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Effect of intra-venous corticotropin releasing hormone (CRH) on esophageal physiological changes in NERD patients.

Research Project

Project/Area Number 25460940
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionHyogo Medical University

Principal Investigator

Miwa Hiroto  兵庫医科大学, 医学部, 教授 (80190833)

Co-Investigator(Kenkyū-buntansha) OSHIMA Tadayuki  兵庫医科大学, 医学部, 講師 (00381814)
TOMITA Toshihiko  兵庫医科大学, 医学部, 講師 (60388824)
YAMASAKI Takahisa  兵庫医科大学, 医学部, 助教 (80648791)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
KeywordsCRH / 食道知覚閾値 / 非びらん性胃食道逆流症(NERD) / NERD / 電気刺激
Outline of Final Research Achievements

We investigated whether intra-venous corticotropin releasing hormone (CRH) administration increases esophageal sensitivity by electrical stimulation in healthy subjects and NERD patients. To evaluate electrical sensitivity, an electrode was inserted and placed above the upper boarder of the lower esophageal sphincter (LES). The electrical stimulation was gradually increased. We quantified the initial perception threshold (IPT: the minimum current intensity at which the subject first perceived the stimulus). After determination of the baseline IPT, we intravenously administered CRH. As a result, CRH significantly decreased electrical threshold of the esophagus after CRH injection in both healthy subjects and NERD patients, thus suggesting that CRH increased esophageal sensitivity to the electrical stimulus.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (16 results)

All 2015 2014 2013

All Journal Article (7 results) (of which Peer Reviewed: 6 results,  Open Access: 1 results) Presentation (5 results) (of which Invited: 1 results) Book (4 results)

  • [Journal Article] Epidemiology of functional gastrointestinal disorders in japan and in the world.2015

    • Author(s)
      Oshima T, Miwa H
    • Journal Title

      J Neurogastroenterol Motil

      Volume: 21 Issue: 3 Pages: 320-9

    • DOI

      10.5056/jnm14165

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Childhood abuse history is associated with the development of dyspepsia: a population-based survey in Japan.2015

    • Author(s)
      Oshima T, Fukui H, Watari J, Miwa H
    • Journal Title

      J Gastroenterol

      Volume: 50 Issue: 7 Pages: 744-50

    • DOI

      10.1007/s00535-014-1014-3

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evidence-based clinical practice guidelines for functional dyspepsia.2015

    • Author(s)
      Miwa H, Kusano M, Arisawa T, Oshima T, Kato M, Joh T, Suzuki H, Tominaga K, Nakada K, Nagahara A, Futagami S, Manabe N, Inui A, Haruma K, Higuchi K, Yakabi K, Hongo M, Uemura N, Kinoshita Y, Sugano K, Shimosegawa T
    • Journal Title

      J Gastroenterol

      Volume: 50 Issue: 2 Pages: 125-39

    • DOI

      10.1007/s00535-014-1022-3

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Atypical symptoms and health-related quality of life of patients with asymptomatic reflux esophagitis.2015

    • Author(s)
      Tomita T, Yasuda T, Oka H, Terao S, Arai E, Oshima T, Fukui H, Hori K, Watari J, Miwa H
    • Journal Title

      J Gastroenterol Hepatorol

      Volume: 30 Issue: S1 Pages: 19-24

    • DOI

      10.1111/jgh.12745

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Demography and treatment response in patients with predominant non-erosive reflux disease or functional dyspepsia.2014

    • Author(s)
      Miwa H, Haruma K,Sakamoto S, Sanada K, Hiroi S, Kinoshita Y.
    • Journal Title

      J Gastroenterol Hepatolgy

      Volume: 30 Issue: 5 Pages: 834-841

    • DOI

      10.1111/jgh.12877

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of rikkunshito on the expression of substance P and CGRP in dorsal root ganglion neurons and voluntary movement in rats with experimental reflux esophagitis.2014

    • Author(s)
      Kondo T, Oshima T, Koseki J, Hattori T, Kase Y, Tomita T, Fukui H, Watari J, Miwa H.
    • Journal Title

      Neurogastroenterol Motility

      Volume: 26 Issue: 7 Pages: 913-921

    • DOI

      10.1111/nmo.12342

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] GERDの発症と合併症の新しい概念(監訳)2013

    • Author(s)
      三輪洋人
    • Journal Title

      Therapeutic research

      Volume: 34 Pages: 620-7

    • Related Report
      2013 Research-status Report
  • [Presentation] 健常人のCRH負荷にともなう電気刺激に対する食道知覚閾値の検討2015

    • Author(s)
      山崎尊久,瀧本真弓, 河野友彰, 近藤隆, 戸澤勝之, 池原久朝, 應田義雄, 富田寿彦, 大島忠之, 福井広一, 渡二郎, 三輪洋人
    • Organizer
      日本消化器関連学会週間 (JDDW) 2015
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都,港区)
    • Year and Date
      2015-10-08
    • Related Report
      2015 Annual Research Report
  • [Presentation] 日本人難治性逆流性食道炎患者におけるエソメプラゾール20㎎1日2回投与と1日1回投与の有効性及び安全性の検討2015

    • Author(s)
      三輪洋人,木下芳一,Chen Lan
    • Organizer
      第89回日本消化器内視鏡学会総会
    • Place of Presentation
      名古屋国際会議場(愛知県,名古屋市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] Intra-venous Corticotropin Releaseing Hormone (CRH) administration increased esophageal electrical sensitivity in normal subjects.2014

    • Author(s)
      Yamasaki T, Takimoto M, Kono T, Kondo T, Toyoshim F, Sakurai J, Tozawa K, Ikehara H, Tomita T, Oshima T, Fukui H, Watari J, Miwa H.
    • Organizer
      Digestive Disease Week 2014
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2014-05-05
    • Related Report
      2014 Research-status Report
  • [Presentation] 逆流性食道炎・GERD2013

    • Author(s)
      三輪洋人
    • Organizer
      日本消化器病学会近畿支部第42回教育講演会
    • Place of Presentation
      西宮
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Both of esophageal visceral chemosensitivity and mechanosensitivity were similar in asymptomatic esophagitis(AE) and healthy subjects and were hypersensitive in non-erosive reflux disease(NERD)2013

    • Author(s)
      山崎 尊久
    • Organizer
      Digestive Disease Week 2013
    • Place of Presentation
      Orlando,USA
    • Related Report
      2013 Research-status Report
  • [Book] Role of acid in functional dyspepsia.2015

    • Author(s)
      Tomita T,Oshima T, Fukui H, Watari J, Miwa H
    • Total Pages
      7
    • Publisher
      Nihon Rinsho
    • Related Report
      2015 Annual Research Report
  • [Book] The effect of antianxiety and anti-depressive agents for the acid-related gastrointestinal diseases.2015

    • Author(s)
      Oshima T,Miwa H
    • Total Pages
      5
    • Publisher
      Nihon Rinsho
    • Related Report
      2015 Annual Research Report
  • [Book] 医学と医療の最前線 機能性ディスペプシアの最近の話題.2015

    • Author(s)
      大島忠之,三輪洋人
    • Total Pages
      8
    • Publisher
      日本内科学会
    • Related Report
      2015 Annual Research Report
  • [Book] ストレスと機能性消化管障害2015

    • Author(s)
      大島忠之,三輪洋人
    • Total Pages
      6
    • Publisher
      日本職業・災害医学会
    • Related Report
      2015 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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