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Establishment of plasma neutrophil gelatinase associated lipocalin level as a biomarker in endothelial dysfunction and renal dysfunction in the early stage in patients with obstructive sleep apnea

Research Project

Project/Area Number 24621005
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field 睡眠科学
Research InstitutionKyushu University (2013-2014)
Kyoto University (2012)

Principal Investigator

YOSHIMURA Chikara  九州大学, 大学病院, 学術研究員 (20511885)

Co-Investigator(Kenkyū-buntansha) MORI Kiyoshi  京都大学, 大学院医学研究科, 准教授 (60343232)
CHIN Kazuo  京都大学, 大学院医学研究科, 特定教授 (90197640)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords睡眠時無呼吸 / Ngal / 腎障害 / バイオマーカー / 閉塞型睡眠時無呼吸 / 好中球ゼラチラーゼ結合性リポカリン / 血管内皮機能 / 睡眠時無呼吸症候群 / 間欠的低酸素 / 細胞実験 / NGAL / 気道上皮 / 好中球ゼラチラーゼ結合性リポカリン(NGAL)
Outline of Final Research Achievements

Obstructive sleep apnea (OSA) and a novel lipocalin, neutrophil gelatinase associated lipocalin (Ngal),have been reported to be closely linked with cardiovascular disease and loss of kidney function through chronic inflammation. However, the relationship between OSA and Ngal has never been investigated. In 102 patients, plasma Ngal levels were measured. Ngal levels were reevaluated after three months of treatment in 25 patients.The Ngal level correlated significantly with OSA severity as determined by the apnea hypopnea index and 4% oxygen desaturation index (ODI). Multiple regression analysis showed that the Ngal level was associated with 4%ODI independently of other clinical variables. The Ngal levels were not significantly changed after CPAP.Plasma Ngal levels were positively associated with the severity of OSA. However, it does not seem reasonable to use the Ngal level as a specific biomarker of OSA in clinical practice.

Report

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

    (15 results)

All 2015 2014 2013 2012

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (10 results)

  • [Journal Article] Association Between Endothelial Function (Assessed on Reactive Hyperemia Peripheral Arterial Tonometry) and Obstructive Sleep Apnea, Visceral Fat Accumulation, and Serum Adiponectin2015

    • Author(s)
      Azuma M, Chihara Y, Yoshimura C, Murase K, Hamada S, Tachikawa R, Matsumoto T, Inouchi M, Tanizawa K, Handa T, Oga T, Mishima M, Chin K
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 6 Pages: 1381-1389

    • DOI

      10.1253/circj.CJ-14-1303

    • NAID

      130005073141

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] A urine biomarker for severe OSA patients: lipocaline-type prostaglandin D synthase.2013

    • Author(s)
      Chihara Y, Chin K, Aritake K, Harada Y, Toyama Y, Murase K, Yoshimura C, Hitomi T, Oga T, Mishima M, Urade Y.
    • Journal Title

      Eur Respir J

      Volume: in press Issue: 6 Pages: 1563-1574

    • DOI

      10.1183/09031936.00133512

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between plasma neutrophil gelatinase associated lipocalin level and obstructive sleep apnea or nocturnal intermittent hypoxia2013

    • Author(s)
      Murase K, Mori K, Yoshimura C, Aihara K, Chihara Y, Azuma M, Harada Y, Toyama Y, Tanizawa K, Handa T, Hitomi T, Oga T, Mishima M, Chin K
    • Journal Title

      PLoS One

      Volume: 8 Issue: 1 Pages: e54184-e54184

    • DOI

      10.1371/journal.pone.0054184

    • NAID

      120005241417

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Measurement of dyspnea in patients with obstructive sleep apnea2013

    • Author(s)
      Aihara K, Oga T, Yoshimura C, Hitomi T, Chihara Y, Harada Y, Murase K, Toyama Y, Tanizawa K, Handa T, Tsuboi T, Mishima M, Chin K
    • Journal Title

      Sleep Breath

      Volume: 17(2) Issue: 2 Pages: 753-761

    • DOI

      10.1007/s11325-012-0759-2

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Relationships of Decreased Lung Function with Metabolic Syndrome and Obstructive Sleep Apnea in Japanese Males2012

    • Author(s)
      C Yoshimura, T Oga, K Chin, M Takegami, K Takahashi, K Sumi, T Nakamura, Y Nakayama-Ashida, I Minami, S Horita, Y Oka, T Wakamura, S Fukuhara, M Mishima, H Kadotani
    • Journal Title

      Internal Medicine

      Volume: 51 Issue: 17 Pages: 2291-2297

    • DOI

      10.2169/internalmedicine.51.7427

    • NAID

      130002062334

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 閉塞型睡眠時無呼吸ならびに腹部肥満の血管内皮機能への影響2014

