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Mechanism of severe sepsis associated with hospital acquired infection

Research Project

Project/Area Number 26462747
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionThe University of Tokyo

Principal Investigator

NAKAJIMA Susumu  東京大学, 医学部附属病院, 准教授 (40323597)

Co-Investigator(Kenkyū-buntansha) 矢作 直樹  東京大学, 医学部附属病院, 教授 (60158045)
内田 寛治  東京大学, 医学部附属病院, 准教授 (60302709)
土井 研人  東京大学, 医学部附属病院, 特任講師 (80505892)
小宮山 雄介  獨協医科大学, 医学部, 助教 (90586471)
Research Collaborator HIRUMA Takahiro  東京大学, 医学部附属病院, 助教 (40572277)
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: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords敗血症 / 急性腎障害 / 免疫抑制 / 院内感染症 / バイオマーカー
Outline of Final Research Achievements

We evaluate therapeutic possibility of IFNb on murine model of septic pneumonia. Murine sepsis was induced by cecal ligation and puncture (CLP) on mice. Four days later, pneumonia was made with intratracheal instillation of Pseudomonas aeruginosa. IFNb was given 24 hours before PA instillation. Survival was observed. Bronchoalveolar lavage (BAL) was done at 18 hours after PA instillation and remaining bacterial count, cell count, cytokine levels in the BALF were evaluated. Survival was significantly worse on murine model of septic pneumonia. Administration of IFNb significantly improved survival. TNFa and IL-6 in the BALF tended to be higher and remaining bacterial count tended to be lower in group treated by IFNb.Impaired host defense mechanism might associate with higher mortality in septic pneumonia mouse model. Subcutaneous IFNb may restore production of inflammatory cytokines in the lung and increased neutrophil recruitment and that may contribute to improve survival.

Report

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

    (7 results)

All 2016 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (5 results)

  • [Journal Article] Hamman syndrome: pneumomediastinum combined with hyperosmolar hyperglycemic state.2016

    • Author(s)
      Hirayama I, Hiruma T, Ueda Y, Doi K, Nakajima S.
    • Journal Title

      The American Journal of Emergency Medicine

      Volume: 34 Issue: 10 Pages: 2058-2058

    • DOI

      10.1016/j.ajem.2016.03.039

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ozagrel for Patients With Noncardioembolic Ischemic Stroke: A Propensity Score-Matched Analysis2016

    • Author(s)
      Wada T, Yasunaga H, Horiguchi H, Fushimi K, Matsubara T, Nakajima S, Yahagi N.
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 25 Issue: 12 Pages: 2828-2837

    • DOI

      10.1016/j.jstrokecerebrovasdis.2016.07.044

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Presentation] Peritoneal sepsis impairs efficient recruitment of neutrophils into the alveolar space and augment lung injury after nosocomial infection2016

    • Author(s)
      比留間孝広
    • Organizer
      American Thoracic Society 2016
    • Place of Presentation
      アメリカ サンフランシスコ
    • Year and Date
      2016-05-13
    • Related Report
      2016 Annual Research Report
  • [Presentation] 敗血症に引き続く緑膿菌肺炎のマウスモデルに対するインターフェロンβの2015

    • Author(s)
      比留間孝広
    • Organizer
      日本麻酔科学会 第62回学術集会
    • Place of Presentation
      神戸ポートピアホテル(兵庫県・神戸市)
    • Year and Date
      2015-05-28
    • Related Report
      2015 Research-status Report
  • [Presentation] 院内感染マウスモデルにおけるインターフェロンβを用いた炎症制御2014

    • Author(s)
      比留間孝広
    • Organizer
      第42回日本救急医学会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-29
    • Related Report
      2014 Research-status Report
  • [Presentation] Interferon beta improved survival of septic pneumonia induced by intratracheal instillation of Pseudomonas aeruginosa by increasing neutrophil recruitment into the lung.2014

    • Author(s)
      比留間孝広
    • Organizer
      ATS 2014 (American Thoracic Society 2014)
    • Place of Presentation
      アメリカ サンディエゴ
    • Year and Date
      2014-05-19
    • Related Report
      2014 Research-status Report
  • [Presentation] 2次感染モデル(回盲部結紮穿孔後の肺炎)に対するインターフェロンβの効果2014

    • Author(s)
      比留間孝広
    • Organizer
      第61回日本麻酔科学会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-16
    • Related Report
      2014 Research-status Report

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

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