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An Effect of anticoagulant agents on NET formation in liver during sever sepsis

Research Project

Project/Area Number 25462418
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Anesthesiology
Research InstitutionFujita Health University

Principal Investigator

SHIMOMURA Yasuyo  藤田保健衛生大学, 医学部, 講師 (80534031)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords敗血症 / 播種性血管凝固症候群 / 好中球細胞外トラップ / トロンボモジュリン / 肝臓 / DIC / 好中球細胞外トラップス(NETs) / 好中球 / 血小板 / リコンビナントトロンボモジュリン / NETs
Outline of Final Research Achievements

Thrombomodulin (TM), an endothelial anticoagulant protein, neutralizes thrombin. Recombinant human thrombomodulin (rTM), anticoagulant agent, has been approved for the treatment of DIC in Japan.
The experiment yielded the following results: (1) LPS induced NET formation in human neutrophils co-cultured with platelets. NET formation was reduced by rTM. (2) In the LPS-induced septic shock model in mice, the lethality and production of serum cytokines, such as TNFa, IL-6, MCP-1, and IL-10 was lower in rTM-treated mice than in control mice. (3) Furthermore, histological studies of mouse liver revealed that rTM reduced the infiltration of neutrophils and NET formation, which was induced by LPS injection.
These results suggest that rTM may play a novel role in the NET formation and is effective in the LPS-induced septic shock model by suppressing NETs in liver and level of cytokines in blood, which resulted in the prevention of a decrease in lethality.

Report

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

    (19 results)

All 2016 2015 2014 2013 Other

All Journal Article (1 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (15 results) (of which Int'l Joint Research: 4 results,  Invited: 3 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Novel Blood Purification System for Regulating Excessive Immune Reactions in Severe Sepsis and Septic Shock: an ex vivo pilot study.2015

    • Author(s)
      Hara Y, Yamashita C, Shimomura Y, Kato Y, Moriyama K, Nakamura T, Miyasho T, Kuriyama N, Sakai T, Nishida O.
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: 19 Issue: 4 Pages: 308-315

    • DOI

      10.1111/1744-9987.12338

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Effects of recombinant human thrombomodulin on NETosis in LPS-induced sepsis in mice2016

    • Author(s)
      Yu Kato, Yasuyo Shimomura, Shizuko Nagao, Mika Suga, Naohide Kuriyama, Tomoyuki Nakamura, Yoshitaka Hara, Osamu Nishida
    • Organizer
      Society of Critical Care Medicine's (SCCM) 45th Critical Care Congress
    • Place of Presentation
      Orlando, Florida, USA
    • Year and Date
      2016-02-20
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] マウス敗血症モデルでのリコンビナントトロンボモジュリンによるNETosisの抑制効果2016

    • Author(s)
      加藤 由布、下村 泰代、須賀 美華、酒井 俊和、加藤 大貴、原 嘉孝、中村 智之、柴田 純平、森山 和広、西田 修
    • Organizer
      第43回日本集中治療医学会学術集会
    • Place of Presentation
      神戸国際展示場、兵庫神戸市
    • Year and Date
      2016-02-11
    • Related Report
      2015 Annual Research Report
  • [Presentation] 免疫制御血液浄化システム(IMBPS)の可能性2015

    • Author(s)
      中村 智之、原 嘉孝、下村 泰代、須賀 美華、酒井 俊和、土岐 由布、栗山 直英、山下 千鶴、森山 和広、西田 修
    • Organizer
      第36回アフェレシス学会学術集会、シンポジウム
    • Place of Presentation
      川越プリンスホテル、埼玉川越市
    • Year and Date
      2015-10-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] Presepsin false-positive rate for invasive surgical invasion is lower than procalcitonin2015

    • Author(s)
      Yoshitaka Hara, Tomoyuki Nakamura, Saori Takagi, Satoshi Komatsu, Masayosi Akiyama, Kotaro Kawata, Sohta Uchiyama, Chizuru Yamashita, Yasuyo Shimomura, Osamu Nishida
    • Organizer
      The 2015 American Society of Anesthesiologists Meeting
    • Place of Presentation
      San Diego, CA, US
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Septic AKIの臓器障害に対する免疫制御血液浄化システム(IMBPS)の効果2015

    • Author(s)
      中村 智之、原 嘉孝、下村 泰代、須賀 美華、酒井 俊和、土岐 由布、栗山 直英、山下 千鶴、 森山 和広、西田 修
    • Organizer
      第26回日本急性血液浄化学会学術集会
    • Place of Presentation
      京王プラザホテル、東京
    • Year and Date
      2015-10-09
    • Related Report
      2015 Annual Research Report
  • [Presentation] An ex vivo preliminary study of novel blood purification for modulating excessive immune reactions in sepsis2015

