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Immunoparalysis and analysis of hematopoietic stem cell in sepsis:a trial of regenerative immunoactivity by bone-marrow transplantation

Research Project

Project/Area Number 26462771
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionNagoya City University (2015-2017)
Fujita Health University (2014)

Principal Investigator

Hattori Tomonori  名古屋市立大学, 大学院医学研究科, 教授 (90363936)

Co-Investigator(Kenkyū-buntansha) 武山 直志  愛知医科大学, 医学部, 准教授 (00155053)
秦 龍二  藤田保健衛生大学, 医学部, 教授 (90258153)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords敗血症 / 免疫不全 / 骨髄移植 / T細胞 / 骨髄幹細胞 / immunoparalysis / 骨髄幹細胞移植
Outline of Final Research Achievements

In septic shock patients, serial blood samples were obtained on days 1, 3, and 7 after the onset of shock, and immune cell subsets and receptor expression were characterized. A decrease of immunoactivity of T cells and monocyte were observed in the early stage of septic shock. Significant lymphopenia persisted for at least 7 days following the onset of septic shock. Normalization of immunodysfunctions was observed by day 7, except in patients who died. Our findings emphasize the importance of normal lymphocyte function for recovery from septic shock. These results indicate that the regeneration of the immunoparalytic state by bone-marrow transplantation, can be potentially effective therapy for recovery from septic shock.

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

    (28 results)

All 2018 2017 2016 2015 2014

All Journal Article (12 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 11 results,  Open Access: 11 results,  Acknowledgement Compliant: 1 results) Presentation (16 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Complementary Role of Hypothermia Identification to the Quick Sequential Organ Failure Assessment Score in Predicting Patients With Sepsis at High Risk of Mortality: A Retrospective Analysis From a Multicenter, Observational Study.2018

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

      J Intensive Care Med

      Volume: -

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Increased PD-1 Expression and Altered T Cell Repertoire Diversity Predict Mortality in Patients with Septic Shock: A Preliminary Study.2017

    • Author(s)
      Tomino A, Tsuda M, Aoki R, Kajita Y, Hashiba M, Terajima T, Kano H, Takeyama N
    • Journal Title

      PLoS One

      Volume: 12(1)

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Early evaluation of severity in patients with severe sepsis: a comparison with "septic shock" - subgroup analysis of the Japanese Association for Acute Medicine Sepsis Registry (JAAM-SR).2017

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

      Acute Med Surg

      Volume: 4(4) Pages: 426-431

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Assessment of mortality by qSOFA in patients with sepsis outside ICU: A post hoc subgroup analysis by the Japanese Association for Acute Medicine Sepsis Registry Study Group.2017

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

      J Infect Chemother

      Volume: 23(11) Pages: 757-762

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 致死量を超えて内服した市販薬トラベルミン(ジフェンヒドラミン、ジプロフィリン配合剤)の急性中毒例2017

    • Author(s)
      竹中 信義, 平川 昭彦, 加納 秀記, 津田 雅庸, 武山 直志, 服部 友紀
    • Journal Title

      日本臨床救急医学会雑誌

      Volume: 20(5) Pages: 672-677

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clostridium Perfringens Infection in a Febrile Patient with Severe Hemolytic Anemia.2016

    • Author(s)
      Hashiba M, Tomino A, Takenaka N, Hattori T, Kano H, Tsuda M, Takeyama N
    • Journal Title

      Am J Case Rep

      Volume: 17 Pages: 219-223

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 救命救急センターにおける超高齢患者の重症例に対する治療現場と予後改善2016

    • Author(s)
      服部友紀
    • Journal Title

      ASAHI medical

      Volume: 45(3) Pages: 30-31

    • Related Report
      2015 Research-status Report
  • [Journal Article] Neutrophil extracellular traps in patients with sepsis.2015

    • Author(s)
      Hashiba M, Huq A, Tomino A, Hirakawa A, Hattori T, Miyabe H, Tsuda M, Takeyama N.
    • Journal Title

      Journal of Surgical Research

      Volume: 194 Issue: 1 Pages: 248-254

    • DOI

      10.1016/j.jss.2014.09.033

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 肺切除術後、健側肺に急性肺障害を認めた1例2015

    • Author(s)
      安藤 雅規、津田 雅庸、後長 孝佳、栃井 大輔、波柴 尉充、富野 敦稔、宮部 浩道、須田 隆、植西 憲達、服部 友紀、平川 昭彦、武山 直志
    • Journal Title

      Japanese Journal of Acute Care Surgery

      Volume: 5(1) Pages: 55-58

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 敗血症性ショック患者におけるT細胞機能障害2015

    • Author(s)
      武山直志、富野敦稔、波柴尉充、安藤雅規、後長孝佳、宮部浩道、津田雅庸、服部友紀、加納秀記、平川昭彦
    • Journal Title

      Shock: 日本Shock学会雑誌

      Volume: 29(2) Pages: 9-12

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 多彩な症状を呈した合成カチノン系化合物を含有する危険ドラッグの急性中毒症例2015

    • Author(s)
      後長 孝佳、服部 友紀、安藤 雅規、波柴 尉充、富野 敦稔、宮部 浩道、加納 秀記、津田 雅庸、平川 昭彦、武山 直志
    • Journal Title

      日本臨床救急医学会雑誌

      Volume: 18(3) Pages: 546-550

    • NAID

      130005085622

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] ASIC2 Subunits Facilitate Expression at the Cell Surface and Confer Regulation by PSD-95.2014

    • Author(s)
      Harding AM, Kusama N, Hattori T, Gautam M, Benson CJ.
    • Journal Title

      PLoS One.

