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The development of minimally invasive treatment and the cause investigation of degenerative spondylosis

Research Project

Project/Area Number 24592191
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionUniversity of Yamanashi

Principal Investigator

HARO Hirotaka  山梨大学, 総合研究部, 教授 (10313264)

Co-Investigator(Kenkyū-buntansha) ANDO Takashi  山梨大学, 総合研究部, 講師 (10377492)
NAKAO Atsuhito  山梨大学, 総合研究部, 教授 (80318445)
中尾 篤人  山梨大学, 総合研究部, 教授 (80317445)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2012: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords椎間板ヘルニア / 退縮 / 炎症 / ATP / P2X4 / 椎間板変性 / 炎症性サイトカイン / 脊椎脊髄病学 / MMP
Outline of Final Research Achievements

To identify the mechanism of disc degeneration is critical for pathogenesis elucidation of lumbar disease. The experiments was carried out in order to identify the initiator. Are focused to the target was set to ATP which is one of the nucleotides that has attracted attention as an important factor in the blood cell migration and inflammation. We have measured the production of ATP with ELISA method by mechanical stimulation and stress to the intervertebral disc. Then, VEGF production and release in supernatant of the tissue culture of intervertebral disc stimulated with ATP or AMP were increase by time and dose-dependent manner. On the contrary, TGF-β production and release in supernatant were decreased by ATP or AMP stimulations. The reactions were inhibited by the BBG and PPADS as ATP receptor inhibitors. From the above, ATP acts on the disc as an initiator of inflammation, its receptor was suggested the possibility that via a P2X4.

Report

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

    (20 results)

All 2014 2013 2012 Other

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Acknowledgement Compliant: 2 results) Presentation (9 results) (of which Invited: 3 results) Book (3 results) Remarks (3 results)

  • [Journal Article] Translational research of herniated discs: current status of diagnosis and treatment.2014

    • Author(s)
      Haro H
    • Journal Title

      Journal of orthopaedic science

      Volume: 19 Issue: 4 Pages: 515-520

    • DOI

      10.1007/s00776-014-0571-x

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] High molecular weight hyaluronic acid increases the differentiation potential of the murine chondrocytic ATDC5 cell line.2014

    • Author(s)
      Sato E, Ando T, Ichikawa J, Okita G, Sato N, Wako M, Ohba T, Ochiai S, Hagino T, Jacobson R, Haro H.
    • Journal Title

      Journal of orthopaedic research

      Volume: 32 Issue: 12 Pages: 1619-1627

    • DOI

      10.1002/jor.22691

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Experimental chemonucleolysis with recombinant human matrix metalloproteinase 7 in human herniated discs and dogs.2013

    • Author(s)
      Haro H, Nishiga M, Ishii D, Shimomoto T, Kato T, Takenouchi O, Koyanagi S, Ohba T, Komori H.
    • Journal Title

      Spine journal

      Volume: 13 Issue: 7 Pages: 1934-7

    • DOI

      10.1016/j.spinee.2013.11.039

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脊椎・脊髄疾患2012

    • Author(s)
      波呂浩孝
    • Journal Title

      整形外科

      Volume: 64 Pages: 81-84

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 腰椎変性疾患に対する低侵襲治療2012

    • Author(s)
      波呂浩孝
    • Journal Title

      Journal of Spine Research

      Volume: 3 Pages: 462-462

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 炎症と椎間板変性のメカニズム2014

    • Author(s)
      波呂浩孝
    • Organizer
      第29回 日本整形外科学会基礎学術集会
    • Place of Presentation
      鹿児島県・鹿児島市
    • Year and Date
      2014-10-09 – 2014-10-10
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Analysis of deglutition after occipitocervical arthrodesis for cervical deformity in rheumatoid arthritis2014

    • Author(s)
      Haro H, Fujita K, Ohba T, Ebata S
    • Organizer
      21st International Meeting on Advanced Spine Techniques
    • Place of Presentation
      Valencia, Spain
    • Year and Date
      2014-07-16 – 2014-07-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] 椎間板ヘルニアに対する新規治療―rhMMP-7を用いた経皮的融解術2014

