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To explore new therapy for cachexia, glucose intolerance, and atherosclerosis in COPD

Research Project

Project/Area Number 25461171
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionTokyo Medical University

Principal Investigator

TSUJI TAKAO  東京医科大学, 医学部, 兼任講師 (30459664)

Co-Investigator(Kenkyū-buntansha) AOSHIBA Kazutetsu  東京医科大学, 医学部, 教授 (60231776)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsCOPD / cachexia / 合併症 / 皮下脂肪 / 内臓脂肪 / 糖尿病 / 血管新生 / 肺気腫 / やせ / 内臓脂肪蓄積 / 糖代謝異常 / 高二酸化炭素血症 / 血管内皮障害 / DNA障害 / 糖脂質代謝異常 / E-CDPD仮説
Outline of Final Research Achievements

Chronic obstructive pulmonary disease (COPD) is associated with cachexia and comorbidities that have a significant impact on its prognosis. We explored the role of subcutaneous adipose tissue for new approach to cachexia and comorbidities in COPD, particularly pulmonary emphysema. We identified reduced fat tissue angiogenesis as the mechanism of wasting of subcutaneous adipose tissue in a mouse model with pulmonary emphysema. Wasting of subcutaneous adipose tissue leads to ectopic fat accumulation in visceral adipose tissue and impaired glucose homeostasis due to the lower capacity for storage of surplus energy. A stimulator of angiogenesis improved fat tissue angiogenesis and restored the capacity of subcutaneous adipose tissue, and consequently improved both ectopic fat accumulation and impaired glucose homeostasis. Targeting the vascular component of adipose tissue by modulation of angiogenesis may be developed as a useful therapeutic intervention in cachexic emphysema patients.

Report

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

    (14 results)

All 2015 2014 2013

All Journal Article (9 results) (of which Peer Reviewed: 7 results,  Open Access: 4 results,  Acknowledgement Compliant: 4 results) Presentation (5 results) (of which Invited: 4 results)

  • [Journal Article] An evolutionary medicine approach to understanding factors that contribute chronic obstructive pulmonary disease.2015

    • Author(s)
      Aoshiba K, Tsuji T, Itoh M, Yamaguchi K, Nakamura H.
    • Journal Title

      Respiration

      Volume: 89 Issue: 3 Pages: 243-52

    • DOI

      10.1159/000369861

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Macrophage elastase suppresses white adipose tissue expansion with cigarette smoking2014

    • Author(s)
      Tsuji T, Kelly NJ, Takahashi S, Leme AS, Houghton AM, Shapiro SD
    • Journal Title

      Am J Respir Cell Mol Biol

      Volume: 51(6) Issue: 6 Pages: 822-829

    • DOI

      10.1165/rcmb.2014-0083oc

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Promotion of adipogenesis by a systemically administered EP2 receptor agonist via stimulation of angiogenesis in a murine model of pulmonary emphysema.2014

    • Author(s)
      Tsuji T, Yamaguchi K, Kikuchi R, Itoh M, Nakamura H, Nagai A, Aoshiba K.
    • Journal Title

      Prostaglandins Other Lipd Mediat

      Volume: 112C Pages: 9-15

    • DOI

      10.1016/j.prostaglandins.2014.05.003

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Systemic effects of acute cigarette smoke exposure in mice.2014

    • Author(s)
      Itoh M, Tsuji T, Nakamura H, Yamaguchi K, Fuchikami J, Takahashi M, Morozumi Y, Aoshiba K.
    • Journal Title

      Inhal Toxicol

      Volume: 26 Issue: 8 Pages: 464-473

    • DOI

      10.3109/08958378.2014.917346

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Hypercapnia accelerates wound healing in endothelial cell monolayers exposed to hypoxia2013

    • Author(s)
      Tsuji T, Aoshiba K, Itoh M, Nakamura H, Yamaguchi K
    • Journal Title

      Open Respir Med J

      Volume: 7 Issue: 1 Pages: 6-12

    • DOI

      10.2174/1874306401307010006

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Undernutrition in patients with COPD and its treatment2013

    • Author(s)
      Itoh M, Tsuji T, Nemoto K, Nakamura H, Aoshiba K
    • Journal Title

      Nutrients

      Volume: 5 Issue: 4 Pages: 1316-1335

    • DOI

      10.3390/nu5041316

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] The danger signal plus DNA damage 2-hit hypothesis for chronic inflammation in COPD2013

    • Author(s)
      Aoshiba K, Tsuji T, Yamaguchi K, Itoh M, Nakamura H.
    • Journal Title

      Eur Respir J

      Volume: 42 Issue: 6 Pages: 1689-1695

    • DOI

      10.1183/09031936.00102912

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] COPDの臨床所見2013

    • Author(s)
      辻 隆夫
    • Journal Title

      診断と治療

      Volume: 101 Pages: 835-839

    • Related Report
      2013 Research-status Report
  • [Journal Article] COPD その病態と最新治療2013

    • Author(s)
      青柴 和徹、辻 隆夫
    • Journal Title

      Current Therapy

      Volume: 31 Pages: 462-466

    • Related Report
      2013 Research-status Report
  • [Presentation] COPDと脂肪、皮下脂肪の観点から2015

    • Author(s)
      辻 隆夫
    • Organizer
      Sicentific Exchanging Meeting in Tokyo
    • Place of Presentation
      東京、千代田区
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 呼吸器疾患における脂肪細胞の分子病態2015

    • Author(s)
      辻 隆夫
    • Organizer
      ダイナミクス研究会
    • Place of Presentation
      東京、新宿区
    • Year and Date
      2015-09-12
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Reduced Angiogenesis in subcutaneous adipose tissue in emphysematous COPD2014

    • Author(s)
      TAKAO TSUJI
    • Organizer
      東京アジア呼吸器COPDシンポジウム2014
    • Place of Presentation
      東京、千代田区
    • Year and Date
      2014-07-05
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 気腫型COPDと全身の血管新生低下2014

    • Author(s)
      辻 隆夫
    • Organizer
      第108回臨床呼吸生理研究会
    • Place of Presentation
      東京、港区
    • Year and Date
      2014-06-21
    • Related Report
      2014 Research-status Report
  • [Presentation] COPDのやせの克服~皮下脂肪の観点から~2014

    • Author(s)
      辻 隆夫
    • Organizer
      第13回群馬呼吸器フォーラム
    • Place of Presentation
      高崎
    • Related Report
      2013 Research-status Report
    • Invited

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

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