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Approach to inflammatory lung diseases by improving paracellular enviroment

Research Project

Project/Area Number 26462767
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

FUJISHIMA SEITARO  慶應義塾大学, 医学部(信濃町), 准教授 (00173419)

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: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords炎症性肺疾患 / ARDS / 高濃度酸素 / 急性呼吸促迫症候群 / 酸素中毒 / PAMPs / DAMPs
Outline of Final Research Achievements

1) We exposed human vascular endothelial cells to hyperoxia, and found the induction of interleukin-8 gene expression. This response was exacerbated under the co-incubation with tumor necrosis factor alpha or lipopolysaccharide, suggesting the exaggerated toxicity of hyperoxia in patients under critical condition. We further found the involvement of intracellular pattern-recognition receptors in this mechanism. 2) We found that differentiation of human embryonic stem cells into lung epithelial cells was facilitated by an air-liquid interface method. 3) We previously found the exaggerated bleomycin-induced acute lung injury in interleukin-17 deficient mice. By the current analysis, involvement of pathways not including dendritic cells or interleukin-12 were suggested. 4) We comprehensively analyzed lung cytokines in patients with acute respiratory distress syndrome, and found the involvement of interleukin-1beta, interferon-gamma, and interleukin-17.

Report

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

    (24 results)

All 2017 2016 2015 2014

All Journal Article (14 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 11 results,  Open Access: 8 results,  Acknowledgement Compliant: 1 results) Presentation (9 results) (of which Invited: 9 results) Book (1 results)

  • [Journal Article] Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 20162017

    • Author(s)
      Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, Kumar A, Sevransky JE, Sprung CL, Nunnally ME, Rochwerg B, Rubenfeld GD, Angus DC, Annane D, Beale RJ, Bellinghan GJ, Bernard GR, Chiche JD, Coopersmith C, De Backer DP, French CJ, Fujishima S, et al.
    • Journal Title

      Crit Care Med

      Volume: 45 Issue: 3 Pages: 486-552

    • DOI

      10.1097/ccm.0000000000002255

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Infection site is predictive of outcome in acute lung injury associated with severe sepsis and septic shock.2016

    • Author(s)
      3.Fujishima S, Gando S, Daizoh S, Kushimoto S, Ogura H, Mayumi T, Takuma K, Kotani J, Yamashita N, Tsuruta R, Takeyama N, Shiraishi S, Araki T, Suzuki K, Ikeda H, Miki Y, Suzuki Y, Yamaguchi Y, Aikawa N.
    • Journal Title

      Respirology

      Volume: 21 Issue: 5 Pages: 898-904

    • DOI

      10.1111/resp.12769

    • Related Report
      2016 Annual Research Report 2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Plasma cathepsin S and cathepsin S/cystatin C ratios are potential biomarkers for COPD2016

    • Author(s)
      Nakajima T, Nakamura H, Caroline A. Owen CA, Yoshida S, Tsuduki K, Chubachi S, Shirahata T, Mashimo S, Nakamura M, Takahashi S, Minematsu N, Tateno H, Fujishima S, Asano K, Celli BR, Betsuyaku T
    • Journal Title

      Disease Markers

      Volume: 2016:4093870 Pages: 1-9

    • DOI

      10.1155/2016/4093870

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Organ dysfunction as a new standard for defining sepsis2016

    • Author(s)
      Fujishima S
    • Journal Title

      Inflamm Regen

      Volume: 36 Issue: 1

    • DOI

      10.1186/s41232-016-0029-y

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 日本版敗血症診療ガイドライン2016 目次・要約・基本理念と概要2016

    • Author(s)
      西田修、小倉裕司、井上茂亮、射場敏明、今泉均、江木盛時、垣花泰之、久志本成樹、小谷穣治、貞広智仁、志馬伸朗、中川聡、中田孝明、布宮伸、林淑朗、藤島清太郎、升田好樹、松嶋麻子、松田直之、織田成人、田中裕、日本版敗血症診療ガイドライン2016 作成特別委員会
    • Journal Title

      Journal of the Japanese Society of Intensive Care Medicine

      Volume: 24 Issue: Supplement2 Pages: n/a

    • DOI

      10.3918/jsicm.24S0001

    • NAID

      130005397978

    • ISSN
      1340-7988, 1882-966X
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prognostic factors of Streptococcus pneumoniae sepsis in adults.2016

    • Author(s)
      Hifumi T, Fujishima S, Abe T, Kiriu N, Inoue J, Kato H, Koido Y, Kawakita K, Kuroda Y, Sasaki J, Hori S.
    • Journal Title

      The American Journal of Emergency Medicine

      Volume: 34 Issue: 2 Pages: 202-206

    • DOI

      10.1016/j.ajem.2015.10.025

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Distinct effects of endogenous interleukin-23 on eosinophilic airway inflammation in response to different antigens2015

    • Author(s)
      Ogawa R, Suzuki Y, Kagawa S, Masaki K, Fukunaga K, Yoshimura A, Fujishima S, Terashima T, Betsuyaku T, Asano K
    • Journal Title

      Allergology International

      Volume: 64 Issue: Supplement.1 Pages: 24-29

    • DOI

      10.1016/j.alit.2015.04.005

    • NAID

      130005099477

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of serum glucose levels on disease severity and outcome in patients with severe sepsis: an analysis from a multicenter, prospective survey of severe sepsis2015

