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Effect of oxygen infusion with hemoglobin vesicles on respiratory insufficiency

Research Project

Project/Area Number 25462183
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory surgery
Research InstitutionTokai University (2015)
Keio University (2013)

Principal Investigator

KOHNO Mitsutomo  東海大学, 医学部, 准教授 (10276272)

Co-Investigator(Kenkyū-buntansha) WATANABE Masazumi  慶應義塾大学, 医学部, 教授 (90201227)
羽藤 泰  慶應義塾大学, 医学部, 助教 (10365281)
大塚 崇  慶應義塾大学, 医学部, 准教授 (40306717)
重信 敬夫  慶應義塾大学, 医学部, 助教 (50626702)
Co-Investigator(Renkei-kenkyūsha) SAKAI Hiromi  奈良県立医科大学, 医学部, 教授 (70318830)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords人工赤血球 / 外科手術 / 出血性ショック / 肺切除 / 呼吸不全 / 人工酸素運搬体 / ヘモグロビン小胞体 / 肺損傷
Outline of Final Research Achievements

Modified Hemoglobin vesicles (LowP50HbV) have high oxygen affinity in which P50 is set at 9 torr, while P50 is set at 28 torr in standard Hemoglobin vesicles (HbV). We investigated the effect of systemic administration of LowP50HbV on a rat pneumonectomy model with perioperative hemorrhagic shock. Blood pressure declined at 30 mmHg after removal of 30% of circulating blood volume following pneumonectomy and recovered after each transfusion. All the rats infused with normal saline and 40% of the rats infused with 5% of albumin solution died during weaning from ventilation, while rats transfused with standard HbV, those transfused with LowP50HbV, or those transfused with rat red blood cells all survived. PaO2 tended to be higher in the rats transfused with LowP50HbV (HbV vs. LowP50HbV; p=0.053). Administration of HbV or LowP50HbV showed similar effects to that of red blood cells. Especially, LowP50HbV transfusion may improve blood oxygenation on pneumonectomyzed rats.

Report

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

    (4 results)

All 2015 2014 2013

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

  • [Journal Article] Attenuation of lung ischemia-reperfusion injury by Rho-associated kinase inhibition in a rat model of lung transplantation.2014

    • Author(s)
      Kohno M, Watanabe M, Goto T, Kamiyama I, Ohtsuka T, Tasaka S, Sawafuji M.
    • Journal Title

      Annals of thoracic and cardiovascular surgery

      Volume: 未定

    • NAID

      130003387995

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 備蓄・緊急投与が可能な人工赤血球製剤の実用化を目指す研究 / シンポジウム1「人工赤血球製剤の臨床への橋渡し研究」2015

    • Author(s)
      酒井宏水、小田切優樹、東寛、木下学、高瀬凡平、河野光智、岩本美智子、堀之内宏久、高折益彦、小林紘一
    • Organizer
      第22回日本血液代替物学会年次大会
    • Place of Presentation
      熊本大学薬学部(大江キャンパス)宮本記念館コンベンションホール(熊本県熊本市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] ラット肺切除周術期出血モデルにおけるヘモグロビン小胞体投与の循環動態と血液酸素化に及ぼす影響2015

    • Author(s)
      河野光智、松田信作、神山育男、堀之内宏久、渡辺真純、酒井宏水、小林紘一、岩崎正之
    • Organizer
      第22回日本血液代替物学会年次大会
    • Place of Presentation
      熊本大学薬学部(大江キャンパス)宮本記念館コンベンションホール(熊本県熊本市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] 肺切除周術期出血モデルにおけるヘモグロビン小胞体投与とHIF-1alphaの発現について2013

    • Author(s)
      河野光智、重信敬夫、神山育男、渡辺真純、堀之内宏久、酒井宏水、小林紘一
    • Organizer
      第20回日本血液代替物学会年次大会
    • Place of Presentation
      奈良県新公会堂
    • Related Report
      2013 Research-status Report

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

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