      Volume: 39 Issue: 4 Pages: 93797-93797

    • DOI

      10.1371/journal.pone.0093797

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Plasma myeloperoxidase conjugated-DNA level as predictors of outcome and organ dysfunction in septic shock patients: possible therapeutic effect of hemoperfusion with a polymyxin B immobilized fiber column2018

    • Author(s)
      Nanshi Takeyama
    • Organizer
      38th International Symposium on Intensive Care and Emergency Medicine
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The novel therapeutic strategy for septic shock, to remove activated immunocytes simultaneously with excessive inflammatory mediators, by performing Direct Hemoperfusion with Polymyxin B-immobilized fiber column (PMX-DHP) combined with High-flow Hemodiafiltration (hf-HDF)2017

    • Author(s)
      Tomonori Hattori
    • Organizer
      European Society of Intensive Care Medicine in EUROASIA 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Five cases of caffeine intoxication due to taking more than the lethal dose2017

    • Author(s)
      Tomonori Hattori
    • Organizer
      9th Asian Conference on emergency Medicine
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 集中治療が行われた寝たきり・意思疎通不可の超高齢患者の検討2017

    • Author(s)
      服部友紀
    • Organizer
      日本集中治療医学会第1回東海北陸支部学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] カフェイン中毒6例の検討~血液浄化施行例と非施行例の比較~2017

    • Author(s)
      五島隆宏
    • Organizer
      第20回日本臨床救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 致死量を内服したカフェイン中毒5例の検討2017

    • Author(s)
      服部友紀
    • Organizer
      第32回日本救命医療学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 高度急性期病院における要介護超高齢者の救急応需の現状と問題点2016

    • Author(s)
      松嶋麻子、服部友紀他
    • 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)
    • Year and Date
      2016-11-17
    • Related Report
      2016 Research-status Report
  • [Presentation] PWW法で実施するガイドライン2015版BLS講習会のためのDVD作成とその効果について2016

    • Author(s)
      増田和彦、服部友紀他
    • 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)
    • Year and Date
      2016-11-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 火災現場へDr.car出動し傷病者23名に対し現場活動を行った事例2016

    • Author(s)
      服部友紀
    • Organizer
      第21回日本集団災害医学会総会・学術集会
    • Place of Presentation
      山形ビッグウィング(山形県・山形市)
    • Year and Date
      2016-02-27
    • Related Report
      2015 Research-status Report
  • [Presentation] A fatal case of septic shock with liver abscess and intravascular hemolysis caused by Clostridium perfringens type A2015

    • Author(s)
      Tomonori Hattori
    • Organizer
      8th Asian Conference for Emergency Medicine
    • Place of Presentation
      Taipei (Taiwan)
    • Year and Date
      2015-11-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 救命救急センターにおける超高齢救急患者の重症例に対する治療の現状と予後改善2015

    • Author(s)
      服部友紀
    • Organizer
      第43回日本救急医学会総会
    • Place of Presentation
      東京国際フォーラム(東京都・千代田区)
    • Year and Date
      2015-10-21
    • Related Report
      2015 Research-status Report
  • [Presentation] 藤田保健衛生大学病院救命ICUにおける超高齢敗血症患者の治療の改善と今後の課題2015

    • Author(s)
      服部友紀
    • Organizer
      30回日本救命医療学会
    • Place of Presentation
      神戸ポートピアホテル(兵庫県・神戸市)
    • Year and Date
      2015-09-12
    • Related Report
      2015 Research-status Report
  • [Presentation] A290- Ex vivo and in vivo generation of neutropil extracellular traps by neutrophils from septic patients.2015

    • Author(s)
      Takeyama N, Huq MA, Ando M, Gocho T, Hashiba M, Miyabe H, Kano H, Tomino A, Tsuda M, Hattori T, Hirakawa A
    • Organizer
      35th International Symposium on Intensive Care and Emergebcy Medicine
    • Place of Presentation
      Brussels, Belgium
    • Year and Date
      2015-03-17 – 2015-03-20
    • Related Report
      2014 Research-status Report
  • [Presentation] 当院の血液浄化の現状2015

    • Author(s)
      服部友紀、武山直志、他
    • Organizer
      第42回日本集中治療医学会総会・学術集会,
    • Place of Presentation
      東京都ホテル日航東京
    • Year and Date
      2015-02-09 – 2015-02-11
    • Related Report
      2014 Research-status Report
  • [Presentation] PMMA-HDFとPMX-DHPを併用施行した敗血症性ショックの治療戦略2014

    • Author(s)
      服部友紀、武山直志、他
    • Organizer
      第42回日本救急医学会総会・学術集会
    • Place of Presentation
      福岡県福岡市福岡国際会議場
    • Year and Date
      2014-10-28 – 2014-10-30
    • Related Report
      2014 Research-status Report
  • [Presentation] 藤田保健衛生大学病院救命ICUにおける敗血症の治療方針2014

    • Author(s)
      服部友紀、武山直志、他
    • Organizer
      第29回日本救命医療学会総会・学術集会
    • Place of Presentation
      東京都八王子市 京王プラザ八王子
    • Year and Date
      2014-09-20
    • Related Report
      2014 Research-status Report

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

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