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1996 Fiscal Year Final Research Report Summary

CHANGES IN NITRATE AND NITRITE DURING TREATMENT OF ULCERATIVE COLITIS

Research Project

Project/Area Number 07671433
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionNIPPON MEDICAL SCHOOL

Principal Investigator

SASAJIMA Koji  NIPPON MEDICAL SCHOOL FIRST DEPARTMENT OF SURGERY ASSOCIATE PROFESSOR, 医学部, 助教授 (80158930)

Project Period (FY) 1995 – 1996
Keywordsulcerative colitis / nitric oxide / nitrate / nitrite / cytokine / glucocorticoids
Research Abstract

The urinary excretion rates of nitrate (NO_3) and nitrite (NO_2) were monitored in 14 patients with active ulcerative colitis during treatment using hydrocortisone and sulfasalazine. During the active phase of the disease, the NO_3 excretion was significantly higher in the patients than in healthy controls, although it varied considerably among the patients. During the healing phase, the NO_3 excretion decreased concurrently with improvement of symptoms and colorectal ulceration, but the NO_2 excretion increased. During the inactive phase of the disease, the NO_3 and NO_2 excretions were significantly lower than during the active phase, and the NO_2/NO_3 ratio resembled that in the healthy controls. In contrast, a patient who failed to respond to treatment showed continuously high NO_3 and NO_2 excretion rates. Serum interleukin-3 which is secreted by T lymphocytes, was detected in 60% of patients with active disease. Further, we found that DNA from serum of patients with active disease showed ladder formation by electrophoresis. These evidences suggest that activated immune system and free radicals by cytokines cause apoptosis of epithelial cells in inflamed mucosa.

  • Research Products

    (15 results)

All Other

All Publications (15 results)

  • [Publications] Koji Sasajima: "Changes in Urinary Nitrare and Nitrite during Treatment of Ulcerative Colitis" Digestion. 57. 170-173 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Koji Sasajima: "Increases in Pulmonary Artery Pressure and Cardiac Output Due to the Inhibition of Nitric Oxide Synthes During Operative Stress" Surgery Today. 25. 927-929 (1995)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Shinhiro Takeda: "The effect of preoperative high-dose methylprednisole administration in attenuating the metabolic response following oesophageal resection" Eur. J Surg. (in press).

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 笹島耕二: "細胞死からみた食道癌手術侵襲と合併症" 侵襲と免疫. 5. 5-9 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 笹島耕二: "一酸化窒素" 臨床消化器内科. 10. 1565-1568 (1995)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 笹島耕二: "外科医からみた手術侵襲" 日本臨床麻酔学会誌. (印刷中).

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Masao Miyashita: "E. Faist, A. E. Baue and F. W. Schildberg (in press)" MOF,MODS and SIRS. (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Masao Miyashita: "The immune consequences of trauma,shock and sepsis. Mechanisms and therapeutic approaches." Faist E,Bane AE,Shilberg FW, (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Takeshi Matsutani: "The immune consequences of trauma,shock and sepsis. Mechanisms and therapeutic approaches." Faist E, 1014 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Sasajima K,et al: "Changes in urinary nitrate and nitrite during treatment of ulcerative colitis" Digestion. 57. 170-173 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Sasajima K,et al: "Increases in pulmonary artery pressure and cardiac output due to the inhibition of nitric oxide synthesis during operative stress" Surg Today. 25. 927-929 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Takeda S,Sasajima K,et al: "The effect of preoperative high-dose methylpredonisolone administration in attenuating the metabolic response following oesophageal resection" Eur J Surg. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Miyashita M,Sasajima K,et al: Humoral mediators in surgical stress and multiple argan failure. The immune consequences of trauma, shock and sepsis. Mechanisms and therapeutic approaches. In Eds.Faist E,Baue AE,Shilberg FW.Pabst, 256-261 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Matsutani T,Sasajima K,et al: Soluble adhesion molecules and cytokines on the development of complications following major surgery. The immune concequences of trauma, shock and sepsis. Mechanisms and therapeutic approaches. In Ed.Faist E,Monduzzi, 443-447 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Okawa K,Sasajima K,et al: Detection of cytokines in bronchoalveolar lavage (BAL) after major surgery. The immune consequences of trauma, shock and sepsis. Mechanisms and therapeutic appoaches. In Ed.Faist E,Monduzzi, 571-574 (1997)

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

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Published: 1999-03-09  

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