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A study of the perioperative glycemic control method using pharmacological activity of GLP-1

Research Project

Project/Area Number 24592340
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKochi University

Principal Investigator

KAWANO Takashi  高知大学, 教育研究部・医療学系, 講師 (40380076)

Co-Investigator(Kenkyū-buntansha) YOKOYAMA Masataka  高知大学, 教育研究部医療学系, 教授 (20158380)
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: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsグルカゴン様ペプチド-1 / インスリン / 全身麻酔薬 / 血糖管理 / 周術期 / 糖尿病 / 吸入麻酔薬 / グルカゴン様ペプチド / イソフルラン / プロポフォール / デクスメデトミジン / インスリン分泌 / 静脈麻酔薬 / グルコース / 耐糖能異常 / 膵島灌流試験
Outline of Final Research Achievements

Glucagon-like peptide-1 (GLP-1) is known to increase insulin secretion and play a crucial role in maintaining glucose homeostasis. In this study, we performed both in vivo and in vitro experiments to evaluate the interaction between GLP-1 and general anesthetics in rats. Our findings can be summarized as follows: 1) Inhalation of isoflurane led to a decrease in the basal levels of GLP-1. 2) Isoflurane attenuated the glucose-evoked increase in the levels of GLP-1 and insulin and increased the plasma glucose levels. 3) During oral glucose tolerance test, dexmedetomidine inhibited glucose-induced insulin secretion in dose-dependent manner. 3) In perifusion experiments, isoflurane inhibited glucose-induced insulin release, whereas exogenous GLP-1 enhanced it. 4) Whole-cell patches showed that GLP-1 could restore the glucose-stimulated depolarization suppressed by isoflurane. 5) Propofol has no effect on the GLP-1 release from intestinal L cells.

Report

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

    (8 results)

All 2015 2014 2013 2012

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (5 results) Book (1 results)

  • [Journal Article] Effects of dexmedetomidine on insulin secretion from rat pancreatic β cells.2015

    • Author(s)
      Takahashi T, Kawano T, Eguchi S, Chi H, Iwata H, Yokoyama M
    • Journal Title

      J Anesth

      Volume: In Press Issue: 3 Pages: 396-402

    • DOI

      10.1007/s00540-014-1943-2

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Biophysical and pharmacological properties of glucagon-like peptide-1 in rats under isoflurane anesthesia.2012

    • Author(s)
      Kawano T, Tanaka K, Chi H, Eguchi S, Yamazaki F, Kitamura S, Kumagai N, Yokoyama M
    • Journal Title

      Anesth Analg

      Volume: 115 Issue: 1 Pages: 62-9

    • DOI

      10.1213/ane.0b013e318253cbf0

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] セロトニン症候群の動物モデルラットに対するデクスメデトミ ジンの効果 -ミダゾラムとの比較-2014

    • Author(s)
      山中大樹, 河野 崇, 横山正尚
    • Organizer
      第 21 回日本静脈麻酔学会
    • Place of Presentation
      高松 (サンポート高松)
    • Year and Date
      2014-11-29
    • Related Report
      2014 Annual Research Report
  • [Presentation] ミダゾラムの健忘に対する鼻腔 内投与の効果 -ラットを用いた検討-2014

    • Author(s)
      角野貴應, 河野 崇, 岩田英樹, 神長知美, 山中大樹, 横山正尚
    • Organizer
      日本臨床麻酔学会第 34 回大会
    • Place of Presentation
      東京 (グランドプリンスホテル新高輪)
    • Year and Date
      2014-11-01 – 2014-11-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] ) 術後認知 機能障害に対するプレガバリンの有効性 -高齢ラットモデルでの検討-2014

    • Author(s)
      井守聡子, 河野 崇, 森川彰大, 脇彩也香, 高橋哲也, 横山正尚
    • Organizer
      日本麻酔科学会 第 61 回学術集会
    • Place of Presentation
      横浜 (パシフィコ横浜)
    • Year and Date
      2014-05-15 – 2014-05-17
    • Related Report
      2014 Annual Research Report
  • [Presentation] Effects of Propofol on Secretion and Insulinotropic Efficiency of Glucagon-Like Peptide-1: An In Vitro Study2013

    • Author(s)
      Daiki Yamanaka, Takashi Kawano, Haidong Chi, Kentaro Yamamoto, Yori Inoue, Tomoka Eri, Mitsuki Fukuta, Rie Ihara, Masataka Yokoyama, Satoru Eguchi
    • Organizer
      American Society of Anesthesiology, 2013 Annual meeting
    • Place of Presentation
      San Francisco
    • Related Report
      2013 Research-status Report
  • [Presentation] Effects of Dexmedetomidine on Insulin Secretion From Rat Pancreatic β Cells2012

    • Author(s)
      D Yamanaka, T Kawano, S Eguchi, H Chi, H Iwata, F Yamazaki, M Yokoyama
    • Organizer
      American Society of Anesthesiologists Annual Meeting 2012
    • Place of Presentation
      Washington Convention Center (USA)
    • Related Report
      2012 Research-status Report
  • [Book] Patch Clamp Technique (Edited by Fatima Shad Kaneez): Chapter 4; Single-channel properties2012

    • Author(s)
      Takashi Kawano
    • Publisher
      In Tech
    • Related Report
      2012 Research-status Report

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

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