    • Author(s)
      東正徳、茆原雄一、吉村力、谷澤公伸、外山善朗、村瀬公彦、 濱田哲、立川良、井内盛遠、小賀徹、三嶋理晃、陳和夫
    • Organizer
      第39回日本睡眠学会総会
    • Place of Presentation
      徳島 あわぎんホール
    • Year and Date
      2014-07-03 – 2014-07-04
    • Related Report
      2014 Annual Research Report
  • [Presentation] Endothelial Dysfunction Evaluated By Reactive Hyperemia Peripheral Arterial Tonometry (RH-PAT) In Obstructive Sleep Apnea Patients2014

    • Author(s)
      Masanori Azuma, Yuichi Chihara, Chikara Yoshimura, Toru Oga, Kiminobu Tanizawa, Morito Inouchi, Yoshiro Toyama, Kimihiko Murase, Satoshi Hamada, Ryo Tachikawa, Michiaki Mishima, Kazuo Chin
    • Organizer
      American Thoracic Society International Conference
    • Place of Presentation
      San Diego, California, USA
    • Year and Date
      2014-05-16 – 2014-05-21
    • Related Report
      2014 Annual Research Report
  • [Presentation] 閉塞型睡眠時無呼吸患者に対するReactive Hyperemia Peripheral Arterial Tonometry (RH-PAT)を用いた血管内皮機能の検討2014

    • Author(s)
      東正徳、茆原雄一、吉村力、小賀徹、谷澤公伸、井内盛遠、外山善朗、村瀬公彦、濱田哲、立川良、三嶋理晃、陳和夫
    • Organizer
      第54回日本呼吸器学会総会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2014-04-25 – 2014-04-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] 閉塞型睡眠時無呼吸患者の血管内皮機能と併存症との関連2014

    • Author(s)
      東正徳、谷澤公伸、茆原雄一、外山善朗、村瀬公彦、吉村力、井内盛遠、小賀徹、三嶋理晃、陳和夫
    • Organizer
      第111回日本内科学会総会
    • 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] Comparison of the effects of different antihypertensive drugs in patients with obstructive sleep apnea and hypertension following CPAP therapy.2013

    • Author(s)
      Yoshimura C, Oga T, Murase K, Moritsuchi Y, Hitomi T, Watanabe K, Inoue H, Mishima M, Tsuda T, Chin K.
    • Organizer
      American thoracic society international conference.
    • Place of Presentation
      Philadelphia, U.S.A.
    • Related Report
      2013 Research-status Report
  • [Presentation] Continuous positive airway pressure therapy decreases plasma glucose levels after the glucose load even in non-diabetic patients with obstructive sleep apnea.2013

    • Author(s)
      Yoshimura C, Tamura A, Kawano Y, Watanabe T, Ando S.
    • Organizer
      5th world congress on sleep medicine.
    • Place of Presentation
      Valencia, Spain.
    • Related Report
      2013 Research-status Report
  • [Presentation] 閉塞性睡眠時無呼吸患者における血中好中球ゼラチナーゼ関連リポカリン(NGAL)濃度の検討.2013

    • Author(s)
      村瀬公彦,森潔,吉村力,相原顕作,茆原雄一,東正徳,原田有香,外山善朗,谷澤公伸,半田知宏,人見健文,小賀徹,三嶋理晃,陳和夫.
    • Organizer
      第53回日本呼吸器学会学術講演会.
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] CPAP治療中の高血圧残存閉塞型睡眠時無呼吸に対する降圧薬のランダム化比較試験.2013

    • Author(s)
      吉村力,小賀徹,村瀬公彦,森槌康貴,人見健文,渡辺憲太朗,井上博雅,三嶋理晃,津田徹,陳和夫.
    • Organizer
      第53回日本呼吸器学会学術講演会.
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 血液中NGAL (neutrophil gelatinase-associated lipocalin)と閉塞性睡眠時無呼吸の関連について2013

    • Author(s)
      村瀬公彦、森潔、吉村力、相原顕作、茆原雄一、東正徳、原田有香、外山善朗、谷澤公伸、半田知宏、人見健文、小賀徹、三嶋理晃、陳和夫
    • Organizer
      第53回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Presentation] CPAP治療中の高血圧残存閉塞型睡眠時無呼吸に対する降圧薬のランダム化比較試験2013

    • Author(s)
      吉村力、小賀徹、村瀬公彦、森槌康貴、人見健文、渡辺憲太郎、井上博雅、三嶋理晃、津田徹
    • Organizer
      第53回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report

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

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