
    • Related Report
      2016 Annual Research Report
  • [Book] 集中治療専門医テキスト 第3章呼吸, 呼吸不全2015

    • Author(s)
      橋本悟
    • Total Pages
      1044
    • Publisher
      学研メディカル秀潤社
    • Related Report
      2015 Annual Research Report
  • [Book] 敗血症性肺障害の治療と有効性評価2013

    • Author(s)
      橋本悟
    • Publisher
      技術情報協会
    • Related Report
      2013 Annual Research Report

URL: 

Published: 2012-04-24   Modified: 2019-07-29  

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