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Study of expanding indication of marginal donor in living donor liver transplantation

Research Project

Project/Area Number 25861153
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field General surgery
Research InstitutionMie University

Principal Investigator

Kuriyama Naohisa  三重大学, 医学(系)研究科(研究院), 講師 (80525329)

Research Collaborator FUJII Takehiro  三重大学, 医学(系)研究科(研究院)病態修復医学講座 肝胆膵・移植外科学, 助教
MATSUDA Akitoshi  三重大学, 医学(系)研究科(研究院)病態修復医学講座 肝胆膵・移植外科学, 医員
HIBI Tamami  三重大学, 医学(系)研究科(研究院)病態修復医学講座 肝胆膵・移植外科学, 実験助手
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords肝虚血再灌流障害 / 脂肪肝 / 抗炎症作用 / 虚血再灌流障害 / 活性化プロテインC / AMPK / ATP / 脾臓摘出 / marginal donor graft / 虚血再環流障害
Outline of Final Research Achievements

We compared the cytoprotective effects of Activated protein C (APC) in non-steatotic and steatotic liver ischemia reperfusion injury (IRI).
Methods: Mice were fed either normal diets (ND mice) or high fat diets (HF mice), were treated with APC or saline (control) and were performed IRI. In an in vitro study, primary steatotic hepatocytes were either untreated, or were treated with APC, then incubated with H2O2. Results: APC reduced serum transaminase levels and the inflammatory cells infiltration at 4 h in ND mice, while at 24 h in HF mice. APC inhibited sinusoidal endothelial injury in only ND mice. APC activated AMPK phosphorylation in only HF mice. In the in vitro study, APC increased AMPK phosphorylation, ATP concentration and survival rates of hepatocytes. Conclusion: In normal liver, APC attenuated initial damage by inhibiting inflammatory cell infiltration and sinusoidal endothelial injury. However, in steatotic liver, APC might attenuated late damage via activation of AMPK.

Report

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

    (5 results)

All 2015

All Journal Article (1 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results)

  • [Journal Article] Comparative Study on the Cytoprotective Effects of Activated Protein C Treatment in Nonsteatotic and Steatotic Livers under Ischemia-Reperfusion Injury2015

    • Author(s)
      Matsuda Akitoshi
    • Journal Title

      BioMed Research International

      Volume: - Pages: 1-13

    • DOI

      10.1155/2015/635041

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 脂肪肝マウスにおける活性化プロテインCの肝虚血再灌流障害抑制効果2015

    • Author(s)
      松田明敏
    • Organizer
      JDDW2015
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都・港区)
    • Year and Date
      2015-10-08
    • Related Report
      2015 Annual Research Report
  • [Presentation] Activated protein C treatment protects steatotic and nonsteatotic livers under ischemia–reperfusion injury in different manner2015

    • Author(s)
      Akitoshi Matsuda
    • Organizer
      American Transplant Congress 2015
    • Place of Presentation
      Philadelphia (USA)
    • Year and Date
      2015-05-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] 正常肝および脂肪肝マウスにおける活性化プロテインCの肝虚血再灌傷害抑制効果の比較検討2015

    • Author(s)
      松田 明敏
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2015-04-16 – 2015-04-18
    • Related Report
      2014 Research-status Report
  • [Presentation] 正常肝および脂肪肝マウスにおける活性化プロテインCの肝虚血再灌流障害抑制効果の比較検討2015

    • Author(s)
      松田明敏
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県・名古屋市)
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report

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

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