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Immune response after therapeutic brain hypothermia for severe brain injury

Research Project

Project/Area Number 24791955
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Emergency medicine
Research InstitutionNippon Medical School

Principal Investigator

MATSUMOTO Gaku  日本医科大学, 医学部, 助教 (30409213)

Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords脳低温療法 / 重症脳損傷 / 心停止後症候群 / 免疫不全 / 免疫機能 / 中枢神経障害 / 脳卒中 / 頭部外傷 / 蘇生後脳症
Outline of Final Research Achievements

We analyzed immune function of patients, who got severe brain injury due to post-cardiac arrest syndrome and received therapeutic brain hypothermia. Under the condition of 34 degrees Celsius, lymphocytes were decreased. Especially decrease of CD8 positive T cell was significant. After therapeutic brain hypothermia, the number of lymphocyte was normalized. But decrease of CD8 positive T cell was prolonged.
Next we analyzed immune response with classification based on severity of brain injury. The patients with severe brain injury showed significant decrease of CD4 positive T cell. Though we could not observe significant difference of proportion of Th1 cell to Th2 cell, low Interleukin-4 (IL-4) and high Interleukin-10 (IL-10) were revealed in severely brain injured patients. IL-4 activates Th2 and IL-10 suppresses Th1, therefore both cellular immunitiy and humoral immunity were suppressed in spite of no difference of proportion of Th1 cell to Th2 cell.

Report

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

    (6 results)

All 2014 2013

All Presentation (4 results) Book (2 results)

  • [Presentation] 院外心肺停止患者に対する体外式心肺補助使用下脳低温療法における治療脱落の予測因子2014

    • Author(s)
      松本学
    • Organizer
      第41回収中治療医学会学術集会
    • Place of Presentation
      京都府
    • Related Report
      2013 Research-status Report
  • [Presentation] 心停止後症候群に対する脳低温療法の予後予測因子2013

    • Author(s)
      松本学
    • Organizer
      第63回日本救急医学会関東地方会
    • Place of Presentation
      東京都
    • Related Report
      2013 Research-status Report
  • [Presentation] 心停止後症候群に対する脳低温療法の予後予測因子2013

    • Author(s)
      松本学
    • Organizer
      第26回日本脳死脳蘇生学会
    • Place of Presentation
      東京都
    • Related Report
      2013 Research-status Report
  • [Presentation] 院外心肺停止患者に対する脳低温療法 ~原因・施行法による転帰関連因子の違い~2013

    • Author(s)
      松本学
    • Organizer
      第41回日本救急医学会学術集会
    • Place of Presentation
      東京都
    • Related Report
      2013 Research-status Report
  • [Book] Post Cardiac Arrest Syndrome2014

    • Author(s)
      黒田 泰弘
    • Total Pages
      257
    • Publisher
      総合医学社
    • Related Report
      2014 Annual Research Report
  • [Book] PCAS心停止後症候群に対する神経集中治療 適応,方法,効果2014

    • Author(s)
      黒田泰弘
    • Total Pages
      257
    • Publisher
      総合医学社
    • Related Report
      2013 Research-status Report

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

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