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Development of diagnostic procedure and novel treatment of amniotic fluid embolism based on the pathological histology

Research Project

Project/Area Number 26462482
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionHamamatsu University School of Medicine

Principal Investigator

Tamura Naoaki  浜松医科大学, 医学部附属病院, 助教 (90402370)

Co-Investigator(Kenkyū-buntansha) 谷口 千津子  浜松医科大学, 医学部附属病院, 診療助教 (20397425)
金山 尚裕  浜松医科大学, 医学部, 理事 (70204550)
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: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords羊水塞栓症 / 子宮弛緩 / 後産期出血 / アナフィラクトイド反応 / 後産期急性子宮筋層炎 / C1インヒビター / 子宮収縮関連タンパク質 / ブラジキニン受容体 / C1インヒビター濃縮製剤
Outline of Final Research Achievements

In the myometrium of amniotic fluid embolism presenting with treatment-resistant postpartum hemorrhage, the infiltration of neutrophil, macrophage and activated mast cells expressed the receptor for anaphylatoxin were characteristic finding. This could be histopathologically expressed as postpartum acute myometritis that causes tissue edema. C1 esterase inhibitor (C1INH), potentially inhibits anaphylactoid reaction and vascular permeability, exhibited the effect of uterine contraction. This result suggested C1INH can be one of therapeutic products for amniotic fluid embolism with refractory uterin atony.

Report

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

    (29 results)

All 2017 2016 2015 2014

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Open Access: 5 results,  Acknowledgement Compliant: 3 results) Presentation (11 results) (of which Invited: 1 results) Book (8 results)

  • [Journal Article] Amniotic fluid embolism: Pathophysiology from the perspective of pathology.2017

    • Author(s)
      Tamura N, Farhana M, Oda T, Itoh H, Kanayama N.
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 印刷中 Issue: 4 Pages: 627-632

    • DOI

      10.1111/jog.13284

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison between enoxaparin sodium and unfractionated heparin administered within 24 hours of cesarean section2016

    • Author(s)
      Mari Mukai, Yui Kashiwagi, Hiroaki Itoh, Naomi Furuta, Hirotake Murakami, Naoaki Tamura, Toshiyuki Uchida, Kazunao Suzuki, Motoi Sugimura, Naohiro Kanayama
    • Journal Title

      Hypertension Res Pregnancy

      Volume: 4 Pages: 16-23

    • NAID

      130005250044

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Therapeutic application of C1 esterase inhibitor concentrate for clinical amniotic fluid embolism: a case report2015

    • Author(s)
      Todo Y, Tamura N, Itoh H, Ikeda T, Kanayama N
    • Journal Title

      Clin Case Rep

      Volume: 3(7) Issue: 7 Pages: 673-675

    • DOI

      10.1002/ccr3.316

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Histological characteristics of the myometrium in the postpartum hemorrhage of unknown etiology: a possible involvement of local immune reactions2015

    • Author(s)
      Farhana M, Tamura N, Mukai M, Ikuma K, Koumura Y, Furuta N, Yaguchi C, Uchida T, Suzuki K, Sugihara K, Itoh H, Kanayama N
    • Journal Title

      J Reprod Immunol

      Volume: 110 Pages: 74-80

    • DOI

      10.1016/j.jri.2015.04.004

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Morphological characteristics of the placental basal plate in IVF pregnancies: a possible association with the amount of bleeding in delivery2015

    • Author(s)
      Yuki Nakamura,Chizuko yaguchi,Hiroaki Itoh Ryoko Sakamoto,Takako Kimura,Naomi Furuta,Toshiyuki Uchida,Naoaki Tamura,Kazunao Suzuki,Kazuhiro Sumimoto,Yumiko Matsuda,Toshiki Matsura,Mitsura Nishimura,Naohiro Kanayama
    • Journal Title

      Human Pathology

      Volume: inprint Issue: 8 Pages: 1171-1179

    • DOI

      10.1016/j.humpath.2015.04.007

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Undernourishment in utero Primes Hepatic Steatosis in Adult Mice Offspring on an Obesogenic Diet; Involvement of Endoplasmic Reticulum Stress2015

    • Author(s)
      Muramatsu-Kato K, Itoh H, Kohmura-Kobayashi Y, Ferdous UJ, Tamura N, Yaguchi C, Uchida T, Suzuki K, Hashimoto K, Suganami T, Ogawa Y, Kanayama N
    • Journal Title

      Sci Rep

      Volume: 5 Issue: 1 Pages: 16867-16867

    • DOI

      10.1038/srep16867

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] C1 Esterase inhibitor activity in amniotic fluid embolism.2014

    • Author(s)
      Tamura N, Kimura S, Farhana M; Uchida T, Suzuki K, Sugihara K, Itoh H, Ikeda T, Kanayama, N.
    • Journal Title

      Crit Care Med

      Volume: 42 Issue: 6 Pages: 1392-1396

    • DOI

      10.1097/ccm.0000000000000217

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Amniotic fluid embolism: pathophysiology and new strategies for management.2014

    • Author(s)
      Kanayama N, Tamura N.
    • Journal Title

      J Obstet Gynaecol Res

      Volume: Jun;40(6) Issue: 6 Pages: 1507-17

    • DOI

      10.1111/jog.12428

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Amniotic fluid embolism induces uterine anaphylaxis and atony following cervical laceration.2014

    • Author(s)
      Tamura N, Nagai H, Maeda H, Kuroda RH, Nakajima M, Igarashi A, Kanayama N, Yoshida K.
    • Journal Title

      Gynecol Obstet Invest.

