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1996 Fiscal Year Final Research Report Summary

肥大心における機械的収縮、電気的興奮のフィードバック機構の不整脈発生に対する関与-Stretch activated channel の関与と自律神経が与える影響について-

Research Project

Project/Area Number 07670751
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionInstitute of Clinical Medicine, University of Tsukuba

Principal Investigator

YAMAGUCHI Iwao  University of Tsukuba, Institute of Uinical Medicin Associate Professor, 臨床医学系, 助教授 (30111389)

Co-Investigator(Kenkyū-buntansha) KUGA Keisuke  University of Tsukuba, Institute of Uinical Medicin, Lecturer, 臨床医学系, 講師 (60241816)
MIYAUCHI Takashi  University of Tsukuba, Institute of Uinical Medicin, Lecturer, 臨床医学系, 講師 (60222329)
Project Period (FY) 1995 – 1996
KeywordsCardiac hypertrophy / arrhythmia / stretch acfivated ion channel / antonomic nerves / mechanical contraction / excitation
Research Abstract

It has been reported that the mechanical stress affects on the process of electrical excitation in the heart. This phenomenon is called to be "contraction-excitation feedback". Although it has been considered that the stretch activated ion channel is involved in its mechanisms, the precise mechanism is unclear.
We measured QT-interval as an indicator of electrical excitation in various conditions such as pressure-overload to the left ventricle, volume-overload to the left ventricle, valsalva stimulation, dvsopyramide application. Furthermore, we also studied myocardial endothelin-1 and contraction-excitation feedback.
Cardiac myocytes as well as vascular endothelium produce endothelin (ET)-1. In the heart, ET-1 induces myocardial hypertrophy and causes cellular injury of cardiac myocytes. In this study, we investigated roles of ET-1 in heart diseases such as chronic heart failure (CHF) and cardiac hypertrophy. We used coronary artery-ligated rat model as a CHF model animal (CHF rats). It … More was revealed that production of ET-1 (both peptide and mRNA levels) is increased in the failing heart of the CHF rats. We also obtained the data that the upregulated myocardial ET-1 system may play an aggravating role in the progression of CHF,because long-term (12 weeks) treatment with the ET receptor antagonist BQ-123 greatly improved survival rate of CHF rats. Twelve weeks after BQ-123 application, survival rate of the CHF rats treated with BQ-123 (CHF-BQ rats) was markedly higher than that of the CHF rats treated with saline alone (CHF-saline rats) (85% vs 43%, P<0.01). Hemodynamic parameters of surviving rats were ameliorated by chronic BQ-123 treatment. BQ-123 treatment effectively prevented unfavorable ventricular remodeling of the CHF rats. In the hypertrophied left ventricle of the aorta-banded rats, the expression of ET-1 mRNA was significantly increased. Treatment with BQ-123 for 7 days significantly reduced cardiac hypertrophy of the aortabanded rats.
Above various studies, we conclude that contraction-excitation feedback mechanism is involved in arrhythmias in many cases. Less

  • Research Products

    (16 results)

All Other

All Publications (16 results)

  • [Publications] S.Sakai, et al.: "Inhibition of myocardial endothelin pathway in proves long-term survival in heart failure" Nature. 384. 353-355 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] I.Yamaguchi: "Bedside management of life-threating brady arrythmias" A sian Medical Journal. 39. 607-615 (1996)

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      「研究成果報告書概要(和文)」より
  • [Publications] 山口 巌,他: "QT間隔の変動-機械的現象との関係-" Japanese Journal of Electrocardiology. 15. 101-104 (1995)

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      「研究成果報告書概要(和文)」より
  • [Publications] 山口 巌: "洞不全症候群" 救急医学. 20. 611-613 (1996)

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      「研究成果報告書概要(和文)」より
  • [Publications] T.Miyauchi, et al.: "Vasoconstriction by endothelin-1 in resistance and conduit portions of isolated human mesenteric arteries" European Journal of Pharmacolozy. 303. 193-196 (1996)

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      「研究成果報告書概要(和文)」より
  • [Publications] S.Kawano, et al.: "Response to isoproterenol as a prognostic indicator of evoiation from hypertrophic cardiomyopathy to a phase resembling dilated cardiomyopathy" Journal of the American College of Cardidogy. 25. 687-692 (1995)

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      「研究成果報告書概要(和文)」より
  • [Publications] 久賀 圭祐,他: "Annual Review 循環器1996" 中外医学社, 279 (1996)

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      「研究成果報告書概要(和文)」より
  • [Publications] 山口 巌,他: "心臓病学" 医学書院(石川 恭三 編集), 2066 (1995)

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      「研究成果報告書概要(和文)」より
  • [Publications] Miyauchi T,Sakai S,Ihara M,Kasuya Y,Yamaguchi I,Goto K,Sugishita Y.: "Increased endothelin-1 binding sites in the cardiac memranes in rats with chronic heart failure." Journal of Cardiovascular Pharmacology. 26. S448-S451 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Ishikawa, S., Miyauchi, T., Sakai, S., Yamaguchi, I., Sugishita, Y.and Goto, K.: "Elevated plasma endothelin-1 in young patients with pulmonary hypertension due to congenital heart diseases is decreased after successful surgical repair." The Journal of Thoracic and Cardiovascular Surgery. 110. 271-273 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Ishikawa S,Miyauchi T,Ueno H,Ushinohama H,Sagawa K,Fusazaki N,Snagawa H,Honda S,Sakai S,Yamaguchi I,Goto K,Sugishita Y.: "Influence of pulmonary blood pressure and flow on endothelin-1 production in humans." Journal of Cardiovascular Pharmacology. 26. S429-S433 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Sakai S,Yorikane R,Miyauchi T,Sakurai T,Kasuya Y,Yamaguchi I,Sugishita Y,Goto K.: "Altered production of endothelin-1 in the hypertrophied rat heart." Journal of Cardiovascular Pharmacology. 26. S452-S455 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Ishikawa S,Miyauchi T,Sakai S,Sunagaya H,Honda S,Maeda S,Matsuda M,Yamaguchi I,Goto K,Sugishita Y.: "Plasma endothelin-1 levels after exercise in patients with congenital heart disease." Journal of Cardiovascular Pharmacology. 26. S491-S493 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Sakai S,Miyauchi T,Sakurai T,Yamaguchi I,Kobayashi M,Goto K,and Sugishita Y.: "Pulmonary hypertension caused by congestive heart failure is markedly ameliorated by chronic application of an endothelin receptor antagonist : increased expression of endothelin-1 mRNA and endothelin-1-like-immunoreactivity in the lung in congestive heart failure in rats." Journal of the American College of Cardiology. 28. 1580-1588 (1996)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Sakai S,Miyauchi T,Sakurai T,Kasuya Y,Ihara M,Yamaguchi I,Goto K,and Sugishita Y.: "Endogenous endothelin-1 participates in the maintenance of cardiac function in rats with congestive heart failure ; Marked increase in endothelin-1 production in the failing heart." Circulation. 93. 1214-1222 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Sakai S,Miyauchi T,Kobayashi M,Yamaguchi I,Goto K,Sugishita Y.: "Inhibition of myocardial endothelin pathway improves long-term survival in heart failure." Nature. 384. 353-355 (1996)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 1999-03-16  

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