PATHOLOGICAL INVESTIGATION OF PLACENTA PREVIA ACCRETA: THE SITE OF UTERINE WALL AND THE WIDTH/DEPTH OF VILLOUS INVASION
| Project/Area Number |
24791699
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Obstetrics and gynecology
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| Research Institution | Nagoya University |
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Principal Investigator |
SUMIGAMA SEIJI 名古屋大学, 医学(系)研究科(研究院), 特任講師 (50378121)
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| Research Collaborator |
WATANABE Yuriko 中部ろうさい病院, 産婦人科, 副部長
HATTORI Yuka 名古屋掖済会病院, 産婦人科, 医長
MATSUKAWA Satoshi 小牧市民病院, 産婦人科, 医長
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| Project Period (FY) |
2012-04-01 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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| Keywords | 癒着胎盤 / 血清マーカー |
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| Outline of Final Research Achievements |
The objective of the current study is to examine molecular biological change of trophoblast invasion in placenta accreta by DNA microarray analysis. We isolated villous trophoblast from invasive site and control from non-invasive site in a case of placenta accreta and extracted complemantary DNA by RT-PCR. A DNA microarray analysis and Gene ontology analysis extracted overexpressed genes, MMP-19, ADAM-28, cathepsin S and cathepsin L. Immunohistochemistry of accreta cases revealed poor expression of MMP-19 and no difference between invasion and non-invasion site in ADAM-28 and cathepsin S, however a abundant expression of cathepsin L in especially in extra-villous trophoblast in invasion site. The serum cathepsin L level in placenta previa with accreta was significantly higher than those of normal pregnancy and placenta previa with no accreta. Thus, our data suggests a role for cathepsin L in the regulation of abnormal invasion of trophoblast in case of placenta accreta.
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Report
(5 results)
Research Products
(16 results)
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[Journal Article] Uterine sutures at prior caesarean section and placenta accreta in subsequent pregnancy: a case control study2014
Author(s)
S Sumigama, C Sugiyama, T Kotani, H Hayakawa, A Inoue, Y Mano, H Tsuda, M Furuhashi, O Yamamuro, Y Kinoshita, T Okamoto, H Nakamura, K Matsusawa, K Sakakibara, H Oguchi, M Kawai, Y Shimoyama, K Tamakoshi, F Kikkawaa
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Journal Title
BJOG
Volume: 121
Issue: 7
Pages: 866-874
DOI
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Presentation] VARIATIONS IN SUTURE TECHNIQUES AT CESAREAN SECTION AND ITS RELATION TO COMPLICATIONS IN SUBSEQUENT PREGNANCIES2015
Author(s)
S. SUMIGAMA, Y. MORIYAMA, Y. ITO, K. IMAI, H. MOROI, S. HIRAKO, T. NAKANO, H. TSUDA, T. KOTANI, F. KIKKAWA
Organizer
The 22nd World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI)
Place of Presentation
Budapest、ハンガリー
Year and Date
2015-09-18
Related Report
Int'l Joint Research
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[Presentation] A rare ultrasonographic observation in the extraembryonic coelom at first trimester of pregnancy: did it predict the limb body wall complex?2014
Author(s)
S Sumigama, T Kotani, Y Mano, T Ushida, Y Hattori, T Nakano, Y Miwa, K Niimi, E Yamamoto, F Kikkawa
Organizer
IFPA (International Federation of Placenta Associations) meeting
Place of Presentation
Paris, France
Year and Date
2014-09-08 – 2014-09-12
Related Report
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