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Pathogenesis and Prevention of intrauterine growth retardation and fetal distress by antiphospholipid antibody

Research Project

Project/Area Number 07671824
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Obstetrics and gynecology
Research InstitutionTeikyo University

Principal Investigator

YAMAMOTO Tatsuo  Dept.Obstet.& Gynecol, Associate Professor Teikyo University School of Medicine, 医学部, 助教授 (40167721)

Co-Investigator(Kenkyū-buntansha) SASAMORI Yukifumi  Teikyo University School of Medicine, Research fellow, 医学部, 助手 (50276721)
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1996: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1995: ¥1,200,000 (Direct Cost: ¥1,200,000)
Keywordsantiphospholipid antibody / intrauterine growth retardation / fetal distress / pregnancy / endothelin / cytokine
Research Abstract

1.We demonstrated the presence of anticardiolipin antibody (ACA) in preeclampsia and the binding ability for placental villi by ACA.In ACA positive cases, high incidence of intrauterine growth retardation (IUGR) was found. 2.Using the ELISA using beta_2-GPI,high incidence of placental insufficiency and IUGR were detected in positive ACA cases. 3.To investigate the pathogenetic mechanism by beta2-GPI dependent ACA,the effects on beta2-GPI dependent ACA for endothelial cell were evaluated. ACA tended to decrease the PGF1_<alpha> production. However, ACA increased the production of Endothelin 1 (ET-1) which is strong vasoactive substance from endothelial cell. After isolation of IgG from ACA positives sera, we demonstrated that the effect of sera was originated from IgG.Moreover, the effects on cytokine production by beta2-GPI dependent ACA was evaluated. The IL8 production tended to increase without the changes of IL1 alpha and IL6.4.When the effect on the productions of PGF1 alpha and ET-1 by beta2-GPI itself was evaluated, beta_2-GPI suppressed those productions. When the effects on the cytokine productions by beta_2-GPI itself were evaluated, the IL1 production tended to increase without the changes of IL6 and IL8. There is a possibility that beta_2-GPI dependent ACA prevents to suppress the production of ET-1.
We suggest that ACA may bind to placental villi and endothelium during pregnancy and that the vascular constriction by increased ET-1 production may produce IUGR.

Report

(3 results)
  • 1997 Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • Research Products

    (10 results)

All Other

All Publications (10 results)

  • [Publications] YamamotoT: "Anti-phospholipid antibodies in preeclampsia and their binding ability for placental villous lipid fraction." J Obstet Gynecol Res. 22 (3). 275-283 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] YamamotoT: "Significace of 2-GPI dependent anticardiolipin antibody during pregnancy" Recent Adavances on the Pathophysiology of Pregnancy Ed by Nakabayashi M and Araki 1997 Organization Gestosis. 289-293 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 山本 樹生: "妊娠中毒症と自己免疫異常" 産婦人科の実際. 45. 1435-1441 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 山本 樹生: "妊娠中毒症の発症重症化と自己抗体" 臨床婦人科産科. 51. 270-271 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Yamamoto T,Takahashi Y,Geshi Y,Sasamori Y,Mori H: "Anti-phospholipid antibodies in preeclampsia and their binding ability for placental villous lipid fraction." J Obstet Gynecol Res. 22 (3). 275-283 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Yamamoto T,Takahashi Y,Kuno S,Geshi Y,Sasamori Y,Mori H: "Significance of 2-GPI dependent anticardiolipin antibody during pregnancy" Recent Advances on the Pathophysiology of Pregnancy p289-293 Ed by Nakabayashi M and Araki 1997 Organization Gestosis.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Yamamoto T,Takahashi Y,Kuno S,Geshi Y,Mori H: "Toxemia of pregnancy and abnormality of autoimmunity" Practice of Obstetrics and Gynecology. 45. 1435-1441 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Yamamoto T,Mori H: "Oncet and severity of toxemia of pregnancy and autoantibody" Clincal Obstetrics and Gynecology. 51. 270-271 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Tatsuo Yamamoto: "Anti-Phospholipid Antibodies in Preeclampsia and Their Binding Ability for Placental Villous Lipid Fractions" Journal of Obstetrics and Gynaecology Research. 22巻3号. 275-283 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Tatsuo Yamamoto: "Anti-phospholipld antilody in pveeclampsia and its binding ability for plscental villous lipicl fraction" Jonrnal of Obstetvicsaud Gynecologg Reseach. (in press).

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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