    • Author(s)
      Kushimoto S, Gando S, Saitoh D, Mayumi T, Ogura H, Fujishima S, Araki T, Ikeda H, Kotani J, Miki Y, Shiraishi S, Suzuki K, Suzuki Y, Takeyama N, Takuma K, Tsuruta R, Yamaguchi Y, Yamashita N, Aikawa N
    • Journal Title

      Acute Medicine & Surgery

      Volume: 2 Issue: 1 Pages: 21-28

    • DOI

      10.1002/ams2.59

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 急性呼吸促迫症候群(ARDS)の病態生理2015

    • Author(s)
      藤島清太郎
    • Journal Title

      呼吸器内科

      Volume: 28 Pages: 87-91

    • Related Report
      2015 Research-status Report
  • [Journal Article] A multicenter, prospective evaluation of quality of care and mortality in Japan based on the Surviving Sepsis Campaign guidelines2014

    • Author(s)
      Fujishima S, Gando S, et al
    • Journal Title

      J Infect Chemother

      Volume: 20(2) Issue: 2 Pages: 115-120

    • DOI

      10.1016/j.jiac.2013.09.003

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Plasma cytokine profiles related to smoking-sensitivity and phenotypes of chronic obstructive pulmonary disease2014

    • Author(s)
      Nakamura M, Nakamura H, Minematsu N, Chubachi S, Miyazaki M, Yoshida S, Tsuduki K, Shirahata T, Mashimo S, Takahashi S, Nakajima T, Tateno H, Fujishima S, Betsuyaku T
    • Journal Title

      Biomarkers

      Volume: 19 Issue: 5 Pages: 368-77

    • DOI

      10.3109/1354750x.2014.915342

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pathophysiology and biomarkers of acute respiratory distress syndrome2014

    • Author(s)
      Fujishima S
    • Journal Title

      J Intensive Care

      Volume: 2 Issue: 1 Pages: 32-32

    • DOI

      10.1186/2052-0492-2-32

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] ALI/ARDSの診断と治療:バイオマーカー2014

    • Author(s)
      藤島清太郎
    • Journal Title

      呼吸器内科

      Volume: 25 Pages: 204-11

    • Related Report
      2014 Research-status Report
  • [Journal Article] 急性呼吸促迫症候群:画像とバイオマーカーからの病態評価2014

    • Author(s)
      藤島清太郎
    • Journal Title

      日本呼吸ケア・リハビリテーション学会誌

      Volume: 24 Pages: 220-7

    • NAID

      130005109124

    • Related Report
      2014 Research-status Report
  • [Presentation] 敗血症性ARDS2017

    • Author(s)
      藤島清太郎
    • Organizer
      第44回日本集中治療医学会学術集会
    • Place of Presentation
      さっぽろ芸文館(北海道札幌市)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 成人敗血症患者に対する副腎皮質ステロイド投与について2016

    • Author(s)
      藤島清太郎、今泉均、升田好樹、巽博臣、藤村直幸、井上茂亮、射場敏明、垣花泰之、久志本成樹、小谷穣治、貞弘智仁、志馬伸朗、中川聡、中田孝明、布宮伸、林淑朗、松田直之、松嶋麻子、江木盛時、小倉裕司、西田修、織田成人、田中裕
    • Organizer
      第44回日本救急医学会総会・学術集会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都港区)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] ALI/ARDSに対する多施設共同前向き観察研究2015

    • Author(s)
      藤島清太郎
    • Organizer
      第43回日本救急医学会総会・学術集会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 敗血症性ARDSに対する治療戦略2015

    • Author(s)
      藤島清太郎
    • Organizer
      第26回日本急性血液浄化学会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2015-10-09
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] ALI/ARDS患者肺局所サイトカインの網羅的解析による病態評価の試み2015

    • Author(s)
      中野泰、藤島清太郎、宮庄拓、田坂定智、橋本悟、長谷川直樹、別役智子
    • Organizer
      第55回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2015-04-17
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 急性呼吸促迫症候群:ガイドライン後の知見と最近の話題2015

    • Author(s)
      藤島清太郎
    • Organizer
      第12回日本集中治療医学会主催リフレッシャーセミナー
    • Place of Presentation
      東京
    • Year and Date
      2015-02-08
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 敗血症バンドル遵守率と死亡率による診療の質の評価2014

    • Author(s)
      藤島清太郎
    • Organizer
      第27回日本外科感染症学会総会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2014-12-05
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 救急診療の場で遭遇する感染症の特徴2014

    • Author(s)
      藤島清太郎
    • Organizer
      第42回日本救急医学会総会・学術集会/第193回ICD講習会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-30
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] ARDS:ガイドライン後の知見と最近のトピックス2014

    • Author(s)
      藤島清太郎
    • Organizer
      第42回日本救急医学会総会
    • Place of Presentation
      福岡
    • Year and Date
      2014-10-29
    • Related Report
      2014 Research-status Report
    • Invited
  • [Book] 呼吸器疾患診療最新ガイドライン: 肺水腫2014

    • Author(s)
      藤島清太郎
    • Total Pages
      395
    • Publisher
      最新医学社
    • Related Report
      2014 Research-status Report

URL: 

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

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