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The Novel Hemostatic and Tissue Protective Treatment Elucidating the Pathophysiology of Blast Lung Injury

Research Project

Project/Area Number 25462843
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionNational Defense Medical College

Principal Investigator

HAGISAWA KOHSUKE  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究, 医学教育部医学科専門課程, 助教 (50539244)

Co-Investigator(Kenkyū-buntansha) KINOSHITA Manabu  防衛医科大学校, 医学教育部医学科専門課程, 准教授 (70531391)
SATOH Shunichi  防衛医科大学校, 防衛医学研究センター, 准教授 (90502906)
SUZUKI Hidenori  日本医科大学, 医学部, 准教授 (30158977)
Co-Investigator(Renkei-kenkyūsha) TAKEOKA Shinji  早稲田大学, 理工学術院, 教授 (20222094)
SAITOH Daizoh  防衛医科大学校, 防衛医学研究センター, 教授 (90531632)
HANDA Makoto  慶應義塾大学, 医学部, 教授 (40129614)
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)
KeywordsBlast Lung Injury / 止血凝固作用 / アデノシン作用 / レーザー誘起衝撃波 / ドラッグデリバリシステム / アデノシン / 止血作用 / 血小板代替物 / 抗サイトカイン作用
Outline of Final Research Achievements

Fibrinogen gamma-chain (HHLGGAKQAGDV, H12)-coated, adenosine diphosphate-encapsulated liposomes [H12-(ADP)-liposomes] can accumulate at bleeding sites where they release ADP that is rapidly metabolized to adenosine, which has tissue-protective effects.
We investigated the efficacy of H12-(ADP)-liposomes to treat blast lung injury, with a focus on adenosine signaling. Pretreatment as well as post-treatment with H12-(ADP)-liposomes significantly increased mouse survivals and mitigated pulmonary tissue damage/hemorrhage and neutrophil accumulation after LISW exposure. Pretreatment with H12-(ADP)-liposomes reduced albumin and macrophage inflammatory protein-2 levels in bronchoalveolar lavage fluid. Although H12-(ADP)-liposome pretreatment did not affect blood coagulation activity in the injured mice, its beneficial effect on blast lung injury were significantly abrogated by adenosine receptor A2A or A2B antagonism, suggesting that adenosine signaling improved lung injury.

Report

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

    (10 results)

All 2016 2015 2014 2013

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Acknowledgement Compliant: 2 results,  Open Access: 2 results) Presentation (6 results)

  • [Journal Article] Fibrinogen γ-Chain Peptide-Coated Adenosine 5' Diphosphate-Encapsulated Liposomes Rescue Mice From Lethal Blast Lung Injury via Adenosine Signaling.2016

    • Author(s)
      Hagisawa K, Miyawaki H, Kinoshita M, Miyazaki H, Yanagawa R, Doi M, Takeoka S, Suzuki H, Seki S, Saitoh D, Nishida Y, Handa M.
    • Journal Title

      Critical Care Medicine

      Volume: 44 Issue: 9 Pages: e827-e837

    • DOI

      10.1097/ccm.0000000000001707

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Noradrenalin effectively rescues mice from blast lung injury caused by laser-induced shock waves.2015

    • Author(s)
      Miyawaki H, Saito D, Hagisawa K, Noguchi M, Sato S, Kinoshita M, Miyazaki H, Sato Y, Harada N, Sakamoto T.
    • Journal Title

      Intensive Care Medicine Experimental

      Volume: 32 Issue: 1 Pages: 32-32

    • DOI

      10.1186/s40635-015-0069-7

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Treatment with fibrinogen γ-chain peptide-coated, adenosine 5'-diphosphate-encapsulated liposomes as an infusible hemostatic agent against active liver bleeding in rabbits with acute thrombocytopenia2015

    • Author(s)
      Hagisawa K, Nishikawa K, Yanagawa R, Kinoshita M, Doi M, Suzuki H, Iwaya K, Saitoh D, Seki S, Takeoka S, Handa M, Nishida Y.
    • Journal Title

      Transfusion.

      Volume: 55 Issue: 2 Pages: 314-325

    • DOI

      10.1111/trf.12829

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 衝撃波による致死的肺出血マウスに対する人工血小板(H12-ADP-liposome)の救命効果2014

    • Author(s)
      萩沢康介、木下学、宮脇博基、佐藤俊一、鈴木英紀、土井麻美、武岡真司、小野聡、斎藤大蔵、西田育弘
    • Journal Title

      Shock (日本ショック学会雑誌)

      Volume: 29 Pages: 1-8

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] レーザー衝撃波による肺出血に対するH12-ADP-liposomeの救命効果2015

    • Author(s)
      萩沢康介、木下学、宮脇博基、佐藤俊一、鈴木英紀ら
    • Organizer
      第22回日本血液代替物学会 シンポジウム・人工血小板の新しい展開に向けて
    • Place of Presentation
      熊本
    • Year and Date
      2015-10-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] FIBRINOGEN GAMMA-CHAIN PEPTIDE-COATED, ADP-ENCAPSULATED LIPOSOMES RESCUE MICE2015

    • Author(s)
      K. Hagisawa, M. Kinoshita, H. Miyawaki, H. Miyazaki
    • Organizer
      38TH ANNUAL CONFERENCE ON SHOCK
    • Place of Presentation
      DENVER, COLORADO
    • Year and Date
      2015-06-06 – 2015-06-09
    • Related Report
      2014 Research-status Report
  • [Presentation] Fibrinogen gamma-chain peptide-coated, Adenosine Diphosphate-encapsulated Liposomes Rescue Lethal Blast Lung Injury Hemorrhage via Purinergic Signaling.2014

    • Author(s)
      Hagisawa K, Kinoshita M, Miyawaki H
    • Organizer
      American Heart Association 2014 Resuscitation Science Symposium, (Young Investigator Award受賞)
    • Place of Presentation
      Chicago
    • Year and Date
      2014-11-15 – 2014-11-16
    • Related Report
      2014 Research-status Report
  • [Presentation] 衝撃波による致死的肺出血マウスに対する人工血小板(H12-ADP-liposome)の救命効果2014

    • Author(s)
      2.萩沢康介、木下学、宮脇博基、佐藤俊一、鈴木英紀、土井麻美、武岡真司、小野聡、斎藤大蔵、西田育弘
    • Organizer
      第29回日本ショック学会 学会長賞受賞
    • Place of Presentation
      愛媛県松山市
    • Year and Date
      2014-05-17
    • Related Report
      2014 Research-status Report
  • [Presentation] 衝撃波による致死的肺出血マウスに対する人工血小板(H12-ADP-liposome)の救命効果2014

    • Author(s)
      萩沢康介、木下学、宮脇博基ら
    • Organizer
      第29回日本Shock学会
    • Place of Presentation
      松山市
    • Related Report
      2013 Research-status Report
  • [Presentation] H12-ADP-liposomeの新たな適応: 衝撃波による肺出血マウスに対するH12-ADP-liposomeの救命効果2013

    • Author(s)
      萩沢康介、木下学、宮脇博基ら
    • Organizer
      第20回日本血液代替物学会 シンポジウム人工血小板/H12-(ADP)リポソームの前臨床
    • Place of Presentation
      奈良市
    • Related Report
      2013 Research-status Report

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

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