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Does the bladder C fiber inhibition improve nocturnal polyuria in the metabolic syndrome era?

Research Project

Project/Area Number 26670698
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Urology
Research InstitutionUniversity of Fukui

Principal Investigator

OKADA MASAHIRO  福井大学, 医学部附属病院, 助教 (40572441)

Co-Investigator(Kenkyū-buntansha) YOKOYAMA OSAMU  福井大学, 医学部, 教授 (90242552)
AOKI YOSHITAKA  福井大学, 医学部附属病院, 講師 (30273006)
YOKOI SATOSHI  福井大学, 医学部附属病院, 助教 (90722546)
SEKI MASAYA  福井大学, 医学部附属病院, 医員 (70572444)
Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords夜間頻尿 / 多尿 / 尿産生リズム / 腎交感神経 / 心不全
Outline of Final Research Achievements

Antimuscarinics have the potential to decrease nocturnal urine volume via suppression of bladder afferent C-fibers. Can other antimuscarinics and α-adrenergic blocker decrease urine production?
Intravenous α blocker naftopidil decreased the urine production in rats with diuresis. This effect was found to depend on its inhibitory influences on C-fibers. We examined influences of the sympathetic nervous hyperactivity on urine production and micturition reflex in Dahl salt-sensitive rats fed with high salt diet. These rats revealed hypertension and increase in urine production during inactive periods of the day. Urine-producing rhythm collapsed when a heart failure model was made using an anticancer agent adriamycin with heart toxicity. An antidiuretic effect was clinically seen in short-acting anticholinergics administered before sleeping when sub-analyzed the data of clinical trial. On the other hand, an antidiuretic effect was not found in long-acting anticholinergics.

Report

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

    (8 results)

All 2015 2014 Other

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (4 results) Remarks (2 results)

  • [Journal Article] Once-daily oxybutynin patch improves nocturia and sleep quality in Japanese patients with overactive bladder: Post-hoc analysis of a phaseIII randomized clinical trial2015

    • Author(s)
      Yokoyama O, Yamaguchi A, Yoshida M, Yamanishi T, Ishizuka O, Seki N, Takahashi S, Yamaguchi O, Higo N, Minami H, Masegi Y.
    • Journal Title

      INTERNATIONAL JOURNAL OF UROLOGY

      Volume: 22 Issue: 7 Pages: 684-688

    • DOI

      10.1111/iju.12755

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Underlying mechanisms of urine storage dysfunction in rats with salt-loading hypertension2015

    • Author(s)
      Kurokawa T, Zha X, Ito H, Aoki Y, Akino H, Kobayashi M, Yokoyama O
    • Journal Title

      Life Sci

      Volume: 141 Pages: 8-12

    • DOI

      10.1016/j.lfs.2015.09.010

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Presentation] Natural History of Nocturia Among Japanese Men and Women During the 5-Year Period from 2003 to 2007.2014

    • Author(s)
      Y.Aoki, S.Yokoi, M.Okada, Y.Matsuta, C.Matsumoto, Y.Kusaka, O.Yokoyama
    • Organizer
      ICS2014
    • Place of Presentation
      リオデジャネイロ(ブラジル)
    • Year and Date
      2014-10-22
    • Related Report
      2014 Research-status Report
  • [Presentation] 夜間頻尿の変動パターンからみた、経過観察という治療方針の可能性-住民健康診査受診者における縦断解析結果-2014

    • Author(s)
      青木 芳隆, 松本 智恵子, 岡田 昌裕, 松田 陽介, 伊藤 秀明, 大山 伸幸, 秋野 裕信, 日下 幸則, 横山 修
    • Organizer
      第21回日本排尿機能学会
    • Place of Presentation
      岡山市(岡山コンベンションセンター)
    • Year and Date
      2014-09-18
    • Related Report
      2014 Research-status Report
  • [Presentation] 住民健診受診者を対象とした縦断的解析からわかった夜間頻尿の変動について2014

    • Author(s)
      青木 芳隆, 岡田 昌裕, 松田 陽介, 松本 智恵子, 日下 幸則, 横山 修
    • Organizer
      第102回日本泌尿器科学会総会
    • Place of Presentation
      神戸市(神戸国際会議場、他)
    • Year and Date
      2014-04-27
    • Related Report
      2014 Research-status Report
  • [Presentation] 慢性疾患にて一般医家通院中の60,034名におけるlower urinary tract symptoms(LUTS) 治療率と生活習慣病の相関に関する検討2014

    • Author(s)
      関 雅也, 山内 寛喜, 岡田 昌裕, 青木 芳隆, 横山 修
    • Organizer
      第102回日本泌尿器科学会総会
    • Place of Presentation
      神戸市(神戸国際会議場、他)
    • Year and Date
      2014-04-24
    • Related Report
      2014 Research-status Report
  • [Remarks] 福井大学研究者総覧

    • URL

      http://t-profile.ad.u-fukui.ac.jp/search/index.html

    • Related Report
      2015 Annual Research Report
  • [Remarks] 福井大学医学部研究活動一覧

    • URL

      http://www.med.u-fukui.ac.jp/home/ufms/file/kenkyu/welcome.html

    • Related Report
      2014 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2017-05-10  

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