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Clinical application of intervertebral disc repair: development of biological repair

Research Project

Project/Area Number 24592193
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionMie University

Principal Investigator

AKEDA Koji  三重大学, 医学部附属病院, 講師 (20422826)

Co-Investigator(Kenkyū-buntansha) MIYAMOTO Keiichi  三重大学, 工学(系)研究科(研究院), 准教授 (70252343)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords椎間板変性 / 組織再生 / 多血小板血漿 / 生体材料 / 椎間板性疼痛 / 成長因子 / 血小板 / 椎間板性腰痛
Outline of Final Research Achievements

We report the results of a prospective feasibility clinical trial for the use of an intradiscal injection of PRP-releasate in patients with degenerative disc disease (discogenic low back pain). First, no adverse effects were identified following treatment. The intradiscal injection of PRP-releasate has potential to reduce clinical LBP scores in 85% subjects.
The results of this study showed that gellan-sulfate, candidate for disc biomaterial, has potential to affect the matrix metabolism of intervertebral disc cells dependent on the ratio of sulfation. In vivo animal study showed that gellan-sulfate has high tissue compatibility, suggesting the possibility that gellan-sulfate would be effective biomaterial for intervertebral disc degeneration.

Report

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

    (48 results)

All 2014 2013 2012

All Journal Article (18 results) (of which Peer Reviewed: 18 results) Presentation (30 results)

  • [Journal Article] Adult traumatic atlantoaxial rotatory fixation: a case report.2014

    • Author(s)
      Min Han Z, Nagao N, Sakakibara T, Akeda K, Matsubara T, Sudo A, Kasai Y.
    • Journal Title

      Case Rep Orthop

      Volume: 0 Pages: 1-1

    • DOI

      10.1155/2014/593621

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prevalence and countermeasures for venous thromboembolic diseases associated with spinal surgery: a follow-up study of an institutional protocol in 209 patients.2014

    • Author(s)
      Akeda K, Matsunaga H, Imanishi T, Hasegawa M, Sakakibara T, Kasai Y, Sudo A.
    • Journal Title

      Spine (Phila Pa 1976).

      Volume: 39(10) Issue: 10 Pages: 791-797

    • DOI

      10.1097/brs.0000000000000295

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Extradural cryptococcoma at the sacral spine without bone involvement in an immunocompetent patient.2014

    • Author(s)
      Asanuma Y, Fujimoto H, Nakabayashi H, Akeda K, Asanuma K, Tanaka M, Nagakura T, Miura Y, Iino T, Ogawa K, Kasai Y, Sudo A.
    • Journal Title

      J Orthop Sci

      Volume: 印刷中 Issue: 6 Pages: 1040-1045

    • DOI

      10.1007/s00776-013-0413-2

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脊椎椎体骨折の追跡コホート調査 既存骨骨折が新規骨折の発生様式に与える影響2014

    • Author(s)
      明田 浩司, 加藤 俊宏, 松峯 昭彦, 長谷川 正裕, 若林 弘樹, 辻井 雅也, 淺沼 邦洋, 松原 孝夫, 西村 明展, 中村 知樹, 村田 耕一郎, 今西 隆夫, 森本 亮, 榊原 紀彦, 笠井 裕一, 須藤 啓広
    • Journal Title

      Source:Journal of Spine Research

      Volume: 5(2) Pages: 145-150

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 胸椎転移を生じた頭蓋内髄膜腫の1例2014

    • Author(s)
      塚本 正, 榊原 紀彦, 明田 浩司, 須藤 啓広, 笠井 裕一
    • Journal Title

      東海脊椎外科

      Volume: 28 Pages: 51-54

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 硬膜外麻酔カテーテル留置後に発症した脊髄硬膜外血腫の2例2014

    • Author(s)
      萩 智仁, 明田 浩司, 榊原 紀彦, 笠井 裕一, 長谷川 正裕, 須藤 啓広
    • Journal Title

      東海脊椎外科

      Volume: 28 Pages: 47-50

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cortical bone trajectory法を用いた腰椎後方固定術2014

    • Author(s)
      竹上 徳彦, 明田 浩司, 村田 耕一郎, 榊原 紀彦, 笠井 裕一, 須藤 啓広
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 57(2) Pages: 263-264

    • NAID

      130004144399

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Osteoporosis, vertebral fractures and mortality in a Japanese rural community2013

    • Author(s)
      Nishimura A, Akeda K, Kato K, Asanuma K, Yamada T, Uchida A, Sudo A
    • Journal Title

      Mod Rheumatol

      Volume: 印刷中 Issue: 5 Pages: 840-843

    • DOI

      10.3109/14397595.2013.866921

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Delayed diagnosis of cauda eqina syndrome with perineural cyst after combined spinal-epidural anesthesia in hemodialysis patient.2013

