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TREATMENT OF ACUTE LIVER FAILURE BY STIMULATION OF LIVER REGENERATION AND CYTOPROTECTION

Research Project

Project/Area Number 59440039
Research Category

Grant-in-Aid for General Scientific Research (A)

Allocation TypeSingle-year Grants
Research Field Gastroenterology
Research InstitutionTokyo University

Principal Investigator

OKA Hiroshi  Tokyo University, Faculty of Medicine, Professor, 医学部, 教授 (10010258)

Co-Investigator(Kenkyū-buntansha) 佐藤 譲  東京大学, 医学部, 医員
OGATA Itsuroh  Tokyo University, Faculty of Medicine,, 医学部, 医員 (80169169)
OKA Yuji  Tokyo University, Faculty of Medicine,, 医学部, 助手 (20160658)
OHTA Yasuhiko  Tokyo University, Faculty of Medicine,, 医学部, 助手 (60124666)
FUJIWARA Kenji  Tokyo University, Faculty of Medicine,, 医学部, 講師 (80101088)
SATO Yuzuru  Tokyo University, Faculty of Medicine,
Project Period (FY) 1984 – 1986
Project Status Completed (Fiscal Year 1986)
Budget Amount *help
¥30,500,000 (Direct Cost: ¥30,500,000)
Fiscal Year 1986: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1985: ¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 1984: ¥26,000,000 (Direct Cost: ¥26,000,000)
KeywordsAcute liver failure / Liver regeneration / Cytoprotection / Exchange transfusion / Glucagon / Insulin / Ornithine decarboxylase / プロスタグランヂン誘導体 / 肝障害 / 交換輸血 / 血管内凝固 / アンチトロンビン【III】 / インスリン・グルカゴン療法
Research Abstract

Stimulation of liver regeneration and cytoprotection are essential for treatment of acute liver failure. The aim of this project is to accomplish such effective forms of treatment by evaluating the efficacy of several therapies, and by investigating fundamental points related to the disease. The following results have been obtained.
1) In acute liver failure, progression stages of injury might vary. Encephalopathy seemed to occur not only as a result of liver dysfunction. Intravascular coagulation developed associated with sinusoidal cell injury, and might contribute to the aggravation of liver injury in rats.
2) Glucagon and insulin therapy was effective for treatment of rat liver failure to a certain extent of injury through stimulation of liver regeneration and recovery from the dysfunction. It showed adverse effects when started early in drug-induced injury.
3) Exchange blood transfusion was effective for a certain type of injury through stimulation of liver function.
4) Antithrombin <III> infusion was effective for treatment of intravascular coagulation in the liver.
5) Hepatic ornithine decarboxylase was proved to be necessary for liver regeneration. This enzyme assay was applied to a method for detecting factors which act on early G1-phase of cell cycle.
6) Rat epidermal growth factor was purified from the submaxillary gland, and the radioimmunoassay was established.
7) As a new cytoprotective agent, a derivative of prostagrandin E1 was developed.

Report

(2 results)
  • 1986 Final Research Report Summary
  • 1985 Annual Research Report
  • Research Products

    (25 results)

All Other

All Publications (25 results)

  • [Publications] 岡博: 代謝. 21. 81-86 (1984)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 藤原研司: 肝臓. 25. 112 (1984)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] FUJIWARA,KENJI: Gastroenterol.Jap.19. 384-385 (1984)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 藤原研司: 肝の生化学=箱根シンポジウムI;ホルモン,アミノ酸,胆汁うっ滞. 1. 24-30 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 藤原研司: 日本内科学会雑誌. 75. 312-316 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 藤原研司: 肝臓. 26. 1697-1698 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Masaki,NaohiKo: Therapeutic Plasmapheresis(【IV】),Ed.by Oda,T.4. 383-388 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara,Kenji: Therapeutic Plasmapheresis(【IV】),Ed.by Oda,T.4. 323-326 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara,Kenji: Current Practice in Therapeutic Plasmapheresis,Ed.by Shiokawa,Y.& Inoue,N.96-101 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Ichikawa,H.: Therapeutic Plasmapheresis(【IV】),Ed.by Oda,T.4. 367-370 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 岡博: 医学のあゆみ. (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 藤原研司: 肝臓. 27. 1470 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Yoshiba,Makoto: Artif.Organs. 10. 417-421 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Oka,Hiroshi: New Trends in Hepatology,Ed.by Oda,t.& Okuda,K. 165-171 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara,Kenji: Jap.J.Med.25. 199-201 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara, K.: "Plasma Exchange for Treatment of Fulminant Hepatitis." Gastroenterol. Jap.19. 384-385 (1984)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Masaki, N.: "Plasma Exchange Therapy in the Treatment of Acute Hepatic Failure." Therapeutic Plasmapheresis ( <IV> ), Ed. by Oda,T., Schattauer, New York,. 383-388 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara, K.: "Plasma Exchange for Acute Hepatic Failure: Prothrombin Time as an Indicator for its Effectiveness in Repeated Use." Therapeutic Plasmapheresis ( <IV> ), Ed. by Oda,T., Schattauer, New York,. 323-326 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Fujiwara, K.: "Plasma Exchange in the Treatment of Fulminant Hepatic Failure." Current Practice in Therapeutic Plasmapheresis. 96-101 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] Ichikawa, H.: "Application of Poly-Methyl Methacrylate Membrane Hemodialysis in the Tretment of Acute Liver Failure." Therapeutic Plasmapheresis ( <IV> ), Ed. by Oda,T., Schattauer, New York,. 367-370 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] ホルモンと臨床. 33-3. (1985)

    • Related Report
      1985 Annual Research Report
  • [Publications] 内科. 55-6. (1985)

    • Related Report
      1985 Annual Research Report
  • [Publications] Current Practice in Therapeutic Plasmapheresis. (1985)

    • Related Report
      1985 Annual Research Report
  • [Publications] Therapeutic Plasmapheresis(TV). (1985)

    • Related Report
      1985 Annual Research Report
  • [Publications] Medicina. 22-6. (1985)

    • Related Report
      1985 Annual Research Report

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Published: 1987-03-31   Modified: 2017-03-27  

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