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A search for determinants of phenotypes in chronic obstructive pulmonary disease; by a collaborative research in Japan and U.S.

Research Project

Project/Area Number 24591134
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionNara Medical University

Principal Investigator

YAMAMOTO YOSHIFUMI  奈良県立医科大学, 医学部, 助教 (00458035)

Co-Investigator(Kenkyū-buntansha) KIMURA Hiroshi  奈良県立医科大学, 医学部, 教授 (20195374)
YOSHIKAWA Masanori  奈良県立医科大学, 医学部, 准教授 (80271203)
TOMODA Koichi  奈良県立医科大学, 医学部, 講師 (90364059)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords慢性閉塞性肺疾患 / 表現型規定因子 / 日米比較 / 気腫
Outline of Final Research Achievements

In chronic obstructive pulmonary disease (COPD) there are two phenotypes; emphysema and chronic bronchitis. In japan most of the patients are emphysema with cachexia while in the West most of those are chronic bronchitis with obese. However it has not been fully elucidated what factors determine the phenotype in COPD.
Autophagy, which is an intracellular degradation system that delivers cytoplasmic constituents to the lysosome, is accelerated on starvation. To elucidate the role of autophagy on the phenotype in COPD, we measured the index of autophagy in plasma of Japanese COPD patients and investigated the relationship between the index and emphysema. LC3B, regulator of autophagy, was decreased in smokers compared with healthy non-smokers. The decrease was accelerated in COPD. In patients with severe emphysema the LC3B levels was inversely correlated with emphysema sore.
In conclusion an impaired systemic autophagy can contribute to development and progression of emphysema.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (17 results)

All 2014 2013 2012

All Journal Article (7 results) (of which Peer Reviewed: 6 results,  Open Access: 4 results,  Acknowledgement Compliant: 1 results) Presentation (10 results)

  • [Journal Article] The impact of obstructive sleep apnea and nasal CPAP on circulating adiponectin levels2014

    • Author(s)
      Yoshikawa M, Yamauchi M, Fujita Y, Koyama N, Fukuoka A, Tamaki S, Yamamoto Y, Tomoda K, Kimura H
    • Journal Title

      Lung

      Volume: 192(2) Issue: 2 Pages: 289-295

    • DOI

      10.1007/s00408-013-9550-9

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Mini Nutritional Assessment Short-Form predicts exacerbation frequency in patients with chronic obstructive pulmonary disease.2014

    • Author(s)
      Yoshikawa M, Fujita Y, Yamamoto Y, Yamauchi M, Tomoda K, Koyama N, Kimura H.
    • Journal Title

      Respirology

      Volume: 19 Issue: 8 Pages: 1198-1203

    • DOI

      10.1111/resp.12380

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Distribution of bone mineral content is associated with body weight and exercise capacity in patients with COPD2014

    • Author(s)
      Yamamoto Y, Yoshikawa M, Tomoda K, Fujita Y, Yamauchi M, Fukuoka A, Tamaki S, Koyama N, Kimura H
    • Journal Title

      Respiration

      Volume: 87(2) Issue: 2 Pages: 158-164

    • DOI

      10.1159/000355095

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Branched-chain amino acid-rich diet improves skeletal muscle wasting caused by cigarette smoke in rats2014

    • Author(s)
      Tomoda K, Kubo K, Hino K, Kondoh Y, Nishii Y, Koyama N, Yamamoto Y, Yoshikawa M, Kimura H.
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 39 Issue: 2 Pages: 331-337

    • DOI

      10.2131/jts.39.331

    • NAID

      130004903995

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【すぐ役に立つ-呼吸器薬の標準的使い方】 COPD 【安定期の治療】 吸入薬以外の治療 テオフィリン,喀痰調整薬,マクロライド系抗菌薬,栄養療法2014

    • Author(s)
      山本 佳史, 吉川 雅則, 木村 弘
    • Journal Title

      Medicina

      Volume: 51 Pages: 1850-1853

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Changes of ghrelin and leptin levels in plasma by cigarette smoke in rats2012

    • Author(s)
      Tomoda K, Kubo K, Nishii Y, Yamamoto Y, Yoshikawa M, Kimura H
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 37 Issue: 1 Pages: 131-138

    • DOI

      10.2131/jts.37.131

    • NAID

      10030037595

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Suppressed anti-oxidant capacity due to a cellulose-free diet declines further by cigarette smoke in mice2012