    • Author(s)
      Ishiguro S, Akeda K, Tsujii M, Sudo A.
    • Journal Title

      Asian Spine J

      Volume: 7(3) Issue: 3 Pages: 232-235

    • DOI

      10.4184/asj.2013.7.3.232

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Is kyphoplasty necessary?2013

    • Author(s)
      Ishiguro S, Akeda K, Tsujii M, Sudo A.
    • Journal Title

      Asian Spine J

      Volume: 7(3) Issue: 3 Pages: 218-221

    • DOI

      10.4184/asj.2013.7.3.218

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Tissue renin-angiotensin system in the intervertebral disc2013

    • Author(s)
      Morimoto R, Akeda K, Iida R, Nishimura A, Tsujii M, Obata S, Kasai Y, Uchida A, Sudo A
    • Journal Title

      Spine

      Volume: 38(3) Issue: 3 Pages: 623-31

    • DOI

      10.1097/brs.0b013e31827b8c89

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Protective effect of edaravone for tourniquet-induced ischemia-reperfusion injury on skeletal muscle in murine hindlimb.2013

    • Author(s)
      Hori K, Tsujii M, Iino T, Satonaka H, Uemura T, Akeda K, Hasegawa M, Uchida A, Sudo A
    • Journal Title

      BMC Musculoskelet Disord

      Volume: 14 Issue: 1 Pages: 113-113

    • DOI

      10.1186/1471-2474-14-113

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 新しく考案した脊椎固定法UPSS(Unilateral Pedicle and Spinous process System)の使用経験2013

    • Author(s)
      榊原紀彦、王 卓、笠井裕一、明田浩司、須藤啓広、三枝ふみの
    • Journal Title

      Journal of Spine Research

      Volume: 4(4) Pages: 884-887

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 腰部脊柱管狭窄症患者における動脈硬化関連疾患の治療歴および治療内容の調査2013

    • Author(s)
      森本 亮、明田浩司、今西隆夫、榊原紀彦、笠井裕一、須藤啓広
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 56(3) Pages: 759-760

    • NAID

      10031188887

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 小脳腫瘍に合併した有痛性斜頸の1例2013

    • Author(s)
      村田耕一郎、明田浩司、須藤啓広、高北久嗣、榊原紀彦、笠井裕一
    • Journal Title

      東海脊椎外科

      Volume: 27 Pages: 47-50

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 頸椎に発生した平滑筋肉腫の1例2013

    • Author(s)
      山田淳一、明田浩司、須藤啓広、榊原紀彦、笠井裕一、藤井 渉、福島達樹
    • Journal Title

      東海脊椎外科

      Volume: 27 Pages: 40-43

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 成人期の脊髄係留症候群に対し脊柱短縮術を行った1例2013

    • Author(s)
      中瀬一真、明田浩司、榊原紀彦、笠井裕一、村田耕一郎、須藤啓広
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 56(3) Pages: 727-728

    • NAID

      10031188871

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of autologous platelet-rich plasma-releasate on intervertebral disc degeneration in the rabbit anular puncture model: a preclinical study2012

    • Author(s)
      Obata S、Akeda K、Imanishi T、Masuda K、Bae W、Morimoto R、Asanuma Y、 Kasai Y、Uchida A、Sudo A
    • Journal Title

      Arthritis Res Ther

      Volume: 16 Issue: 6

    • DOI

      10.1186/ar4084

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 椎間板性疼痛に対する多血小板血漿を用いた椎間板修復治療2014

    • Author(s)
      明田浩司、竹上徳彦、山田淳一、舛田浩一、Won Bae、村田耕一郎、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第22回日本腰痛学会
    • Place of Presentation
      幕張メッセ国際会議場(東京)
    • Year and Date
      2014-11-15 – 2014-11-16
    • Related Report
      2014 Annual Research Report
  • [Presentation] 多血小板血漿を用いた椎間板内治療の開発 -組織修復を目的とした腰痛治療2014

    • Author(s)
      明田浩司、村田耕一郎、今西隆夫、舛田浩一、Won Bae、竹上徳彦、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第43回日本脊椎脊髄病学会
    • Place of Presentation
      国立京都国際会館(京都)
    • Year and Date
      2014-04-17 – 2014-04-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] Intradiscal Injection of Autologous Platelet-Rich-Plasma releasate for the Treatment of Discogenic Low Back Pain-Preliminary Prospective Clinical Trial of 12 cases-2013

    • Author(s)
      Akeda K, Murata K, Imanishi T, Ohishi K, Masuda K, Uchida A, Sakakibara T, Kasai Y, Sudo A.
    • Organizer
      59th Annual Meeting of the Orthopaedic Research Society
    • Place of Presentation
      San Antonio, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Effect of Free Radical Scavenger in Ischemia –Reperfusion Injury Muscle Crush Wound.2013

