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Establishment of sustained drug delivery system to inhibit scaring and synechia after glaucoma surgery

Research Project

Project/Area Number 24592684
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionOsaka Medical College

Principal Investigator

KOJIMA Shota  大阪医科大学, 医学部, 講師 (10388259)

Co-Investigator(Kenkyū-buntansha) SUGIYAMA Tetsuya  大阪医科大学, 医学部, 非常勤講師 (20298764)
Co-Investigator(Renkei-kenkyūsha) TAKAI Shinji  大阪医科大学, 医学部, 教授 (80288703)
JIN Denan  大阪医科大学, 医学部, 教授 (90319533)
TATABA Yasuhiko  京都大学, 再生医科学研究所, 教授 (50211371)
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: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords緑内障 / 濾過手術 / ハイドロゲル / マイトマイシンC / 徐放 / 濾過胞 / 安全 / 眼圧 / ゼラチンハイドロゲル / 線維芽細胞 / マイトマイシン
Outline of Final Research Achievements

Glaucoma surgery models were made in six beagles. A maitomycin C (MMC)-loaded gelatin hydrogel (GH) was implanted under the conjunctiva of one eye (GH-MMC group) and 0.04% MMC-soaked sponges were placed under the conjunctiva of the other eye (MMC group) for 5 minutes.
In both groups, IOP reduction and bleb formation were maintained in a similar manner for 4 weeks postoperative. No significant difference in the ratio of conjunctival area to scleral area was found between the two groups. Collagen density and the numbers of fibroblasts and vessels were significantly lower in the MMC-treated group than in the GH- MMC treated group. No significant difference in PCNA-positive cells was found between the two groups.
Implantation of MMC-loaded GH ameliorated toxicity to conjunctiva compared with the 5-minute placement of MMC, whereas its effect on IOP reduction and bleb formation was similar. These results suggest that using GH for the application of MMC is a safer method.

Report

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

    (10 results)

All 2015 2014 2013 2012

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

  • [Journal Article] Effects of Gelatin Hydrogel Loading Mitomycin C on Conjunctival Scarring in a Canine Filtration Surgery Model2015

    • Author(s)
      Shota Kojima, Tetsuya Sugiyama, Shinji Takai, Denan Jin, Mari Ueki, Hidehiro Oku, Yasuhiko Tabata, Tsunehiko Ikeda
    • Journal Title

      Investigative Ophthalmology and Visual Science

      Volume: 56 Issue: 4 Pages: 2601-2601

    • DOI

      10.1167/iovs.15-16486

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] P2X2 receptor activation may be involved in neuronal loss in the retinal ganglion cell layer after acute elevation of intraocular pressure in rats.2014

    • Author(s)
      Sugiyama T, Lee SY, Horie T, Oku H, Takai S, Tanioka H, Kuriki Y, Kojima S, Ikeda T.
    • Journal Title

      Mol Vis.

      Volume: 19 Pages: 2080-2091

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case involving an Ahmed glaucoma valve transferred from the vitreous into the anterior chamber of the eye with a silicone oil tamponade for the treatment of neovascular glaucoma.2013

    • Author(s)
      Miki M, Ueki M, Sugiyama T, Kojima S, Ikeda T.
    • Journal Title

      Clin Ophthalmol.

      Volume: 7 Pages: 449-453

    • DOI

      10.2147/opth.s40932

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] ビマトプロスト単回点眼の正常眼における視神経乳頭血流におよぼす影響2013

    • Author(s)
      小嶌祥太、杉山哲也、柴田真帆、植木麻理、池田恒彦
    • Journal Title

      臨床眼科

      Volume: 67 Pages: 1083-1087

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Visual field screening system by using overlapped fixation patterns.2012

    • Author(s)
      Kotani K, Yoshikawa R, Tamura T, Asao T, Sugiyama T, Ueki M, Kojima S, Shibata M, Ikeda T
    • Journal Title

      Electron Comm Jpn

      Volume: 95 Pages: 29-40

    • NAID

      210000164332

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 緑内障眼の視神経乳頭血流の波形変化:LSFG-NAVITMによる解析.2012

    • Author(s)
      杉山哲也、柴田真帆、小嶌祥太、植木麻理、池田恒彦.
    • Journal Title

      あたらしい眼科

      Volume: 29 Pages: 984-987

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] マイトマイシン(MMC)包含Gelatin Hydrogelの緑内障濾過手術への応用: MMC単独との比較2014

    • Author(s)
      小嶌祥太、杉山哲也、金 徳男、高井真司、植木麻理、池田恒彦
    • Organizer
      第118回日本眼科学会総会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2014-04-02 – 2014-04-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] マイトマイシンC(MMC)包含 Gelatin Hydrogelの緑内障濾過手術への応用:MMC単独との比較2014

    • Author(s)
      小嶌祥太、杉山哲也、金 徳男、高井真司、植木麻理、池田恒彦、田畑靖彦
    • Organizer
      第118回日本眼科学会総会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2013 Research-status Report
  • [Presentation] 圧迫性視神経症に対して 視神経減圧術を施行した 正常眼圧緑内障を疑われた一例2012

    • Author(s)
      小嶌祥太
    • Organizer
      第2回関西眼科フォーラム
    • Place of Presentation
      リーガロイヤルホテル大阪(大阪)
    • Related Report
      2012 Research-status Report
  • [Presentation] ビマトプロスト単回点眼の 正常眼における 視神経乳頭血流におよぼす影響2012

    • Author(s)
      小嶌祥太、杉山哲也、柴田真帆、植木麻理、池田恒彦
    • Organizer
      第66回日本臨床眼科学会総会
    • Place of Presentation
      国立京都国際会館・グランドプリンスホテル京都(京都)
    • Related Report
      2012 Research-status Report

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

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