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Elucidation of inflammatory mechanisms by platelet-derived microRNA after cardiac surgery with cardiopulmonary bypass

Research Project

Project/Area Number 26462761
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionKansai Medical University

Principal Investigator

NAKAJIMA Yasufumi  関西医科大学, 医学部, 教授 (70326239)

Co-Investigator(Kenkyū-buntansha) 佐和 貞治  京都府立医科大学, 医学(系)研究科(研究院), 教授 (10206013)
石井 祥代  京都府立医科大学, 医学部附属病院, 研究員 (40457958)
溝部 俊樹  京都府立医科大学, 医学(系)研究科(研究院), 講師 (50239266)
小川 覚  京都府立医科大学, 医学(系)研究科(研究院), 助教 (50636131)
中山 力恒  京都府立医科大学, 医学(系)研究科(研究院), 助教 (90568198)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
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: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords遺伝子治療
Outline of Final Research Achievements

The mechanism of platelet dysfunction after cardiopulmonary bypass (CPB) is largely unknown. We therefore evaluated time-dependent changes in blood intra-platelet Bax (a pro-apoptotic molecule) concentrations and platelet dysfunction. Platelets were found to contain abundant RNAs, including miRNAs, and mRNA splicing machinery, and exhibit a protein synthesis function. We hypothesized that the expression levels of several miRNAs significantly change during CPB, and the mRNA and protein expression level alterations triggered by these miRNA changes lead to platelet dysfunction after CPB.
CPB increases platelet Bax expression, which contributes to reduced platelet-surface GPIb expression and thrombin-induced platelet calcium changes. Next generation sequencing technology revealed that the expression levels of several miRNAs in circulating platelets significantly changed during CPB. These changes in platelet signalling might contribute to platelet dysfunction after CPB.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (29 results)

All 2018 2017 2016 2015 2014 2013

All Journal Article (13 results) (of which Int'l Joint Research: 8 results,  Peer Reviewed: 12 results,  Open Access: 8 results) Presentation (10 results) (of which Invited: 6 results) Book (6 results)

  • [Journal Article] Changes in microRNA expression level of circulating platelets contribute to platelet dysfunction after cardiopulmonary bypass2018

    • Author(s)
      Mukai N, Nakayama Y, Nakajima Y, et al.
    • Journal Title

      Critical Care Medicine

      Volume: In Press

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Potential contribution of erythrocyte microRNA to secondary erythrocytosis and thrombocytopenia in congenital heart disease2018

    • Author(s)
      Nobuhiro Mukai, Yoshinobu Nakayama, Satoshi, Murakami, Toshihito Tanahashi, Daniel Sessler, Sachiyo Ishii, Satoru Ogawa, Natsuko Tokuhira, Toshiki Mizobe, Teiji Sawa, , Yasufumi Nakajima
    • Journal Title

      Pediatric Research (e-pub ahead of print)

      Volume: - Issue: 4 Pages: 866-873

    • DOI

      10.1038/pr.2017.327

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A Comparative Study of Point-of-Care Prothrombin Time in Cardiopulmonary Bypass Surgery2018

    • Author(s)
      Okabayashi S, Ogawa S, Tanaka KA, Nishiyama T, Takeshita S, Nakayama Y, Nakajima Y, Sawa T, Mizobe T.
    • Journal Title

      J Cardiothorac Vasc Anesth.

      Volume: In Press Issue: 4 Pages: 1609-1614

    • DOI

      10.1053/j.jvca.2017.12.044

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Comparison of In-hospital Outcomes Between Transcatheter and Surgical Aortic Valve Replacement in Patients with Aortic Valve Stenosis: A Retrospective Cohort Study Using Administrative Data.2018

    • Author(s)
      Umegaki T, Kunisawa S, Nakajima Y, Kamibayashi T, Fushimi K, Imanaka Y.
    • Journal Title

      J Cardiothorac Vasc Anesth.