      Volume: 78(1) Issue: 1 Pages: 65-8

    • DOI

      10.1159/000360537

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development of pro-apoptotic peptides as potential therapy for peritoneal endometriosis.2014

    • Author(s)
      Sugihara K, Kobayashi Y, Suzuki A, Tamura N, Motamedchaboki K, Huang CT, Akama TO, Pecotte J, Frost P, Bauer C, Jimenez JB Jr, Nakayama J, Aoki D, Fukuda MN.
    • Journal Title

      Nature Communications

      Volume: 5:4478 Issue: 1 Pages: 1-9

    • DOI

      10.1038/ncomms5478

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 危機的産科出血の子宮体部の組織解析から得られたPostpartum Acute Myometritis(PAM)という概念2016

    • Author(s)
      田村直顕、金山尚裕
    • Organizer
      日本周産期新生児学会
    • Place of Presentation
      富山国際会議場他(富山)
    • Year and Date
      2016-07-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] 臨床的羊水塞栓症におけるC1インヒビター活性と凝固線溶検査値2016

    • Author(s)
      小田智昭、田村直顕、金山尚裕
    • Organizer
      日本周産期新生児学会
    • Place of Presentation
      富山国際会議場他(富山)
    • Year and Date
      2016-07-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] 臨床的羊水塞栓症における子宮弛緩の病態解析2016

    • Author(s)
      田村直顕、金山尚裕
    • Organizer
      日本産科婦人科学会
    • Place of Presentation
      東京国際フォーラム(東京)
    • Year and Date
      2016-04-21
    • Related Report
      2016 Annual Research Report
  • [Presentation] 羊水塞栓症を知る!2016

    • Author(s)
      田村直顕
    • Organizer
      第4回麻酔科医のための産科麻酔プロフェッショナルセミナー
    • Place of Presentation
      東京
    • Year and Date
      2016-03-05
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 原因不明の後産期出血における病理学的特徴としての後産期急性子宮筋炎2015

    • Author(s)
      田村直顕,ムスタリファルハナ,伊東宏晃,杉原一廣,金山尚裕
    • Organizer
      第30回日本生殖免疫学会総会・学術集会
    • Place of Presentation
      熊本
    • Year and Date
      2015-11-21
    • Related Report
      2015 Research-status Report
  • [Presentation] DIC型後産期出血における子宮体部筋層の免疫組織学的検討2015

    • Author(s)
      田村直顕, 金山尚裕
    • Organizer
      第67回日本産科婦人科学会学術講演会
    • Place of Presentation
      横浜
    • Year and Date
      2015-04-11
    • Related Report
      2015 Research-status Report
  • [Presentation] DIC先行型羊水塞栓症におけるフィブリノーゲン値とC1インヒビター活性値の検討2015

    • Author(s)
      松家まどか, 田村直顕, 金山尚裕
    • Organizer
      第67回日本産科婦人科学会学術講演会
    • Place of Presentation
      横浜
    • Year and Date
      2015-04-11
    • Related Report
      2015 Research-status Report
  • [Presentation] 羊水塞栓症におけるC1インヒビター活性の検討2014

    • Author(s)
      田村直顕
    • Organizer
      第51回補体シンポジウム
    • Place of Presentation
      神戸
    • Year and Date
      2014-08-23
    • Related Report
      2014 Research-status Report
  • [Presentation] 弛緩出血症例と子宮の局所における免疫応答反応の活性化2014

    • Author(s)
      田村直顕
    • Organizer
      第50回日本周産期・新生児学会
    • Place of Presentation
      横浜
    • Year and Date
      2014-07-14
    • Related Report
      2014 Research-status Report
  • [Presentation] 羊水塞栓症におけるC1インヒビター活性の検討2014

    • Author(s)
      田村直顕
    • Organizer
      日本産婦人科・新生児血液学会 第24回学術講演会
    • Place of Presentation
      横浜
    • Year and Date
      2014-06-13
    • Related Report
      2014 Research-status Report
  • [Presentation] 臨床的羊水塞栓症における子宮体部筋層の病理組織学的検討2014

    • Author(s)
      田村直顕
    • Organizer
      日本産科婦人科学会 第66回学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2014-04-20
    • Related Report
      2014 Research-status Report
  • [Book] 今日の治療指針2017、羊水塞栓症2017

    • Author(s)
      田村直顕
    • Publisher
      医学書院
    • Related Report
      2016 Annual Research Report
  • [Book] 産科婦人科疾患最新の治療2016-2018、羊水塞栓症2016

    • Author(s)
      田村直顕
    • Publisher
      南江堂
    • Related Report
      2016 Annual Research Report
  • [Book] 救急医学 特集 母体救命 産科医とともに、羊水塞栓症2016

    • Author(s)
      田村直顕
    • Publisher
      へるす出版
    • Related Report
      2016 Annual Research Report
  • [Book] LiSA、羊水塞栓症を知る!2016

    • Author(s)
      田村直顕
    • Publisher
      メディカル・サイエンス・インターナショナル
    • Related Report
      2016 Annual Research Report
  • [Book] 産科婦人科疾患最新の治療2016-2018 14.羊水塞栓症2016

    • Author(s)
      田村直顕
    • Total Pages
      356
    • Publisher
      南江堂
    • Related Report
      2015 Research-status Report
  • [Book] 産科と婦人科 若手の最新研究紹介コーナー2015

    • Author(s)
      田村直顕
    • Publisher
      診断と治療社
    • Related Report
      2015 Research-status Report
  • [Book] 今日の治療指針2015

    • Author(s)
      田村直顕
    • Total Pages
      1973
    • Publisher
      医学書院
    • Related Report
      2014 Research-status Report
  • [Book] 病理と臨床2014

    • Author(s)
      田村直顕、金山尚裕
    • Publisher
      文光堂
    • Related Report
      2014 Research-status Report

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

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