    • Author(s)
      波呂浩孝
    • Organizer
      第87回日本整形外科学会学術集会
    • Place of Presentation
      兵庫県・神戸市
    • Year and Date
      2014-05-22 – 2014-05-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 腰椎椎間板ヘルニア融解治療法の開発:rhMMp-7を使用する根拠2013

    • Author(s)
      波呂浩孝,竹之内修美,小柳 智,小森博達
    • Organizer
      第21回日本腰痛学会
    • Place of Presentation
      JPタワー ホール&カンファレンス(東京都千代田区)
    • Related Report
      2013 Research-status Report
  • [Presentation] Role of Weekly Administered Teriparatide in Bony Union Enhancement After Posterior Lumbar Degenerative Deformity: AProspective, Randmized Multi-Center Study2013

    • Author(s)
      Haro H, Takahashi J, Matsuyama Y
    • Organizer
      20th International Meeting on Advanced Spine Techniques
    • Place of Presentation
      Vancouver Convention Center(Vancouver, Canada)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 腰椎椎間板ヘルニアに対する治療法―未来への展望と取組み―2013

    • Author(s)
      波呂浩孝
    • Organizer
      第86回日本整形外科学会学術集会
    • Place of Presentation
      広島リーガロイヤルホテル(広島県 広島市)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Role of weekly administered teriparatide in bony union enhancement after posterior lumbar interbody fusion for osteoporosis-associated lumbar degenerative disorders:A prospective,randomized multicenter study2013

    • Author(s)
      Haro H, Ebata S, Takahashi J, Hasegawa T, Hirabayashi H, Matsuyama Y
    • Organizer
      International Society for Study of the Lumbar Spine
    • Place of Presentation
      Fairmont Scottsdale Princess(Scottdale, USA)
    • Related Report
      2013 Research-status Report
  • [Presentation] 脊椎脊髄外科専門医制度の構築2013

    • Author(s)
      波呂浩孝,中村博亮,紺野愼一,加藤真介,中村雅也,米延策雄,高橋和久,持田譲治
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      沖縄コンベンションセンター(沖縄県 宜野湾市)
    • Related Report
      2013 Research-status Report
  • [Presentation] 運動器の慢性疼痛 研究・診療の最前線2012

    • Author(s)
      波呂浩孝
    • Organizer
      第61回東日本整形災害外科学会
    • Place of Presentation
      高崎ビューホテル (高崎市)
    • Related Report
      2012 Research-status Report
  • [Book] ベッドサイドの高齢者運動器の診かた2014

    • Author(s)
      中村耕三 編
    • Total Pages
      431
    • Publisher
      南江堂
    • Related Report
      2014 Annual Research Report
  • [Book] 整形外科手術イラストレイテッド脊髄の手術2014

    • Author(s)
      専門編集:馬場久敏
    • Total Pages
      200
    • Publisher
      中山書店
    • Related Report
      2014 Annual Research Report
  • [Book] 腰痛 疾患・症状別 疾患・症状別 今日の治療と看護改訂第3版2013

    • Author(s)
      波呂浩孝
    • Total Pages
      1493
    • Publisher
      南江堂
    • Related Report
      2013 Research-status Report
  • [Remarks] 山梨大学医学部 整形外科

    • URL

      http://www.med.yamanashi.ac.jp/clinical/orthop/

    • Related Report
      2014 Annual Research Report
  • [Remarks] 山梨大学医学部整形外科

    • URL

      http://www.med.yamanashi.ac.jp/clinical/orthop/

    • Related Report
      2013 Research-status Report
  • [Remarks] 山梨大学医学部整形外科(研究)

    • URL

      http://www.med.yamanashi.ac.jp/clinical/orthop/research.html

    • Related Report
      2012 Research-status Report

URL: 

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

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