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2017 Fiscal Year Final Research Report

Elucidation of inflammatory mechanisms by platelet-derived microRNA after cardiac surgery with cardiopulmonary bypass

Research Project

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Project/Area Number 26462761
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Emergency medicine
Research InstitutionKansai Medical University

Principal Investigator

NAKAJIMA Yasufumi  関西医科大学, 医学部, 教授 (70326239)

Co-Investigator(Kenkyū-buntansha) 佐和 貞治  京都府立医科大学, 医学(系)研究科(研究院), 教授 (10206013)
石井 祥代  京都府立医科大学, 医学部附属病院, 研究員 (40457958)
溝部 俊樹  京都府立医科大学, 医学(系)研究科(研究院), 講師 (50239266)
小川 覚  京都府立医科大学, 医学(系)研究科(研究院), 助教 (50636131)
中山 力恒  京都府立医科大学, 医学(系)研究科(研究院), 助教 (90568198)
Project Period (FY) 2014-04-01 – 2018-03-31
Keywords遺伝子治療
Outline of Final Research Achievements

The mechanism of platelet dysfunction after cardiopulmonary bypass (CPB) is largely unknown. We therefore evaluated time-dependent changes in blood intra-platelet Bax (a pro-apoptotic molecule) concentrations and platelet dysfunction. Platelets were found to contain abundant RNAs, including miRNAs, and mRNA splicing machinery, and exhibit a protein synthesis function. We hypothesized that the expression levels of several miRNAs significantly change during CPB, and the mRNA and protein expression level alterations triggered by these miRNA changes lead to platelet dysfunction after CPB.
CPB increases platelet Bax expression, which contributes to reduced platelet-surface GPIb expression and thrombin-induced platelet calcium changes. Next generation sequencing technology revealed that the expression levels of several miRNAs in circulating platelets significantly changed during CPB. These changes in platelet signalling might contribute to platelet dysfunction after CPB.

Free Research Field

集中治療医学、麻酔科学

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Published: 2019-03-29  

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