    • Author(s)
      Hori K, Tsujii M, Iino T, Uemura T, Nishimura A, Akeda K, Hasegawa M, Sudo A.
    • Organizer
      59th Annual Meeting of the Orthopaedic Research Society
    • Place of Presentation
      San Antonio, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Transfection of NF-κB Decoy Oligodeoxynucleotide Protects Against Ischemia/reperfusion Injury in Rat Skin Flap.2013

    • Author(s)
      Uemura T, Tsujii M, Akeda K, Satonaka H, Hori K, Sudo A.
    • Organizer
      American Academy of Orthopaedic Surgeons
    • Place of Presentation
      Chicago, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] MORPHOLOGICAL CLASSIFICATION OF INTERVERTEBRAL DISC RUPTURE – ASSOCIATION WITH DEGENERATIVE LUMBAR DISEASES2013

    • Author(s)
      Koichiro Murata, Koji Akeda, Akihiro Sudo
    • Organizer
      The International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Scottsdale, AZ, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] EFFECT OF PREVALENT VERTEBRAL FRACTURES ON THE OCCURRENCE PATTERN OF NEW VERTEBRAL FRACTURES -A POPULATION-BASED COHORT STUDY2013

    • Author(s)
      Koji Akeda, Toshihiro Kato, Akinobu Nishimura, Koichiro Murata, Akihiro Sudo
    • Organizer
      The International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Scottsdale, AZ, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Expression of the tissue renin-angiotensin system in rat and bovine intervertebral discs.2013

    • Author(s)
      Akeda K, Morimoto R, Iida R, Murata K, Sudo A
    • Organizer
      The International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Scottsdale, AZ, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Intradiscal Injection of Autologous Platelet-Rich-Plasma releasate for the Treatment of Discogenic Low Back Pain -Preliminary Prospective Clinical Trial of 12 cases-2013

    • Author(s)
      K. Akeda, K. Murata, T. Imanishi, K. Ohishi, K. Masuda, A. Uchida, T. Sakakibara, Y. Kasai, A. Sudo
    • Organizer
      Orthopaedic Research Society
    • Place of Presentation
      San Antonio, TX, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 地域住民の腰椎変性度調査―腰椎単純X線像を用いた新規点数化システム―2013

    • Author(s)
      明田浩司、今西隆夫、村田耕一郎、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第120回中部日本整形外科災害外科学会学術集会
    • Place of Presentation
      和歌山市
    • Related Report
      2013 Research-status Report
  • [Presentation] 後弯変形を伴う頚椎症性神経根症に対して前方除圧固定術を行った3例2013

    • Author(s)
      村田耕一郎、明田浩司、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第120回中部日本整形外科災害外科学会学術集会
    • Place of Presentation
      和歌山市
    • Related Report
      2013 Research-status Report
  • [Presentation] 多血症板血漿を用いた椎間板修復治療―JOABPEQを用いた治療効果判定―2013

    • Author(s)
      明田浩司、村田耕一郎、今西隆夫、森本 亮、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      宜野湾市
    • Related Report
      2013 Research-status Report
  • [Presentation] 脊椎椎体骨折の追跡コホート調査―既存骨骨折が新規骨折の発生様式に与える影響―2013

    • Author(s)
      明田浩司、村田耕一郎、今西隆夫、森本 亮、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      宜野湾市
    • Related Report
      2013 Research-status Report
  • [Presentation] 組織レニン-アンギオテンシン系シグナルは椎間板組織内で活性化する2013

    • Author(s)
      森本 亮、明田浩司、今西隆夫、村田耕一郎、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      宜野湾市
    • Related Report
      2013 Research-status Report
  • [Presentation] 糖鎖高分子技術を用いた椎間板バイオマテリアルの開発2013

    • Author(s)
      今西隆夫、明田浩司、村田耕一郎、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      宜野湾市
    • Related Report
      2013 Research-status Report
  • [Presentation] 椎間板断裂の形態分類―腰椎性疾患との関連性―2013

    • Author(s)
      村田耕一郎、明田浩司、今西隆夫、森本 亮、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第42回日本脊椎脊髄病学会
    • Place of Presentation
      宜野湾市
    • Related Report
      2013 Research-status Report
  • [Presentation] 椎間板における組織レニン-アンギオテンシン系の発現とその意義2013

    • Author(s)
      森本 亮、明田浩司、辻井雅也、西村明展、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第86回日本整形外科学会学術総会
    • Place of Presentation
      広島市
    • Related Report
      2013 Research-status Report
  • [Presentation] 地域在住高齢者に対するロコモ25とロコモティブシンドロームとの関係2013