    • Author(s)
      Tomoda K, Kubo K, Asahara T, Nomoto K, Nishii Y, Yamamoto Y, Yoshikawa M, Kimura H
    • Journal Title

      The Journal of Toxicological Sciences

      Volume: 37 Issue: 3 Pages: 575-585

    • DOI

      10.2131/jts.37.575

    • NAID

      130004446978

    • ISSN
      0388-1350, 1880-3989
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 高齢一般住民におけるCOPD有病率とその実態―藤原京スタディーからの検討2014

    • Author(s)
      山本佳史,吉川雅則,友田恒一,熊本牧子,藤田幸男,児山紀子,山内基雄,岡本 希,車谷典男,木村 弘
    • Organizer
      第24回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      なら100年会館・ホテル日航奈良
    • Year and Date
      2014-10-24 – 2014-10-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 藤原京スタディーにおける高齢一般住民のCOPD有病率とその実態2014

    • Author(s)
      山本佳史,吉川雅則,友田恒一,熊本牧子,藤田幸男,児山紀子,山内基雄,岡本 希,車谷典男,木村 弘
    • Organizer
      第54回日本呼吸器学会学術講演会
    • Place of Presentation
      大阪国際会議場・リーガロイヤルホテル
    • Year and Date
      2014-04-25 – 2014-04-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] 藤原京スタディにおける高齢一般住民における呼吸機能の検討2014

    • Author(s)
      1.山本佳史,吉川雅則,友田恒一,熊本牧子,藤田幸男,児山紀子,山内基雄,岡本 希,車谷典男,木村 弘
    • Organizer
      第111回日本内科学会総会・講演会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2014-04-11 – 2014-04-13
    • Related Report
      2014 Annual Research Report
  • [Presentation] Mini nutritional assessment short-form (MNA-SF) can predict exacerbation in COPD independently of COPD assessment test(CAT)2013

    • Author(s)
      Yamamoto Y, Yoshikawa M, Fujita Y, Tomoda K, Yamauchi M, Koyama N, Fukuoka A, Kimura H
    • Organizer
      The 18th congress of the Asian Pacific Society of Respirology
    • Place of Presentation
      The Conference Center, Pacifico Yokohama
    • Related Report
      2013 Research-status Report
  • [Presentation] 慢性閉塞性肺疾患(COPD)患者における骨粗鬆症とQOLおよび予後との関連2013

    • Author(s)
      山本佳史、吉川雅則、友田恒一、藤田幸男、山内基雄、児山紀子、熊本牧子、大屋貴広、中村篤宏、木村 弘
    • Organizer
      第53回日本呼吸器学会学術講演会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2013 Research-status Report
  • [Presentation] 慢性閉塞性肺疾患(COPD)患者における骨粗鬆症関連因子と予後との関連2013

    • Author(s)
      山本佳史、吉川雅則、友田恒一、藤田幸男、山内基雄、児山紀子、熊本牧子、中村篤宏、木村 弘
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京ドームホテル
    • Related Report
      2013 Research-status Report
  • [Presentation] COPDにおける栄養障害と増悪2012

    • Author(s)
      吉川雅則、木村 弘
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井フェニックス・プラザ
    • Related Report
      2012 Research-status Report
  • [Presentation] 慢性閉塞性疾患(COPD)患者における腰椎骨密度の関連因子2012

    • Author(s)
      山本佳史、吉川雅則、藤田幸男、友田恒一、山内基雄、児山紀子、福岡篤彦、木村 弘
    • Organizer
      第109回日本内科学会総会・講演会
    • Place of Presentation
      みやこめっせ
    • Related Report
      2012 Research-status Report
  • [Presentation] 慢性閉塞性肺疾患(COPD)患者における骨密度の規定因子2012

    • Author(s)
      山本佳史、吉川雅則、藤田幸男、友田恒一山内基雄、児山紀子、福岡篤彦、木村 弘
    • Organizer
      第52回日本呼吸器学会学術講演会
    • Place of Presentation
      神戸コンベンションションセンター
    • Related Report
      2012 Research-status Report
  • [Presentation] COPDアセスメントテスト(CAT)とMini Nutritional Assessment(MNA)による栄養評価との関連2012

    • Author(s)
      大屋貴広、吉川雅則、山本佳史、友田恒一、藤田幸男、山内基雄、児山紀子、福岡篤彦、木村 弘
    • Organizer
      第52回日本呼吸器学会学術講演会
    • Place of Presentation
      神戸コンベンションセンター
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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