    • Author(s)
      Yoshitaka Hara, Yasuyo Shimomura, Tomoyuki Nakamura, Naohide Kuriyama, Chizuru Yamashita, Mika Suga, Yu Kato, Taku Miyasho, Toshikazu Sakai, Shingo Yamada, Kazuhiro Moriyama, Osamu Nishida
    • Organizer
      12th Congress of the World Federation of Societies of Intensive and Critical Care Medicine
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2015-08-29
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A comparison of lps measurement by eaa and lal in an lps-induced pig model2015

    • Author(s)
      Toshikazu Sakai, Yu Kato, Yasuyo Shimomura, Tomoyuki Nakamura, Naohide Kuriyama, Yoshitaka Hara, Kazuhiro Moriyama, Takahiro Kawaji, Osamu Nishida
    • Organizer
      12th Congress of the World Federation of Societies of Intensive and Critical Care Medicine
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2015-08-29
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 免疫から考える敗血症性DICの治療:DICと好中球細胞外トラップ(NETs)の関係2015

    • Author(s)
      下村 泰代
    • Organizer
      第2回東京CE敗血症セミナー
    • Place of Presentation
      東京ガーデンパレスホテル、東京
    • Year and Date
      2015-06-11
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] LPS刺激下における顆粒球除去カラム使用時のサイトカイン変化2015

    • Author(s)
      酒井 俊和、加藤 由布、須賀 美華、原 嘉孝、下村 泰代、西田 修
    • Organizer
      日本麻酔科学会第62回学術集会
    • Place of Presentation
      神戸ポートピアホテル、兵庫神戸市
    • Year and Date
      2015-05-28
    • Related Report
      2015 Annual Research Report
  • [Presentation] リコンビナントヒトトロンボモジュリンによる Neutrophil Extracellular Traps(NETs)形成の抑制効果、ショックと血液凝固異常、2015

    • Author(s)
      下村 泰代、中村 智之、栗山 直英、原 嘉孝、西田 修
    • Organizer
      第30回日本Shock学会総会 パネルディスカッション
    • Place of Presentation
      京王プラザホテル八王子、東京
    • Year and Date
      2015-05-23
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] NETs (Neutrophil Extracellular Traps)と DIC2014

    • Author(s)
      下村 泰代
    • Organizer
      41回日本集中治療医学会学術集会 教育セミナー
    • Place of Presentation
      国立京都国際会館 、京都
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] DIC治療薬によるNETs (neutrophil extracellular traps)形成抑制効果の検討2014

    • Author(s)
      須賀美華,下村泰代,加藤由希,酒井俊和,中村智之,栗山直英,原嘉孝,内山壮太,湯本美穂,西田修
    • Organizer
      第41回日本集中治療医学会学術集会
    • Place of Presentation
      国立京都国際会館 、京都
    • Related Report
      2013 Research-status Report
  • [Presentation] “A Novel Role of Recombinant Human Thrombomodulin in the Formation of Neutrophil Extracellular Traps.2013

    • Author(s)
      Yasuyo Shimomura, Mika Suga, Osamu Nishida, Tomoyuki Nakamura, Naohide Kuriyama, Yoshitaka Hara, Yu Kato, Hiroshi Nagasaki, Naoki Yamamoto, Shingo Yamada.
    • Organizer
      2013 Annual Meeting of the American Society of Anesthesiologists
    • Place of Presentation
      San Francisco, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] リコンビナントヒトトロンボモジュリンによるNeutrophil extracellular traps 形成の抑制効果と抗炎症作用の検討2013

    • Author(s)
      須賀美華,下村泰代,長崎 弘,中村智之,加藤由布,西田 修
    • Organizer
      第60回日本麻酔科学会学術集会
    • Place of Presentation
      札幌市教育文化会館,札幌
    • Related Report
      2013 Research-status Report
  • [Presentation] リコンビナントヒトトロンボモジュリンと低分子ヘパリンによるNETs形成抑制効果の比較検討2013

    • Author(s)
      下村泰代,須賀美華,中村智之,加藤由布,山田晋吾,長崎 弘,西田 修
    • Organizer
      第28回日本Shock学会
    • Place of Presentation
      北里大学薬学部 第1会場 コンベンションホール,東京
    • Related Report
      2013 Research-status Report
  • [Book] 新・血栓止血血管学2015

    • Author(s)
      西田 修、下村 泰代.
    • Total Pages
      250
    • Publisher
      金芳堂
    • Related Report
      2015 Annual Research Report
  • [Remarks] 藤田保健衛生大学医学部 麻酔・侵襲制御医学講座 研究紹介 2013年業績集

    • URL

      http://fujita-accm.jp/research/achievements/presentation/pre2013

    • Related Report
      2013 Research-status Report
  • [Remarks] 藤田保健衛生大学医学部 麻酔・侵襲制御医学講座 研究紹介 2014年業績集

    • URL

      http://fujita-accm.jp/research/achievements/presentation/pre2014

    • Related Report
      2013 Research-status Report

URL: 

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

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