    • Author(s)
      西村明展、松峯昭彦、長谷川正裕、若林弘樹、明田浩司、淺沼邦洋、辻井雅也、里中東彦、松原孝夫、加藤公、須藤啓広
    • Organizer
      第86回日本整形外科学会学術総会
    • Place of Presentation
      広島市
    • Related Report
      2013 Research-status Report
  • [Presentation] 脊椎手術患者の周術期深部静脈血栓症に対するマネージメント2013

    • Author(s)
      今西隆夫、明田浩司、長谷川正裕、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第86回日本整形外科学会学術総会
    • Place of Presentation
      広島市
    • Related Report
      2013 Research-status Report
  • [Presentation] 脊椎椎体骨折の追跡調査―既存骨折に対する新規骨折の発生様式―2013

    • Author(s)
      加藤俊宏、明田浩司、西村明展、松峯昭彦、長谷川正裕、若林弘樹、辻井雅也、淺沼邦洋、松原孝夫、中村知樹、須藤啓広
    • Organizer
      第86回日本整形外科学会学術総会
    • Place of Presentation
      広島市
    • Related Report
      2013 Research-status Report
  • [Presentation] 片側Cortical Bone Trajectory法を用いた後方椎体間固定術2013

    • Author(s)
      明田浩司、村田浩一郎、藤井 渉;、竹上德彦、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第20回記念日本脊椎・脊髄神経手術手技学会学術集会
    • Place of Presentation
      名古屋市
    • Related Report
      2013 Research-status Report
  • [Presentation] 後弯変形を伴う頚椎症性神経根症に対する前方除圧固定術2013

    • Author(s)
      村田耕一郎、明田浩司、竹上德彦、藤井 渉、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第20回記念日本脊椎・脊髄神経手術手技学会学術集会
    • Place of Presentation
      名古屋市
    • Related Report
      2013 Research-status Report
  • [Presentation] Cortical Bone Trajectory法を用いた腰椎後方固定術2013

    • Author(s)
      竹上德彦、明田浩司、村田耕一郎、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第121回中部日本整形外科災害外科学会学術集会
    • Place of Presentation
      名古屋市
    • Related Report
      2013 Research-status Report
  • [Presentation] 弛みを生じた椎弓根スクリュー周囲組織の免疫組織学的解析-構成細胞および炎症の評価-2013

    • Author(s)
      明田浩司、村田耕一郎、飯野隆大、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第28回日本整形外科学会基礎学術集会
    • Place of Presentation
      千葉市
    • Related Report
      2013 Research-status Report
  • [Presentation] 家兎腰椎組織における低酸素・糖代謝関連因子の発現様式2013

    • Author(s)
      村田耕一郎、明田浩司、今西隆夫、飯野隆大、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第28回日本整形外科学会基礎学術集会
    • Place of Presentation
      千葉市
    • Related Report
      2013 Research-status Report
  • [Presentation] 家兎腰動脈結紮モデルにおける低酸素・糖代謝関連因子の免疫組織学的検討2013

    • Author(s)
      村田耕一郎、明田浩司、今西隆夫、飯野隆大、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第28回日本整形外科学会基礎学術集会
    • Place of Presentation
      千葉市
    • Related Report
      2013 Research-status Report
  • [Presentation] Ligation of lumbar arteries induces extracellular matrix changes in intervertebral discs as shown by MRI T2-mapping and histology2012

    • Author(s)
      Imanishi T、Akeda K、Obata S、Sudo A
    • Organizer
      The International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Amsterdam, The Netherlands
    • Related Report
      2012 Research-status Report
  • [Presentation] Intradiscal Injection Of Autologous Plateletrich-Plasma Improved Discogenic Low Back Pain: Preliminary Prospective Clinical Study2012

    • Author(s)
      Akeda K、Imanishi T、Masuda K、Sakakibara T、Kasai Y、Sudo A
    • Organizer
      The International Society for the Study of the Lumbar Spine
    • Place of Presentation
      Amsterdam, The Netherlands
    • Related Report
      2012 Research-status Report
  • [Presentation] 腰椎虚血に対する椎間板基質代謝の影響 -MRI T2-mappingおよび組織学的評価-2012

    • Author(s)
      今西隆夫、明田浩司、宮本啓一、飯野隆大、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第27回日本整形外科学会基礎学術集会
    • Place of Presentation
      名古屋国際会議場
    • Related Report
      2012 Research-status Report
  • [Presentation] 硫酸化ジェランの椎間板基質代謝への影響2012

    • Author(s)
      今西隆夫、明田浩司、宮本啓一、飯野隆大、榊原紀彦、笠井裕一、須藤啓広
    • Organizer
      第27回日本整形外科学会基礎学術集会
    • Place of Presentation
      名古屋国際会議場
    • Related Report
      2012 Research-status Report

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

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