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Adenosine involves in delayed recovery from sedation/hypnosis

Research Project

Project/Area Number 26463079
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Surgical dentistry
Research InstitutionAsahi University

Principal Investigator

Sakurai Satoru  朝日大学, 歯学部, 教授 (50225843)

Co-Investigator(Kenkyū-buntansha) 宮脇 卓也  岡山大学, 医歯薬学総合研究科, 教授 (00219825)
松浦 信幸  東京歯科大学, 歯学部, 准教授 (20408313)
Co-Investigator(Renkei-kenkyūsha) GOTO TAKASHI  朝日大学, 歯学部, 講師 (30637898)
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: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordsアデノシン / アミノフィリン / ミダゾラム / フルマゼニル
Outline of Final Research Achievements

Flumazenil, a specific benzodiazepine antagonist that acts on GABA receptors via competitive inhibition, initially caused rapid and complete antagonism and all subjects seemingly fully awake responding properly in response to verbal command. However, flumazenil administration resulted in high incidence of resedation, particularly when higher dose was given.
Midazolam and flumazenil potently inhibit adenosine uptake, thereby accumulating extracellular concentration of adenosine, and thus potentiate actions of adenosine. Adenosine excites a subset of sleep-promoting neurons.
In this study, because aminophylline antagonised the resedation that occurred after flumazenil administration, adenosine may be associated with this resedation. Aminophylline, a nonselective adenosine receptor antagonist, has been shown to be an effective agent in reversing the sedative effects of midazolam, because midazolam and flumazenil enhances extracellular adenosine levels in the cerebral cortex.

Report

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

    (2 results)

All 2016 2015

All Presentation (2 results)

  • [Presentation] ミダゾラム鎮静からの回復の比較2016

    • Author(s)
      櫻井 学,岸本敏幸,松浦信幸,後藤隆志,小杉謙介,名知ひかる,智原栄一
    • Organizer
      第 51 回中部歯科麻酔研究会
    • Place of Presentation
      長野県松本市
    • Related Report
      2016 Annual Research Report
  • [Presentation] フルマゼニル投与はミダゾラム鎮静からの回復を遅延させる2015

    • Author(s)
      櫻井 学,岸本敏幸 松浦信幸,後藤隆志,名知ひかる
    • Organizer
      第32回日本障害者歯科学会学術大会
    • Place of Presentation
      愛知県名古屋市
    • Year and Date
      2015-11-06
    • Related Report
      2015 Research-status Report

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

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