2017 Fiscal Year Final Research Report
Anti-inflammatory effect of 5-aminolevulinic acid in patients with the sepsis and/or ischemic reperfusion injury.
| Project/Area Number |
16K15767
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Multi-year Fund |
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| Research Field |
Emergency medicine
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| Research Institution | Nihon University |
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Principal Investigator |
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| Research Collaborator |
HORI Satoshi
IHARA Shingo
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| Project Period (FY) |
2016-04-01 – 2018-03-31
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| Keywords | アミノレブリン酸 / サイトカイン / 抗炎症効果 |
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| Outline of Final Research Achievements |
5-aminolevulinic acid (ALA) is a synthetic precursor of heme, which is degraded by heme oxygenase-1 (HO-1). Recent studies reported that 5-ALA induced the up-regulation of HO-1 mRNA. HO-1 is an isoform of heme oxygenase that catabolizes cellular heme to bilverdin, carbon monoxide, and free iron. This study demonstrated that treatment with 5-ALA marked reduction of cytokine IL-6 production. HO-1 is well-known to be induced not only by its substrate, but also by various stresses such as sepsis. We suggest that HO-1 expression could prevent the development of an inflammatory response such as sepsis. However, few reports have been presented on the mechanism of HO-1 induction by 5-ALA. 5-ALA could act in a protective manner in the inflammatory process and reduce cytokines which contribute to the development of multiple organ dysfunction and a poor outcome.
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| Free Research Field |
救急集中治療医学
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