      Volume: In Press Issue: 3 Pages: 1281-1288

    • DOI

      10.1053/j.jvca.2017.06.047

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Changes in platelet Bax levels contribute to impaired platelet response to thrombin after cardiopulmonary bypass: prospective observational clinical and laboratory investigations.2017

    • Author(s)
      Murase M, Nakayama Y, Sessler DI, Mukai N, Ogawa S, Nakajima Y.
    • Journal Title

      Br J Anaesth.

      Volume: 119(6) Issue: 6 Pages: 1118-1126

    • DOI

      10.1093/bja/aex349

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Flow-dynamics assessment of mitral-valve surgery by intraoperative vector flow mapping2017

    • Author(s)
      Akiyama K, Nakamura N, Itatani K, Naito Y, Kinoshita M, Shimizu M, Hamaoka S, Kato H, Yasumoto H, Nakajima Y, Mizobe T, Numata S, Yaku H, Sawa T.
    • Journal Title

      Int Cardiovasc Thorac Surg

      Volume: in press Issue: 6 Pages: 869-875

    • DOI

      10.1093/icvts/ivx033

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Vector flow mapping analysis of left ventricular energetic performance in healthy adult volunteers2017

    • Author(s)
      Akiyama K, Maeda S, Matsuyama T, Kainuma A, Ishii M, Naito Y, Kinoshita M, Hamaoka S, Kato H, Nakajima Y, Nakamura N, Itatani K, Sawa T
    • Journal Title

      BMC Cardiovascular Disorders

      Volume: 17 Issue: 1 Pages: 21-21

    • DOI

      10.1186/s12872-016-0444-7

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A Practical Training Program for Peripheral Radial Artery Catheterization in Adult Patients: A Prospective, Randomized Controlled Trial.2016

    • Author(s)
      Nakayama Y, Inagaki Y, Nakajima Y, Sessler DI, Mukai N, Ogawa S, Mizobe T, Sawa T.
    • Journal Title

      Anesthesiology.

      Volume: 125 Pages: 716-23

    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Journal Article] Fibrinogen measurements in plasma and whole blood: a performance evaluation study of the dry-hematology system.2015

    • Author(s)
      Ogawa S, Tanaka KA, Nakajima Y, Nakayama Y, Takeshita J, Arai M, Mizobe T.
    • Journal Title

      Anesth Analg

      Volume: 120 Issue: 1 Pages: 18-25

    • DOI

      10.1213/ane.0000000000000448

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Thromboelastometry-guided intraoperative haemostatic management reduces bleeding and red cell transfusion after paediatric cardiac surgery.2015

    • Author(s)
      Nakayama Y, Nakajima Y, Tanaka KA, Sessler DI, Maeda S, Iida J, Ogawa S, Mizobe T
    • Journal Title

      Br J Anaesth.

      Volume: 114 Issue: 1 Pages: 91-102

    • DOI

      10.1093/bja/aeu339

    • NAID

      40021011587

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Optimal site for ultrasound-guided venous catheterisation in paediatric patients: an observational study to investigate predictors for catheterisation success and a randomised controlled study to determine the most successful site.2015

    • Author(s)
      Takeshita J, Nakayama Y, Nakajima Y, Sessler DI, Ogawa S, Sawa T, Mizobe T.
    • Journal Title

      Crit Care

      Volume: 19 Issue: 1 Pages: 15-15

    • DOI

      10.1186/s13054-014-0733-4

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A novel method for ultrasound-guided catheterization in pediatric patients. Anesthesia and Analgesia2014

    • Author(s)
      Nakayama Y, Nakajima Y, Sessler DI, Ishii S, Shibasaki M, Ogawa S, Takeshita J, Shime N, Mizobe T.
    • Journal Title

      Anesthesia and Analgesia

      Volume: 118 Issue: 5 Pages: 1019-26

    • DOI

      10.1213/ane.0000000000000164

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] The RACHS-1 risk category can be a predictor of perioperative recovery in Asian pediatric cardiac surgery patients.2013

    • Author(s)
      Nakayama Y, Shibasaki M, Shime N, Nakajima Y, Mizobe T, Sawa T.
    • Journal Title

