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New method for treatment of chronic heart failure ~Non drug treatment using by remote ischemic conditioning~

Research Project

Project/Area Number 26461081
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionOsaka City University

Principal Investigator

Shimada Kenei  大阪市立大学, 大学院医学研究科, 准教授 (60326262)

Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords心不全 / プレコンディショニング / リハビリテーション / 冠血流予備能 / micro-RNA / 慢性心不全 / 非薬物療法 / 四肢駆血 / サイトカイン / エクソソーム / ischemic conditioning
Outline of Final Research Achievements

Rats were separated into the untreated (UT) group or the RIC-treated group. RIC treatment was performed by 5 cycles of 5 min of bilateral hindlimb ischemia and 5 min of reperfusion once a day for 4 weeks. MI size, LVEF was improved in the RIC group v.s the UT group. The LVEF in the RIC was improved. RIC treatment also prevented the deterioration of LV diastolic function. MI-induced LV interstitial fibrosis in the boundary region and oxidant stress were significantly attenuated by RIC. MicroRNA-29a (miR-29a) was highly expressed in the exosomes and the marginal area of the RIC. Insulin-like growth factor 1 receptor was highly expressed both in the exosomes and remote non-infarcted myocardiumof the RIC group.
Ten patients with HF, RIC treatment was performed twice a day for 1 week. 4 cycles of 5 minutes inflation and 5 minutes deflation of a blood pressure cuff to create intermittent arm ischemia. RIC treatment increased CFR from 1.9±0.4 to 2.3±0.7 in patients with HF (P<0.03).

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (4 results)

All 2016 2014

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

  • [Journal Article] 慢性心不全の新しい治療法 四肢駆血による非薬物療法2016

    • Author(s)
      島田 健永
    • Journal Title

      Medical Science Digest

      Volume: 42 Pages: 2-7

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 慢性心不全の新しい治療法 四肢駆血による非薬物療法2016

    • Author(s)
      島田 健永
    • Journal Title

      細胞

      Volume: 48 Pages: 27-32

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Repeated remote ischemic conditioning attenuates left ventricular remodeling via exosome-mediated intercellular communication on chronic heart failure after myocardial infarction2014

    • Author(s)
      Yamaguchi, T
    • Journal Title

      Int J Cardiol

      Volume: 30 Pages: 239-246

    • DOI

      10.1016/j.ijcard.2014.10.144

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] R emote ischemic conditioning improves coronary microcirculation in healthy subjects and patients with heart failure2014

    • Author(s)
      Yasushi Kohno, Kouki Nakanishi, Kenichiro Otsuka, Haruyuki Taguchi, Kenei Shimada
    • Journal Title

      Drug Design, Development and Therapy

      Volume: 8 Pages: 1175-1181

    • DOI

      10.2147/dddt.s68715

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access

URL: 

Published: 2014-04-04   Modified: 2018-03-22  

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