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Development of a novel strategy for heatstroke via the cholinergic anti-inflammatory pathway

Research Project

Project/Area Number 24791938
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Emergency medicine
Research InstitutionOsaka University

Principal Investigator

YAMAKAWA Kazuma  大阪大学, 医学部附属病院, 医員 (50597507)

Research Collaborator OGURA Hiroshi  大阪大学, 医学系研究科, 准教授 (70301265)
MATSUMOTO Naoya  大阪大学, 医学部附属病院, 助教 (50359808)
IMAMURA Yukio  京都大学, 医学系研究科, 研究員 (90447954)
NAKAGAWA Junichiro  大阪大学, 医学部附属病院, 医員 (60597508)
Project Period (FY) 2012-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywordsコリン作動性抗炎症経路 / 迷走神経刺激 / 熱中症 / 全身性炎症反応症候群 / SIRS
Research Abstract

This study was performed to gain insights into novel therapeutic approaches for the treatment of heatstroke. We evaluated whether electrical vagus nerve stimulation (VNS) via the cholinergic anti-inflammatory pathway attenuates severe heatstroke, which induces a systemic inflammatory response. Seven-day mortality improved significantly in the VNS-treated group versus control group. Electrical VNS significantly suppressed induction of pro-inflammatory cytokines. Immunohistochemical analysis revealed that VNS treatment attenuated infiltration of inflammatory cells in lung and spleen. Interestingly, most cells with increased CD11b positivity in response to heat stress did not express a7 nicotinic acetylcholine receptor in the spleen. These data indicate that electrical VNS modulated cholinergic anti-inflammatory pathway abnormalities induced by heat stress, and this protective effect was associated with improved mortality.

Report

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

    (7 results)

All 2014 2013 2012 Other

All Journal Article (3 results) (of which Peer Reviewed: 1 results) Presentation (4 results)

  • [Journal Article] 【神経内分泌反応と炎症・凝固反応】迷走神経刺激と熱中症2014

    • Author(s)
      山川一馬, 松本直也, 小倉裕司
    • Journal Title

      Thrombosis Medicine

      Volume: 4(1) Pages: 34-40

    • Related Report
      2013 Final Research Report
  • [Journal Article] 【神経内分泌反応と炎症・凝固反応】 迷走神経制御と熱中症2014

    • Author(s)
      山川一馬、松本直也、小倉裕司
    • Journal Title

      Thrombosis Medicine

      Volume: 4(1) Pages: 34-40

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Electrical vagus nerve stimulation attenuates systemic inflammation and improves survival in a rat heatstroke model2013

    • Author(s)
      Yamakawa K., Matsumoto N., Imamura Y., Muroya T., Yamada T., Nakagawa J., Shimazaki J., Ogura H., Kuwagata Y., and Shimazu T.
    • Journal Title

      PLoS One

      Volume: 8 Issue: 2 Pages: 1-7

    • DOI

      10.1371/journal.pone.0056728

    • Related Report
      2013 Annual Research Report 2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Presentation] コリン作動性抗炎症経路に着目した熱中症の病態解明と新規治療戦略の開発2012

    • Author(s)
      山川一馬ら
    • Organizer
      第19回外科侵襲とサイトカイン研究会
    • Place of Presentation
      神戸
    • Year and Date
      2012-12-08
    • Related Report
      2013 Final Research Report
  • [Presentation] CHOLINERGIC ANTI-INFLAMMATORY PATHWAY IN HEAT STRESS2012

    • Author(s)
      Yamakawa K, et al
    • Organizer
      The 35th Annual Conference on Shock
    • Place of Presentation
      米国マイアミ
    • Related Report
      2013 Final Research Report
  • [Presentation] CHOLINERGIC ANTI-INFLAMMATORY PATHWAY IN HEAT STRESS2012

    • Author(s)
      Kazuma Yamakawa, Naoya Matsumoto, Yukio Imamura, Takashi Muroya, Junichiro Nakagawa, Junya Shimazaki, Hideo Hosotsubo, Hiroshi Ogura, Yasuyuki Kuwagata, Takeshi Shimazu
    • Organizer
      The 35th Annual Conference on Shock
    • Place of Presentation
      米国マイアミビーチ
    • Related Report
      2012 Research-status Report
  • [Presentation] コリン作動性抗炎症経路に着目した 熱中症の病態解明と新規治療戦略の開発

    • Author(s)
      山川一馬、松本直也、今村行雄、中川淳一郎、山田知輝、小倉裕司、鍬方安行、嶋津岳士
    • Organizer
      第19回外科侵襲とサイトカイン研究会
    • Place of Presentation
      神戸
    • Related Report
      2012 Research-status Report

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

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