      Journal of Anesthesia

      Volume: 27 Issue: 6 Pages: 850-854

    • DOI

      10.1007/s00540-013-1645-1

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] DES挿入患者の周術期の抗血栓療法抗凝固薬・抗血小板薬の周術期の使い方2017

    • Author(s)
      中嶋康文
    • Organizer
      日本麻酔科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 弁膜症ガイドライン Up To Date2017

    • Author(s)
      中嶋康文
    • Organizer
      日本心臓血管麻酔学会 JBPOT 講習会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 僧帽弁形成術とTEE2017

    • Author(s)
      中嶋康文
    • Organizer
      日本臨床麻酔学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] シンポジウム:周術期の抗血栓療法の管理について考える 抗血小板薬の作用機序2016

    • Author(s)
      中嶋康文
    • Organizer
      日本心臓血管麻酔学会
    • Place of Presentation
      横浜 ベイホテル東急
    • Year and Date
      2016-09-15
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 心臓血管手術の周術期止血凝固療法2016

    • Author(s)
      中嶋康文
    • Organizer
      JaSECT教育セミナー
    • Place of Presentation
      神戸 国際会議場
    • Year and Date
      2016-05-26
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 周術期止血凝固療法2016

    • Author(s)
      中嶋康文
    • Organizer
      城南周術期循環管理フォーラム
    • Place of Presentation
      東京 昭和大学
    • Year and Date
      2016-04-23
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 抗血小板薬・抗凝固薬服用患者の周術期止血凝固管理2015

    • Author(s)
      中嶋康文
    • Organizer
      日本心臓血管麻酔学会第20回学術大会
    • Place of Presentation
      アクロス福岡 福岡県福岡市
    • Year and Date
      2015-10-09
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 凝固 cardiac non cardiac.2015

    • Author(s)
      中嶋康文
    • Organizer
      第62回日本麻酔学会学術集会
    • Place of Presentation
      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
    • Invited
  • [Presentation] microRNA (血小板領域を中心に)2015

    • Author(s)
      中嶋康文
    • Organizer
      第62回日本麻酔学会学術集会
    • Place of Presentation
      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
    • Invited
  • [Presentation] 止血凝固機構と周術期の変化2014

    • Author(s)
      中嶋康文
    • Organizer
      日本臨床麻酔学会
    • Place of Presentation
      東京都品川区新高縄プリンスホテル
    • Year and Date
      2014-11-03
    • Related Report
      2014 Research-status Report
  • [Book] FAQでわかりやすい! 心臓麻酔臨床実践ガイド(第2版)2018

    • Author(s)
      秋山浩一,柴崎雅至, 中嶋康文 (澄川耕二 編)
    • Total Pages
      496
    • Publisher
      総合医学社
    • Related Report
      2017 Annual Research Report
  • [Book] 検査値から考える周術期血液凝固異常(血小板異常症の項)2017

    • Author(s)
      中嶋康文 (香取信之  編)
    • Total Pages
      234
    • Publisher
      克誠堂
    • Related Report
      2017 Annual Research Report
  • [Book] 症例で学ぶ周術期の凝固・線溶の管理2015

    • Author(s)
      香取信之編 (分担執筆) 中山力恒、中嶋康文
    • Total Pages
      152
    • Publisher
      メデイカルサイエンスインターナショナル
    • Related Report
      2015 Research-status Report
  • [Book] まれな疾患の麻酔A to Z2015

    • Author(s)
      高崎真弓編 (分担執筆) 中嶋康文
    • Total Pages
      714
    • Publisher
      文光堂
    • Related Report
      2015 Research-status Report
  • [Book] 周術期の薬物使用法2015

    • Author(s)
      川真田樹人編 (分担執筆)中嶋康文
    • Total Pages
      544
    • Publisher
      中山書店
    • Related Report
      2015 Research-status Report
  • [Book] 麻酔科医のための周術期の薬物使用法 クロピドグレル、チクロジピンの項担当2014

    • Author(s)
      川真田樹人編集   中嶋康文分担執筆
    • Total Pages
      450
    • Publisher
      中山書店
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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