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Development of new management for short bowel syndrome : GLP-2 and Ghrelin induce intestinal adaptation.

Research Project

Project/Area Number 25462777
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatric surgery
Research InstitutionKagoshima University

Principal Investigator

MUKAI Motoi  鹿児島大学, 医歯学域医学部・歯学部附属病院, 講師 (80468024)

Co-Investigator(Kenkyū-buntansha) KAJI Tatsuru  鹿児島大学, 医歯学域医学系, 准教授 (50315420)
HAYASHIDA Yoshihiro  鹿児島大学, 医歯学域医学部・歯学部附属病院, 助教 (80305135)
MUTO Mitsuru  鹿児島大学, 医学部・歯学部附属病院, 特任助教 (70404522)
YAMADA Waka  鹿児島大学, 医学部・歯学部附属病院, 特任助教 (20457659)
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)
Keywords大量小腸切除 / 短腸症候群 / 腸管不全 / Glucagon-like peptide-2 / Acyl ghrelin / Des-acyl ghrelin / 腸管順応 / 新生児 / 長期絶食 / 腸管萎縮 / Acyl-ghrelin
Outline of Final Research Achievements

At first, we investigated Ghrelin and GLP-2 level in 80% small bowel resection (80% SBR) rat model. The major findings of this study are as follows (1) Acyl ghrelin and des-acyl ghrelin levels increased immediately, equivalently in both operation groups. (2) In 80% SBR animals, ghrelin peaked on day 4. GLP-2 secretion was obvious in 80% SBR animals, which increased immediately and peaked on day 4. (3) Morphological adaptations were evident after day 4.
Then, we investigated the effect of ghrelin administration for intestinal mucosal atrophy induced by total parenteral nutrition (TPN) using rat model. The major findings of this study are as follows (1) TPN for 6 days induced mucosal atrophy was recognized in jejunum greater more severe than in ileum. (2) Administration of ghrelin improved mucosal atrophy in TPN rat model. (3)There were no significant changes in body weight or small bowel weight.

Report

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

    (13 results)

All 2016 2015 2014 2013 Other

All Journal Article (4 results) (of which Open Access: 2 results,  Peer Reviewed: 1 results) Presentation (8 results) Book (1 results)

  • [Journal Article] 私ならこう考える:.症状の無い腸回転異常の手術は必要か2015

    • Author(s)
      山田和歌
    • Journal Title

      小児外科

      Volume: 47 Pages: 1031-1033

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 腫瘤形成性虫垂炎に対する待機的虫垂切除 -第41回九州小児外科研究会アンケート調査より-2015

    • Author(s)
      川野孝文、向井 基、中目和彦、武藤 充、加治 建、松藤 凡
    • Journal Title

      日本小児外科学会雑誌

      Volume: 51 Pages: 793-79

    • NAID

      130005078243

    • Related Report
      2015 Annual Research Report
    • Open Access
  • [Journal Article] 短腸症候群とGlucagon-like peptide 22014

    • Author(s)
      加治 建
    • Journal Title

      外科と代謝・栄養

      Volume: 48 Pages: 241-245

    • NAID

      130005062595

    • Related Report
      2014 Research-status Report
    • Open Access
  • [Journal Article] Ghrelin and glucagon-like peptide-2 increase immediately following massive small bowel resection2013

    • Author(s)
      Mitsuru Muto, Tatsuru Kaji, Motoi Mukai, Kazuhiko Nakame, Takako Yoshioka,Akihide Tanimoto, Hiroshi Matsufuji
    • Journal Title

      Peptides

      Volume: 43 Pages: 160-166

    • DOI

      10.1016/j.peptides.2013.03.006

    • NAID

      120005303850

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 短腸症候群の臨床と研究 ーGLP-2の臨床使用にむけてー2016

    • Author(s)
      加治 建
    • Organizer
      シャイア-ジャパン 学術講演会
    • Place of Presentation
      新宿フロントタワー(東京都)
    • Year and Date
      2016-02-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 小児の栄養管理2015

    • Author(s)
      加治 建
    • Organizer
      大塚製薬工場 学術講演会
    • Place of Presentation
      大塚製薬工場鹿児島出張所会議室(鹿児島市)
    • Year and Date
      2015-12-07
    • Related Report
      2015 Annual Research Report
  • [Presentation] 総排泄腔遺残症の4例2015

    • Author(s)
      山田和歌
    • Organizer
      日本直腸肛門奇形研究会
    • Place of Presentation
      くまもと県民交流館(熊本市)
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] 短腸症候群症例における在宅栄養管理の検討2015

    • Author(s)
      加治 建
    • Organizer
      日本小児外科学会学術集会
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2015-05-29
    • Related Report
      2015 Annual Research Report
  • [Presentation] 先天性門脈欠損症の1例2015

    • Author(s)
      山田和歌
    • Organizer
      日本小児外科学会学術集会
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2015-05-29
    • Related Report
      2015 Annual Research Report
  • [Presentation] 大量小腸喪失後の血漿GhrelinとGlucagon-like peptide-2の推移について

    • Author(s)
      武藤充
    • Organizer
      第50回 日本小児外科学会
    • Place of Presentation
      京王プラザ(新宿)
    • Related Report
      2013 Research-status Report
  • [Presentation] 大量小腸切除モデルラットにおける血漿Ghrelin、Glucagon-like peptide-2の推移と臨床応用への展望

    • Author(s)
      武藤充
    • Organizer
      第50回 日本外科代謝栄養学会
    • Place of Presentation
      学術総合センター(千代田区)
    • Related Report
      2013 Research-status Report
  • [Presentation] 大量小腸切除後のGlucagon-like peptide-2およびGhrelinに関する検討:残存腸管活用に向けた基礎研究の報告

    • Author(s)
      武藤充
    • Organizer
      第26回 日本小腸移植研究会
    • Place of Presentation
      自治医科大学地域医療研修センター(栃木)
    • Related Report
      2013 Research-status Report
  • [Book] Operative General Surgery in Neonates and Infants2016

    • Author(s)
      Ieiri S、Kaji T, Taguchi T
    • Total Pages
      402
    • Publisher
      Springer
    • Related Report
      2015 Annual Research Report

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

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